Letter from Activist to OI regarding CDC reorganization and by katiealibrandi

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									Date:

Dear Congressman/Senator

I am a constituent from your district and would like you to please read the following letter to the Subcommittee on
Oversight & Investigations concerning Centers for Disease Control (CDC) activities.

Congress needs to know the General Accounting Office is investigation the CDC procurements and management of
financial resources. CDC "Reorganization" has really meant privatizing an agency established to protect public's
interest through non-profits, shifting away from serving the public good, to serving special interests.

Privatization lacks accountability, transparency, oversight, and compromises the public‟s safety through weakened
agency enforcement. Please examine the possible conflict of the fiduciary responsibility to the American public before
passing legislation concerning Hepatitis C disease funding. Please be aware, each hour of every day, three people
die from Hepatitis C or its related conditions. Two of these people have a Military background.

Thank you for you time.

Name
Address
City State
Phone number

Letter from Activist to O&I regarding CDC reorganization and management of financial
resources.

                                                                                                                        November 2006

To: The Honorable

Joe Barton, Chairman                                                 John D. Dingell, Ranking Member
Subcommittee on Oversight & Investigations                           Subcommittee on Oversight and Investigations


Ed Whitfield, Chairman                                               Bart Stupak, Ranking Member
Subcommittee on Oversight & Investigations                           Subcommittee on Oversight and Investigations

Subject: Recommendations to Subcommittee on Oversight and Investigation's (O&I) letter to the CDC with regard to
reorganization and management of financial resources.

 The O & I committee has requested a briefing for the status of the CDC's reorganization plan. [1] We ask for the opportunity to
respond with considerations and recommendations pertinent to this investigation.

The purpose for this request is to advise the committee that CDC "Reorganization" has really meant privatizing an agency
established to protect public's interest. Reorganization delegate entrusted responsibilities to the private sector, through non-profits,
shifting away from serving the public good, to serving special interests. Privatization lacks accountability, transparency, oversight,
and compromises the public‟s safety through weakened agency enforcement.

The CDC was established to protect the public‟s interest as its "top priority and mandate". The objective of reorganization was to
insure scientific programs directly benefit the public by saving money through consolidated services. During a 2006 interview with
Science Magazine, the current CDC director, Julie Gerberding assured the public; that no area of research funding has decreased
to accommodate the reorganization. She states, "The budget is very constrained by very strict budget lines that basically dictate,
you spend your money for this." [2]

The following information may show need to establish an O&I Committee investigation because reorganization plans have evaded
oversight, at least Dr. Gerberding's, through the federal funded "pre-existing" integration programs designed for prevention and
control of Hepatitis C (HCV).

The HCV strategy plan was drafted and federally funded after former Surgeon General Dr. C. Everett Koop described the epidemic
as, “one of the most significant, preventable and treatable public health problems facing our nation…. a graver threat than the AIDS
crisis.” Experts like Dr. Koop and his successor Dr. David Satcher, gave an ominous warnings to the general public, about the
threat posed by the current HCV crisis.[3]

The foremost goal for the federal response was to approve funding for „Hepatitis C Coordinators‟ in every state and large
metropolitan health department to meet the expressed concern. Coordinator duties were to provide the management, networking,
and technical expertise required for successful integration into existing public health programs.[4]

However, a recent survey conducted by Hepatitis C Movement for Awareness, discovered 6 vacant positions, including Indian
Health Services. Other vacant positions included coordinators located in Colorado, Kansas, Philadelphia, Tennessee, & Delaware.
Furthermore, 20 contacts, listed on the CDC website as HCV Coordinators‟, did not responded to a request for information about
HCV.

The reorganization plan, called "Futures Initiative", began in 2003. In theory, the innovative structure creates new "coordinating
centers" that oversee CDC's existing centers and in the process has redefined the description for HCV coordinators. The
definitions of responsibilities now include the acceleration of integration for all Viral Hepatitis Intervention Plans under guidelines of
the Center for HIV/AIDS, STD and TB Prevention. [5] The patients receive STD clinic referrals for counseling and prevention. The
clinical guidelines facilitate prevention methods deemed "STD/HIV friendly", despite Drs. Koop and Satcher's, grave warnings to
notify the general public about HCV.

CDC education and training cooperative agreements for HCV are typically with non-governmental organizations consisting of
former HIV activist, and STD/HIV based organizations. During reorganization, the desperately needed resources, outlined in the
Federal Strategy Plan, to assess the societal impact of the epidemic were not even a consideration.[6]

As of 2004- Dr. James Hughes, director, Center for Infectious Diseases, and Dr. Harold Margolis, chief of the viral hepatitis division
for 17 years, left the CDC, citing, "all-consuming reorganization" and shift away from science based programs.1 CDC employees
also complain a political verses science based influences has played a part in the drafting of reorganization plans. In all, 6 of the 8
department heads have resigned.[7]

HCV is responsible for Non A/ Non B Hepatitis and discovered 17 years ago. It is a member of the Flaviviridae virus family,
including West Nile and Yellow fever viruses that transmit by mosquitoes.[8] Although the "school of thought' is HCV does not
transmit this way, research is sketchy.

Still today, 80% of infected citizens do not know they have the virus.[9] Further government testimony revealed 1 in 10 military
retirees and veterans have this virus.[10] In spite of that, neither the CDC nor Veterans Affairs has a comprehensible educational
campaign underway to alert veterans who do not utilize the VA health system of their risk and need to be tested.

Martin Friede, Ph.D., World Health Organization sworn testimony during the 2005 FDA General Hospital and Personal Use
Devices Panel, testified that mass injecting campaigns with military style needleless jet injectors are a significant risk for
transmission of Hepatitis. Latest research shows all four of the mass injectors used until 1999, tested positive for contamination
and had capability to transmit blood borne pathogens.[11] This explains why military and their families are infected 2 to 1 over the
general public.

Traced back to 1942, the HCV virus infected 78% of soldiers through blood-based vaccination for yellow fever, as confirmed by
NIH scientists.[12] In 1988, there were 242,000 HCV infections reported annually among the general public. These high figures
continued throughout the 1960's, 70's and 80's. In 1989, the new, yearly infections decreased 80% after mandatory
heating/washing of blood products and the "slow to come" enforcement of standard procedures.[13]

The National Association of Community Health Centers, Inc. (NACHC) points out approximately 30,000 cases of acute hepatitis C
each year and near 85% become chronically infected. The CDC estimates that the number of deaths from end-stage liver disease
will reach 30,000 to 40,000 annually by the year 2010.[14] Sadly, 26,000 people will die this year because of HCV. To present a
clearer picture, each hour of every day, 3 people will die, and 2 will have a military background, according to congressional
testimony from Veterans Affairs and federal institutions such as NIH.

However, public health and all CDC corporate agreement literature quote HCV death rates between 10-12,000 deaths annually,
based on 1998 NIH data.[15] As activists and patients, we must ask, how can the death of 14,000 Americans go unaccounted?
The consequences of reorganization have eluded the "state of the emergency" declared by two surgeon generals. Misinformation
to contain the federally approved funding for HCV has lead the U.S. Preventive Services Task Force to recommend "against"
routine screening, citing the "potential for harm to test outweigh the need.[16] Ironically, HCV is 100 times more infectious than
HIV and has 5 times the number of patients infected but the Task Force recommends HIV testing.

Reorganization has ignored the factual modes of transmission for this virus, giving focus to the least likely; if at all possible, way
this virus transmits. STD/HIV prevention methods alone, do not work for HCV as shown in the example of a privately funded
needle-exchange program in Pittsburgh, PA. The City declared a HIV and HCV public health emergency among intravenous drug
                [17]
users in 2001. After four years, the facts speak for themselves:
Confirmed cases of HCV:

                   149 in 2002

                   298 in 2003

                   211 in 2004

                   393 In 2005

During that period, consistent reports of 100 HIV cases, annually, in that county.

According to a survey conducted at a large Midwestern university; an astonishing 75% of College undergraduates in the United
States do not recognize the magnitude of their risk behaviors for contracting HCV. Researchers found a potential risk factor, from
                                 [18]
tattoos to sharing body jewelry.

In summary, when Congress decided to fund HIV/AIDS, an industry emerged. Like other industries, the HIV/AIDS industry is
attempting to grow. Its growth strategy is to control the HCV epidemic. Notable, "generalizing" deadly bloodborne pathogen
diseases, like HCV, enforces HIV non-profit's purpose for its mission above public health needs. The reorganization and prevention
strategy plan has failed taxpayers and the military by separation of government away from entrusted responsibilities with lethal
consequences for the public health.

We understand the CDC's finance office may be under investigation for inefficiency and ineffective leadership and ask the
committee to please examine the reduction in HCV services as a result of reorganization and a possible conflict of the fiduciary
responsibility to the American public and the military. The CDC's lack of accountability for handling of the HCV epidemic is worthy
of an oversight investigation.

Recommendations:

         1. Examine the reduction in HCV services as a result of reorganization
         2. Examine political verses science based influences during the drafting of reorganization plans, specifically
         designed to accelerate the integration.
         3. Determine conflicting fiduciary relationship resulting from cooperative agreements with private organizations.
         4. General Accounting Office investigation- The GAO should determine if privatizing an agency designed to be
         the ultimate in public protection, is shifting away from its mission by sectioning off duties of the agency that are
         vital for public safety and trust.
         5. Address the millions of military veterans falling through the public health cracks for HCV identification and
         intervention services.




Respectfully,

National Hepatitis C Institute                Hepatitis C Movement for                       HCVets.com
Kitty Candelaria                              Awareness                                      Harry Hooks
Executive Director                                                                           Manager & Spokesperson
                                              Director, Tricia Lupole
National Hepatitis C Institute                                                               270 Fort Mott Rd.
360-692-0795                                  110 Glover Cir                                 Pennsville NY 08070
candelarianhci@hotmail.com                    Staunton Va. 24401                             856-935-8416
http://nationalhepatitiscinstitute            540-248-7324                                   HCVets@gmail.com
                                              HMAwareness@aol.com                            http://hcvets.com
                                              www.March-on-Dc.com
Referances:

[1]
  Letter from Committee on Energy and Commerce to the CDC regarding it‟s reorganization and management of financial
resources. As part of its public health oversight responsibilities, the Committee on Energy and Commerce monitors the
management of HHS agencies, including the Centers for Disease Control and Prevention (CDC). Letter from O&I to the CDC
regarding reorganization & management of resources.

[2]
  Science Magazine, Oct 13, 2006 By Jocelyn Kaiser and Jennifer Couzin PUBLIC HEALTH: Gerberding Defends Her
Transformation of CDC Science Magazine, October 13, 2006 The director denies that a reorganization is weakening the public
health agency CDC Director denies reorganization is weakening public health agency.

[3]
  Hearing Before the House Government Reform and Oversight Committee C. Everett Koop, M.D., SC. D. Former U.S. Surgeon
General Statement on Hepatitis C March 5, 1998 http://www.epidemic.org/theForum/testimony/koopTestimonyA.html
The Body: Natural History and Treatment of Hepatitis C http://www.thebody.com/sfaf/winter00/hepc.html According to former
Surgeon General C. Everett Koop, "The hepatitis C epidemic poses one of the most serious public health crises faced in this
century ...

[4]
   Hepatitis C: Plan: Implementation | CDC Viral Hepatitis -A major goal of the National Hepatitis C Prevention Strategy is funding
of a „Hepatitis C Coordinator‟ for every state and large metropolitan health department to meet the expressed needs of state and
local public health officials. http://www.cdc.gov/ncidod/diseases/hepatitis/c/plan/Implement.htm

[5]
   Testimony Before the Committee on Government Reform United States House of Representatives CDC‟s Activities to Prevent
Hepatitis C Infection Statement of Rima Khabbaz, M.D. Associate Director for Epidemiologic Science National Center for Infectious
Diseases Centers for Disease Control and Prevention U.S. Department of Health and Human Services
http://reform.house.gov/UploadedFiles/CDC%20-%20Khabbaz%20Testimony.pdf

[6]
  National Hepatitis C Prevention Strategy A Comprehensive Strategy for the Prevention and Control of Hepatitis C Virus Infection
and its Consequences Summer 2001 CDC-Hepatitis C infections reported annually. http://0-
www.cdc.gov.mill1.sjlibrary.org/ncidod/diseases/hepatitis/c/plan/HCV_infection.htm

[7]
   The Atlanta Journal-Constitution By ALISON YOUNG Published on: 09/10/06 Exodus, morale shake CDC Trust issues range
from a general lack of confidence that CDC's leadership will "do the right thing" when faced with political pressure from
Washington;…. belief that official staff communications are designed more to burnish a public relations image than give employees
the unvarnished truth... http://www.ajc.com/metro/content/metro/stories/2006/09/09/0910MESHcdcmorale.html

[8]
   J Virol. 2000 February; 74(4): 2017–2022. American Society for Microbiology Department of Antiviral Therapy, Schering-Plough
                                                  *
Research Institute, Kenilworth,Jersey 07033-0539 Corresponding author. Mailing address: Department of Antiviral Therapy, K-15-
4/4945, Schering-Plough Research Institute, 2015 Galloping Hill Rd., Kenilworth, NJ 07033-0539. Phone: (908) 740-3025. Fax:
(908) 740-3032. E-mail: weidong.zhong@spcorp.com .
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=111680&tools=bot

[9]
  Hepatitis C - Loma Linda University Medical Center Transplantation
Up to 80 percent of individuals don't even know they have the infection. [Top]. Background. Hepatitis C is a disease of the liver
caused by a virus. ... www.llu.edu/llumc/transplant/hepatitis-c.html -

[10]
   Testimony of Gary A. Roselle, M. D. Program Director for Infectious Diseases Veterans Health Administration Department of
Veterans Affairs Before the Subcommittee on Benefits Committee on Veterans‟ Affairs U.S. House of Representatives April 13,
2000 http://hcvets.com/data/va_news/testimony_of_gary_a.htm

[11]
  U.S. Food And Drug Administration General Hospital And Personal Use Devices Panel of the Medical Devices Advisory
Committee http://www.fda.gov/ohrms/dockets/ac/05/transcripts/2005-4172t1.htm WHO- Jetguns Significant Risk

[12]
    Epidemiology in Military and Veteran Populations: Proceedings of the Second Biennial Conference, March 7, 1990 (1991)
Institute of Medicine Yellow Fever Vaccine-Associated Hepatitis Epidemic During World War II: Follow-up More Than 40 Years
Later Leonard B. Seeff * page 9 …. anti-HBc results among Group II of the present study, that 78% of all recipients of the known
icterogenic lots were probably infected 330,000 men who received these vaccines developed HBV infection, the ratio of icteric:
Anicteric hepatitis being 1:7.
Clinical Microbiology & Infection Volume 6 Page 629 - November 2000 doi:10.1046/j.1469-0691.2000.00160.x Volume 6 Issue 11-
Isolated antibody to hepatitis B core is associated with hepatitis C virus co-infection G. Greub*and P. C. Frei- Isolated antibody to
hepatitis B core is associated with hepatitis ...1] have previously shown that subjects with antibody only to hepatitis B core (anti-
HBc alone) were more often co-infected with hepatitis C (HCV) (49%) than ... www.blackwell-synergy.com/links/doi/10.1046/j.1469-
0691.2000.00160.x
[13]
    National Hepatitis C Prevention Strategy A Comprehensive Strategy for the Prevention and Control of Hepatitis C Virus
Infection and its Consequences Summer 2001 CDC-Hepatitis C infections reported annually. http://0-
www.cdc.gov.mill1.sjlibrary.org/ncidod/diseases/hepatitis/c/plan/HCV_infection.htm

[14]
   The National Association of Community Health Centers, Inc. (NACHC) /U.S. Newswire/ The Centers for Disease Control and
Prevention (CDC) estimates that the number of deaths from end-stage liver disease in the U.S. alone will reach 30,000 to 40,000
annually by the year 2010. http://www.nationalhepatitiscinstitute.org/Data/Transmission/CDCdeathrate2010.htm

[15]
   1995 First time death rate announce for HCV, June 1, 1995 An estimated 3.5 million people in the United States have chronic
hepatitis C. Each year, 8000 to 10,000 chronically infected patients die of liver-related complications, and 1000 undergo liver
transplantation1 . Terrault N, Wright T. Interferon and hepatitis C. N Engl J Med 1995;332:1509-11. [Free Full Text] (and Alter M:
personal communication)
1998 Congressional Research Service Report for Congress states. "Annual deaths from chronic liver disease caused by hepatitis
C could triple in the next 10 to 20 years if effective therapies are not found. NIH has initiated research to develop a preventive
vaccine and improved drug therapies, and new efforts are underway to identify and educate those already infected."
1998 National Institutes of Health (NIH) state; Incidence, Prevalence, and Epidemiology of HCV Infection.....An estimated 8,000 to
10,000 deaths each year result from HCV-associated chronic liver disease. Without intervention, that number could triple in the
next 10 to 20 years.(7) 7. Management of Hepatitis C . NIH Consensus Statement. 1998

[16]
   Screening: Hepatitis C Virus Infection U.S. Preventive Services Task Force. Screening for Hepatitis C in Adults ... The USPSTF
recommends against routine screening for hepatitis C virus (HCV) ... www.ahrq.gov/clinic/uspstf/uspshepc.htm

[17]
       Pittsburgh Tribune-Review Editorial www.pittsburghlive.com/x/tribune-review/opinion/archive/s_436159.html

[18]
   MedlinePlus: College Students Unaware of Hepatitis C Risks College Students Unaware of Hepatitis C Risks. ... at risk for
hepatitis C, according to a survey of 610 undergraduates at a large Midwestern university. ...
www.nlm.nih.gov/medlineplus/news/fullstory_40517.html

								
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