Border Health Security Act of 2007

Mr. President, I rise today in support of the National Agriculture and Food Defense Act of 2007, which I introduced today along with the Senator from Maine, Senator Collins. This bill will help the Nation better prepare for, detect, respond to, and recover from an agro-terror attack or deliberate food contamination. I thank my distinguished colleague from Maine for her leadership on homeland security issues and for her support of this important legislation.

Our agriculture and food system is an important part of our Nation's economy and our national security. As we increase our dependence on agriculture not only to provide our food supply but to also produce energy, we must ensure we can identify security vulnerabilities, fix those vulnerabilities, respond to and recover from a deliberate attack or catastrophic accidental or natural contamination.

The Nation's agriculture and food system remains vulnerable. The system is open, complex, interconnected, and diverse, which makes it a target. Many farms are geographically isolated with few biosecurity measures in place. And livestock is frequently concentrated in confined spaces. For example, 80 to 90 percent of U.S. cattle production is concentrated in less than 5 percent of the nation's feedlots. An attack on just one part of the production process could set off a devastating domino effect felt through our entire food system, causing economic loss and effects on human health.

Biological weapons and poisons in food and animals have been used in attacks in the past. During World War I, German operatives allegedly infected horses with anthrax before they were shipped to Europe. In 1984, a cult in Oregon spread salmonella in salad bars at restaurants to influence a local election. More recently, documents found in al Qaeda hideouts in Afghanistan described how to make animal and plant poisons, evidence that agriculture and food continue to be prospective targets for terrorist organizations.

We have two main concerns when contemplating a deliberate attack on our agriculture and food system, the potentially devastating economic impacts, and the possible human health effects.

For example, studies show a single agro-terrorist attack on our livestock industry could cost the U.S. economy $10 to $33 billion. The United Kingdom's Foot and Mouth Disease outbreak in 2001 caused approximately $5 billion in losses to the agriculture and food sector, and U.S. beef exports plunged when 119 countries instituted bans on American beef after ``mad

cow'' disease was found in a U.S. herd in 2003. The U.S. Department of Agriculture estimates the annual cost to the country from premature deaths caused by just one common food-borne illness, salmonella, is over $2 billion.

Many infectious diseases affect both humans and animals, and a significant number of those diseases cross over between the two different populations. In fact, 75 percent of emerging diseases affect both animals and humans, and 5 out of 6 agents of greatest concern for bioterrorism are ``zoonotic''. We are all aware of the global threat of H5Nl bird flu, a zoonotic disease that to date has infected 317 people, and killed 191. In order to protect the human and animal health of the United States, we must develop a unified human and veterinary approach against infectious disease that anticipates disease evolution and acts quickly.

In addition to transmissible diseases carried by animals, the health of U.S. citizens is vulnerable to an attack because food systems can become delivery mechanisms for diseases and poisonous agents, and a highly contagious animal disease could seriously disrupt the food supply. According to the Centers for Disease Control and Prevention, 76 million Americans get sick each year, more than 300,000 are hospitalized, and 5,000 die from naturally occurring foodborne illnesses. A deliberate attack could be catastrophic.

In the National Agriculture and Food Defense Act of 2007, we take five key actions to better prepare the nation for an attack on our agriculture and food system.

First, the bill puts someone in charge. Consistent with Homeland Security Presidential Directive 9, the Defense of the United States Agriculture and Food, issued by President Bush in January 2004, the bill identifies the Secretary of Homeland Security as the lead coordinator of Federal Government efforts to protect critical infrastructure and key resources, including the agriculture and food system in case of a national emergency. The Secretary of Agriculture remains responsible for agriculture, as well as meat, poultry, and egg food products; and the Secretary of Health and Human Services is responsible for food products other than meat, poultry, and egg products. The bill also establishes an Under Secretary for Protection, Preparedness, and Response position at the U.S. Department of Agriculture to lead and coordinate USDA activities relating to agriculture and food defense.

Second, the bill requires a coordinated national strategy for protecting our agriculture and food system. The Department of Homeland Security, the Department of Agriculture, and the Department of Health and Human Services are required to work together to develop a coordinated national strategy for agriculture and food emergency preparedness, detection, response and recovery. This will ensure the Federal Government identifies specific achievable goals and constantly strives to improve our preparedness.

Third, this legislation provides guidance, assistance, and financial support from the Federal Government to States by improving regional agriculture and food defense continuity of business planning; by training State personnel on food defense; and by improving communication and coordination between States and the Federal Government by hiring State agriculture and food defense liaison officers.

Being from a large agriculture State, I know my State and many others are potential targets for a deliberate attack on our agriculture and food system. At $68 billion in revenues each year, agriculture is North Carolina's largest industry. North Carolina is the second highest producer of hogs and turkeys in the nation, and number five in broilers. States, such as North Carolina, will benefit greatly from additional resources, coordination and planning.

Federal, State, local governments and the private sector together have a responsibility to defend and protect the agriculture and food system through a layered defense established at each level of government. States are the first responders in the event of a suspected food contamination, animal disease or plant pest outbreak, and the Federal Government must help States build the capabilities to prevent, detect, respond to, and recover from a catastrophic animal disease outbreak or food contamination. It is important to note that this legislation maintains the authority of States to oversee food and agriculture within their jurisdiction and to implement food safety standards. The bill does not affect USDA or the Food and Drug Administration's ability or authority to establish and enforce food safety standards.

Fourth, the bill enhances public-private partnerships. The majority of our agriculture and food system is privately owned and operated. This legislation authorizes Government and private sector coordinating councils to improve information sharing between Government and private sector partners.

Finally, the National Agriculture and Food Defense Act implements early detection of, and rapid response to animal disease outbreaks and food-related emergencies. The bill authorizes and integrates Nation- wide animal, plant, and food diagnostic laboratory networks, and develops onsite rapid diagnostic tools, to speed up the detection of animal and food-related emergencies. To rapidly respond to infectious diseases, the bill authorizes a stockpile of animal vaccines and drugs that can be deployed to an outbreak within 24 hours.

In closing, I thank Senator Collins for sponsoring the National Agriculture and Food Defense Act with me. We Are taking a decisive step forward today towards improving and protecting the Nation's agriculture and food system. I would also like to thank all the experts from across the country who worked with my staff to develop this legislation, particularly the individuals in North Carolina who have dedicated their lives to this mission. I urge my colleagues to support this legislation and I look forward to working with them on this important national security issue.

Mr. President, lead poisoning is a serious, persistent, and entirely preventable threat to a child's health. Childhood lead poisoning has been linked to impaired growth and function of vital organs and problems with intellectual and behavioral development. At very high levels, lead poisoning can cause seizures, comas, and even death; robbing a child of his or her future.

Lead poisoning is the number one environmental health threat to children of color and low-income children in the U.S. African-American and Mexican-American children are 5 and 2 times more likely, respectively, to have toxic blood lead levels than white children, while low-income children are 8 times more likely to develop lead poisoning than more affluent children. Compounding the problem is the fact that 77 percent of children eligible for lead screening under Medicaid are not screened for exposure to lead.

An estimated 500,000 American children under the age of 6 have enough lead in their blood to adversely affect their development. The most common source of lead exposure for children today is lead paint in older housing, particularly when it contaminates dust and soil in and around residences. Furthermore, despite a ban on lead paint in 1978, there are still over 24 million housing units in the U.S. that have lead paint hazards, with about 1.2 million units in New York State alone.

The good news is childhood lead poisoning can be dramatically reduced by the abatement or reduction of lead-based hazards found in homes. Today, I am please to reintroduce legislation to provide a tax credit for safely removing lead-based paint hazards from homes and rental units. The Home Lead Safety Tax Credit Act of 2007 offers much needed incentives for property owners to ensure homes are free of environmental dangers that can harm our children and will put America closer to its goal of eliminating lead poisoning in children by the year 2010.

This bill provides home owners and landlords with a 50 percent tax credit for lead abatement cost for up to $3,000 and up to $1,000 interim control measures. These interim control measures, including replacement of windows, specialized maintenance, and safe repainting, are a cost-effective means of protecting the largest number of children from harmful lead exposure in the near term.

This legislation targets a tax credit to homes with children younger than 6 years of age, women of childbearing age, low-income residents, and buildings constructed before 1960, as these include more than 96 percent of all units where lead-based paint is prevalent. Targeting these tax credits has proven to be a successful way of eliminating childhood lead poisoning. For example, a similar tax credit offered by the State of Massachusetts helped reduce the number of new cases of childhood lead poisoning within the State by almost two-thirds in a decade.

I am glad the U.S. Department of Health and Human Services considers eliminating lead poisoning to be a priority, and has established a national goal of ending childhood lead poisoning by 2010: However, current Federal lead abatement programs only have resources sufficient to make approximately 8,800 homes lead-safe each year. At this pace, we will not be able to end childhood lead poisoning by 3010, let alone 2010. The Home Lead Safety Tax Credit Act of 2007 would help homeowners make over 80,000 homes safe from lead each year, nearly 10 times the capacity of current Federal programs.

Every child deserves to grow up in a clean, healthy home environment. I am hopeful my colleagues will join me in supporting this legislation to safeguard homes against environmental hazards that detrimentally affect the health and safety of our children.

Mr. President, last year, the FDA made emergency contraception, EC, available over the counter for women 18 years of age and older. Research shows that emergency contraception is safe and effective for preventing pregnancy. More than 70 major medical organizations, including the America Academy of Pediatrics, recommended that Plan B be made available over the counter.

Senator Murray and I spent a great deal of time and effort tracking the FDA's ``non-decision'' of whether emergency contraception should be made available over the counter. We have come a long way in the fight for access to EC.

Women deserve access to this medically approved drug and our servicewomen are no different. By providing access to emergency contraception, up to 95 percent of those unintended pregnancies could be prevented if emergency contraception is administered within the first 24 to 72 hours. For survivors of rape and incest, emergency contraception offers hope for healing.

Current Department of Defense policy allows emergency contraception to be available at military health care facilities. Currently, it is available at some facilities, but not others. The Compassionate Care for Servicewomen Act would simply ensure broader access by including EC on the basic core formulary, BCF, a list of medications stocked at all military health care facilities.

Introduced as a bipartisan bill in the House of Representatives by Congressmen Mike Michaud and Chris Shays, the Compassionate Care for Servicewomen Act was written to implement exactly what the DOD's own committee charged with determining which drugs should be added to the basic core formulary recommended in 2002.

Unfortunately, about a month later, DOD political appointees overruled their own experts' advice without any justification and removed EC from the BCF. This bill restores what the DOD wanted to do before it was blocked by politics.

There is a real need for this legislation. According to the Pentagon, the number of reported sexual assaults in the military increased approximately 24 percent in 2006 to nearly 3,000. We have reports from women and health providers in the military who have sought EC on an emergency basis and have been unable to obtain it quickly enough.

Ensuring that EC is more broadly available at military health care facilities is a fair, commonsense step that everyone should be able to agree on.

It is my sincere hope that my colleagues join me in supporting this important legislation and I would like to express my thanks to my colleagues who have already signed on.

Mr. President today I am introducing a bill with Senators Hutchison, Cornyn, and Boxer entitled ``the Border Health Security Act of 2007.'' This bill addresses the tremendous health problems confronting our Nation's southwestern border.

The U.S.-Mexico border region is defined in the U.S.-Mexico Border Health Commission authorizing legislation as the area of land 100 kilometers, or 62.5 miles, north and south of the international boundary. It stretches 2,000 miles from California, through Arizona and New Mexico to the southern tip of Texas and is estimated to have a population of 12 million residents.

The border region comprises 2 sovereign nations, 25 native american tribes, and 4 States in the U.S. and 6 States in Mexico.

Why should we provide some focus to this geographic region? In the past, we have recognized problems with other regions, through the Denali, Delta, and Appalachian commissions, and have provided targeted funding to those areas. Yet, the situation along the border is among the most dire in the country.

In the border region, 3 of the 10 poorest counties in the U.S. are located in the border area, 21 of the counties have been designated as economically distressed, approximately 430,000 people live in 1,200 colonias in Texas and New Mexico, which are unincorporated communities that are characterized by substandard housing, unsafe public drinking water, and wastewater systems, very high unemployment, and the lowest per capita income as a region in the Nation.

In a recent report by the U.S.-Mexico Border Counties Coalition, the Coalition found that, if the border were a State, it would rank second with respect to the uninsured, last with respect to access to health professionals, including doctors, nurses and allied health professionals per capita; second with respect to tuberculosis, third with respect to hepatitis; and fifth with respect to diabetes.

The result is a health system that confronts tremendous health problems with few resources.

According to U.S. Census Bureau data reported in September 2005, for the 3-year average of 2002 to 2004, the States of Texas and New Mexico rank first and second as the States with the highest uninsured rates in the country with rates of 25.0 percent and 21.0 percent, respectively. California and Arizona are not much better and had uninsured rates of 18.7 percent and 17.1 percent, respectively.

However, the figures along the border are even worse, as the rates of uninsured are higher still than that in the four States overall. Uninsured rates in many border counties are estimated to be above 30 percent and as high as 50 percent in certain communities. According to the U.S. Census Bureau's small area health insurance estimates, SAHIE, the three New Mexico border counties had an uninsured rate of 29.4 percent compared to the statewide average of 23.7 percent and more than twice the U.S. rate of 14.2 percent.

As the U.S.-Mexico Border Commission notes:

The border is characterized by weaknesses in the border

health systems and infrastructure, lack of public financial

resources, poor distribution of physicians and other health

professionals and hospitals. Moreover, the low rates of

health insurance coverage and low incomes puts access to

health services out of reach for many border residents and

thus keeps the border communities at risk.

The U.S.-Mexico Border Commission has identified and approved of an agenda through its health border 2010 initiative, which seeks to, among other things: reduce by 25 percent the population lacking access to a primary provider; reduce the female breast cancer death rate by 20 percent; reduce the cervical cancer death rate by 30 percent; reduce deaths due to diabetes by 10 percent; reduce hospitalizations due to diabetes by 25 percent; reduce the incidence of HIV cases by 50 percent; reduce the incidence tuberculosis cases by 50 percent; reduce the incidence of hepatitis A and B cases by 50 percent; reduce the infant mortality rate by 15 percent; and, increase initiation of prenatal care in the first trimester by 85 percent.

However, the U.S.-Mexico Border Commission lacks the resources that are needed to address those important goals. The bipartisan legislation I am introducing today with Senators Hutchison, Cornyn, and Boxer, would address that problem by reauthorizing the U.S.-Mexico Border Health Commission at $10 million and authorizing additional funding to improve the infrastructure, access, and the delivery of health care services along the entire U.S.-Mexico border.

These grants would be flexible and allow the individual communities to establish their own priorities about how to spend these funds for the following range of purposes: maternal and child health, primary care and preventative health, public health and public health infrastructure, health promotion, oral health, behavioral and mental health, substance abuse, health conditions that have a high prevalence in the border region, medical and health services research, community health workers or promotoras, health care infrastructure, including planning and construction grants, health disparities, environmental health; health education, and outreach and enrollment services with respect to Medicaid and the State Children's Health Insurance Program,

Mr. President today I am introducing a bill with Senators Hutchison, Cornyn, and Boxer entitled ``the Border Health Security Act of 2007.'' This bill addresses the tremendous health problems confronting our Nation's southwestern border.

The U.S.-Mexico border region is defined in the U.S.-Mexico Border Health Commission authorizing legislation as the area of land 100 kilometers, or 62.5 miles, north and south of the international boundary. It stretches 2,000 miles from California, through Arizona and New Mexico to the southern tip of Texas and is estimated to have a population of 12 million residents.

The border region comprises 2 sovereign nations, 25 native american tribes, and 4 States in the U.S. and 6 States in Mexico.

Why should we provide some focus to this geographic region? In the past, we have recognized problems with other regions, through the Denali, Delta, and Appalachian commissions, and have provided targeted funding to those areas. Yet, the situation along the border is among the most dire in the country.

In the border region, 3 of the 10 poorest counties in the U.S. are located in the border area, 21 of the counties have been designated as economically distressed, approximately 430,000 people live in 1,200 colonias in Texas and New Mexico, which are unincorporated communities that are characterized by substandard housing, unsafe public drinking water, and wastewater systems, very high unemployment, and the lowest per capita income as a region in the Nation.

In a recent report by the U.S.-Mexico Border Counties Coalition, the Coalition found that, if the border were a State, it would rank second with respect to the uninsured, last with respect to access to health professionals, including doctors, nurses and allied health professionals per capita; second with respect to tuberculosis, third with respect to hepatitis; and fifth with respect to diabetes.

The result is a health system that confronts tremendous health problems with few resources.

According to U.S. Census Bureau data reported in September 2005, for the 3-year average of 2002 to 2004, the States of Texas and New Mexico rank first and second as the States with the highest uninsured rates in the country with rates of 25.0 percent and 21.0 percent, respectively. California and Arizona are not much better and had uninsured rates of 18.7 percent and 17.1 percent, respectively.

However, the figures along the border are even worse, as the rates of uninsured are higher still than that in the four States overall. Uninsured rates in many border counties are estimated to be above 30 percent and as high as 50 percent in certain communities. According to the U.S. Census Bureau's small area health insurance estimates, SAHIE, the three New Mexico border counties had an uninsured rate of 29.4 percent compared to the statewide average of 23.7 percent and more than twice the U.S. rate of 14.2 percent.

As the U.S.-Mexico Border Commission notes:

The border is characterized by weaknesses in the border

health systems and infrastructure, lack of public financial

resources, poor distribution of physicians and other health

professionals and hospitals. Moreover, the low rates of

health insurance coverage and low incomes puts access to

health services out of reach for many border residents and

thus keeps the border communities at risk.

The U.S.-Mexico Border Commission has identified and approved of an agenda through its health border 2010 initiative, which seeks to, among other things: reduce by 25 percent the population lacking access to a primary provider; reduce the female breast cancer death rate by 20 percent; reduce the cervical cancer death rate by 30 percent; reduce deaths due to diabetes by 10 percent; reduce hospitalizations due to diabetes by 25 percent; reduce the incidence of HIV cases by 50 percent; reduce the incidence tuberculosis cases by 50 percent; reduce the incidence of hepatitis A and B cases by 50 percent; reduce the infant mortality rate by 15 percent; and, increase initiation of prenatal care in the first trimester by 85 percent.

However, the U.S.-Mexico Border Commission lacks the resources that are needed to address those important goals. The bipartisan legislation I am introducing today with Senators Hutchison, Cornyn, and Boxer, would address that problem by reauthorizing the U.S.-Mexico Border Health Commission at $10 million and authorizing additional funding to improve the infrastructure, access, and the delivery of health care services along the entire U.S.-Mexico border.

These grants would be flexible and allow the individual communities to establish their own priorities about how to spend these funds for the following range of purposes: maternal and child health, primary care and preventative health, public health and public health infrastructure, health promotion, oral health, behavioral and mental health, substance abuse, health conditions that have a high prevalence in the border region, medical and health services research, community health workers or promotoras, health care infrastructure, including planning and construction grants, health disparities, environmental health; health education, and outreach and enrollment services with respect to Medicaid and the State Children's Health Insurance Program,

Mr. President, I rise to speak in support of the National Agriculture and Food Defense Act of 2007 that my distinguished colleague, Senator Burr, and I are introducing today.

A decade ago, the General Accounting Office report illustrated the danger of lapses in food safety, a single-year toll of millions of cases of food-borne illnesses and 9,100 food-related deaths. I conducted a series of investigative hearings in 1998 that confirmed America faced significant risks from tainted food imports.

In 2003, I also chaired a Senate Homeland Security Committee hearing that pointed out new threats. I noted that al-Qaida had announced that the U.S. economy was a target, that hundreds of U.S. agricultural documents had been found translated into Arabic, and that some of the 9/11 terrorists had investigated using crop-dusting planes as weapons of agroterrorism.

Today, food security problems persist, and their potential for death and disruption has been greatly magnified by the terrorist threats against the United States. Ensuring the safety of our food must include considerations of homeland security.

We have all heard the recent news stories of contamination involving food and toothpaste imported from China. But the concerns extend far beyond anyone trading partner. Food and Drug Administration data for 2006 show that hundreds of shipments from India, Mexico, Denmark, the Dominican Republic, and other countries were impounded for defects or safety concerns. Considering that the vast majority of incoming food shipments are not inspected, these facts are troubling. Even more troubling, we must consider how much worse the potential impacts could be if large-scale deliberate contamination were attempted, whether by attacks on domestically produced food or imports or the distribution, production, and processing systems.

Congress has recognized the threats to our seaports, chemical facilities, transportation, and critical infrastructure. We have acted to protect these vital systems that sustain our economy. We must also extend our homeland security vigilance to the food that sustains our very lives.

The National Agriculture and Food Defense Act would integrate and strengthen the federal government's ability to promote food security. With the Department of Homeland Security in a directing role, and with sector-specific leadership roles for the Departments of Agriculture and Health and Human Services, the bill would provide

a coherent National Agriculture and Food Defense Strategy consistent with our national emergency management plans.

As Congress has already provided in other areas, the national food security strategy would address preparedness, mitigation, response, and recovery. Its provisions for stockpiling veterinary supplies and establishing a plant-disease recovery program would add vital new Federal capabilities. Coordination of Federal food security budget activity and outreach State, local, and private sector stakeholders are also important features of the bill.

In light of the gravity of the threat to our food security and this measure's thoughtful and promising response to that threat, I encourage my colleagues to support expeditious action on this bill.