WHITE HOUSE FACT SHEET ON U.S. RESPONSE TO EBOLA IN WEST AFRICA

FROM:  THE WHITE HOUSE 

FACT SHEET: U.S. Response to the Ebola Epidemic in West Africa

As the President has stated, the Ebola epidemic in West Africa and the humanitarian crisis there is a top national security priority for the United States.  In order to contain and combat it, we are partnering with the United Nations and other international partners to help the Governments of Guinea, Liberia, Sierra Leone, Nigeria, and Senegal respond just as we fortify our defenses at home. Every outbreak of Ebola over the past 40 years has been contained, and we are confident that this one can—and will be—as well.

Our strategy is predicated on four key goals:

Controlling the epidemic at its source in West Africa;
Mitigating second-order impacts, including blunting the economic, social, and political tolls in the region;
Engaging and coordinating with a broader global audience; and,
Fortifying global health security infrastructure in the region and beyond.
The United States has applied a whole-of-government response to the epidemic, which we launched shortly after the first cases were reported in March. As part of this, we have dedicated additional resources across the federal government to address the crisis, committing more than $175 million to date. We continue to work with Congress to provide additional resources through appropriations and reprogramming efforts in order to be responsive to evolving resource needs on the ground.  Just as the outbreak has worsened, our response will be commensurate with the challenge.

New Resources to Confront a Growing Challenge

The United States will leverage the unique capabilities of the U.S. military and broader uniformed services to help bring the epidemic under control. These efforts will entail command and control, logistics expertise, training, and engineering support.

U.S. Africa Command will set up a Joint Force Command headquartered in Monrovia, Liberia, to provide regional command and control support to U.S. military activities and facilitate coordination with U.S. government and international relief efforts. A general from U.S. Army Africa, the Army component of U.S. Africa Command, will lead this effort, which will involve an estimated 3,000 U.S. forces.


 U.S. Africa Command will establish a regional intermediate staging base (ISB) to facilitate and expedite the transportation of equipment, supplies and personnel. Of the U.S. forces taking part in this response, many will be stationed at the ISB.


Command engineers will build additional Ebola Treatment Units in affected areas, and the U.S. Government will help recruit and organize medical personnel to staff them.


Additionally, the Command will establish a site to train up to 500 health care providers per week, enabling healthcare workers to safely provide direct medical care to patients.


The United States Public Health Service Commissioned Corps is preparing to deploy 65 Commissioned Corps officers to Liberia to manage and staff a previously announced Department of Defense (DoD) hospital to care for healthcare workers who become ill. The deployment roster will consist of administrators, clinicians, and support staff.


Simple and scalable strategies that complement the use of Ebola Treatment Units are urgently required to disrupt the disease’s transmission. A community- and home-based strategy that supports household and communities is a critical step to moving forward:

USAID is supporting a Community Care Campaign, which will provide communities and households with protection kits, appropriate information and training on how to protect themselves and their loved ones. In partnership with the United Nations Children Fund, the Paul Allen Family Foundation, and other key partners, we will immediately target the 400,000 most vulnerable households in Liberia. The package will subsequently be scaled to cover the country and the broader region.


As part of this effort, this week, USAID will airlift 50,000 home health care kits from Denmark to Liberia to be hand-delivered to distant communities by trained youth volunteers.


A Complement to Efforts To-Date

Applying this whole-of-government approach, we have been engaged on this outbreak since March when the first cases were reported in West Africa. We currently have in the affected countries more than 100 specialists from multiple U.S. departments and agencies, including the Departments of State and Health and Human Services (HHS), the CDC, the U.S. Agency for International Development (USAID), and DoD. We also are working intensively on this effort with the United Nations, including the World Health Organization, the governments of the affected countries, and other partners, including the United Kingdom, France, Germany, Norway, the Africa Union, and European Union.

To date we have spent more than $100 million to address this challenge, including the purchase of personal protective equipment, mobile labs, logistics and relief commodities, and support for community health workers. USAID also has announced plans to make available up to $75 million in additional funding to increase the number of Ebola treatment units, provide more personal protective equipment, airlift additional medical and emergency supplies, and support other Ebola response activities in collaboration with the UN, including the World Health Organization, and international partners.


CDC has provided on the ground expertise in the largest international response in its history. More than 100 CDC personnel are on the ground in West Africa, and hundreds of personnel at their Emergency Operations Center in Atlanta have provided around the clock logistics, staffing, communication, analytics, management, and other support functions. The Administration has asked Congress for an additional $30 million to send additional response workers from the CDC as well as lab supplies and equipment.


In August, USAID deployed a Disaster Assistance Response Team (DART) to West Africa to coordinate and prioritize the U.S. government’s response to the outbreak. The DART assesses and identifies priority needs and coordinates key areas of the response, such as planning, operations, and logistics. The 28-member DART team is comprised of staff from USAID, CDC, DoD, and the U.S. Forest Service. The DART will be airlifting 130,000 sets of personal protective equipment to ensure that health care workers have the resources needed to safely do their jobs. The DART is also in the process of procuring generators that will provide electricity to Ebola treatment units and other response facilities.


The National Institutes of Health (NIH) is developing an investigational Ebola vaccine, including recently starting phase 1 clinical trials, as well as supporting efforts to develop additional Ebola antivirals and therapeutics candidates. The Administration has asked Congress for an additional $58 million to support the development and manufacturing of Ebola therapeutic and vaccine candidates through Biomedical Advanced Research and Development Authority.


In addition to the measures announced today, DoD plans to send a field-deployable hospital to Liberia and has provided more than 10,000 Ebola test kits to the Liberian Institute of Biological Research and to Sierra Leone's Kenema Government Hospital. DoD also has provided personal protective equipment and training to local medical professionals in affected regions.


DoD also has requested to reprogram $500 million in Fiscal Year 2014 Overseas Contingency Operations funds for humanitarian assistance, a portion of which will be used to fulfill requirements identified by CDC, USAID, the Joint Staff, and U.S. Africa Command to provide military air transportation of DoD and non-DoD personnel and supplies; medical treatment facilities (e.g. isolation units), personnel protective equipment, and medical supplies; logistics and engineering support, and; subject matter experts in support of sanitation and mortuary affairs.


DoD’s Cooperative Threat Reduction program is redirecting $25 million to provide personal protective equipment and laboratory reagents, support for technical advisors, and other requests as validated by the DART. DoD has also requested to reprogram an additional $60 million to enable the CTR program to address urgent biosafety, biosecurity, and biosurveillance needs in the three countries most affected by the Ebola outbreak, as well as bolster the capabilities of neighboring countries and other partners in Africa.


Last month, USAID airlifted more than 16 tons of medical supplies and emergency equipment to Liberia, including: 10,000 sets of personal protective equipment, two water treatment units and two portable water tanks capable of storing 10,000 liters each, and 100 rolls of plastic sheeting which can be used in the construction of Ebola treatment units. Additionally, in late August the DART airlifted 5,000 body bags to step up support for the safe removal and transport of the bodies of Ebola victims and 500 infrared thermometers to bolster Ebola screening efforts. These supplies will be distributed and used by the WHO and Liberian Ministry of Health and Social Welfare.


USAID and the State Department are providing up to $10 million to support the deployment of an African Union mission sending more than 100 health care workers to the region. The State Department also has encouraged other governments to increase assistance; coordinate delivery of critical resources, including personnel, equipment, and medical supplies; and encourage airlines operating in the region to maintain or reinstate service while ensuring appropriate precautions.


Additionally, the State Department has supported public education efforts in Liberia, Sierra Leone, and Guinea regarding prevention and treatment of the disease.  The effort has included radio and television messages in local languages, the production of nearly 100 billboards and thousands of posters, program support to local non-governmental organizations and a special song commissioned by a popular local musician.


Earlier this month, President Obama released a message to the people of West Africa to reinforce the facts and dispel myths surrounding Ebola. The video was transcribed into French, Portuguese, and other local languages and was distributed to television and radio stations across the region. Tens of thousands of West Africans viewed or listened to the message.
Screening Efforts Overseas

In addition to our efforts to help the affected West African countries bring this outbreak under control, we have taken steps to fortify against the introduction of Ebola cases into the United States. It is important to note that Ebola is not highly contagious like the flu; to the contrary, the virus is spread through direct contact with the blood or body fluids of a symptomatic individual.

CDC is working closely with Customs and Border Protection and other partners at ports of entry—primarily international airports—to use routine processes to identify travelers who show signs of infectious disease. In response to the outbreak, these processes have been enhanced through guidance and training. If a sick traveler is identified during or after a flight, the traveler will be immediately isolated, and CDC will conduct an investigation of exposed travelers and work with the airline, federal partners, and state and local health departments to notify them and take any necessary public health action.


CDC is assisting with exit screening and communication efforts in West Africa to prevent sick travelers from boarding planes. It also has issued interim guidance about Ebola virus infection for airline flight crews, cleaning personnel, and cargo personnel.


CDC also has issued advice for colleges, universities, and students about study abroad, foreign exchange, and other education-related travel, as well as advice for students who have recently traveled from a country in which an Ebola outbreak is occurring. Similarly, CDC has developed recommendations for humanitarian aid workers traveling to Guinea, Liberia, Nigeria, and Sierra Leone during the Ebola outbreaks in these countries. The recommendations include steps to take before departure, during travel, and upon return to the United States.
Preparedness at Home

Despite the tragic epidemic in West Africa, U.S. health professionals agree it is highly unlikely that we would experience an Ebola outbreak here in the United States, given our robust health care infrastructure and rapid response capabilities. Nevertheless, we have taken extra measures to prevent the unintentional importation of cases into the United States, and if a patient does make it here, our national health system has the capacity and expertise to quickly detect and contain this disease.

CDC has worked to enhance surveillance and laboratory testing capacity in states to detect cases and improve case finding. CDC is developing guidance and tools for health departments to conduct public health investigations and improve health communication and continues to update recommendations for healthcare infection control and other measures to prevent the disease from spreading. Similarly, HHS’ Office of the Assistant Secretary for Preparedness and Response and CDC are providing guidance documents to hospitals and other health care partners to support preparedness for a possible Ebola case.


CDC also has prepared U.S. healthcare facilities and emergency medical service systems to safely manage a patient with suspected Ebola virus disease. CDC communicates with healthcare workers on an ongoing basis through the Health Alert Network, the Clinician Outreach and Communication Activity, and a variety of other existing tools and mechanisms.  CDC developed Interim Guidance for Monitoring and Movement of Persons with Ebola Virus Disease Exposure to provide public health authorities and other partners with a framework for evaluating people’s level of exposure to Ebola and initiating appropriate public health actions on the basis of exposure level and clinical assessment.


The Food and Drug Administration is monitoring for fraudulent products and false product claims related to the Ebola virus and is prepared to take enforcement actions, as warranted, to protect the public health.
Securing the Future

The Ebola epidemic reminds us that our global efforts to build the capacity to prevent, detect, and rapidly respond to infectious disease threats like Ebola have never been more vital.  In February, we came together with nations around the world to launch the Global Health Security Agenda (GHSA) as a five year effort to accelerate action.

CDC is contributing to the GHSA by partnering with nations around the world to help them establish measurable global health security capacity. This includes core CDC partnership programs like the Global Disease Detection Centers and Field Epidemiology Training Program, which enable the laboratory systems, disease surveillance workforce, emergency operations center capacity, and biosafety and biosecurity best practices required to counter Ebola and other biological threats.


Over the next five years the United States has committed to working with at least 30 partner countries to invest in model systems to advance the Global Health Security agenda. CDC and DoD will work with other U.S. agencies and partner countries to establish emergency operations centers, build information systems, and strengthen laboratory security to mitigate biological threats and build partner capacity.  

REMARKS AT UNICEF EXECUTIVE BOARD SECOND REGULAR SESSION

FROM:  U.S. STATE DEPARTMENT 

U.S. Mission to the United Nations: Remarks at the UNICEF Executive Board Second Regular Session

09/09/2014 05:54 PM EDT

AS DELIVERED 

Thank you, Mr. President, and thank you Executive Director Lake for your remarks. Your statements always allow us to reflect on the impressive range of UNICEF’s truly essential work on behalf of the world’s children every day, often in the most arduous environments. We thank you and UNICEF staff worldwide for your dedication.

Over the last year, we have all seen the devastating impact of a rising scale of mounting and overarching crises – natural disasters, conflicts, and health emergencies, which take a particularly cruel toll on children. As many of these crises have become chronic, children in West Africa, the Central African Republic, the Philippines, Syria, South Sudan, Ukraine, the Middle East, Iraq and elsewhere have suffered unacceptable levels of violence, disruption, and vulnerability to which no child should be subject. UNICEF is vital for children in these kinds of conditions, providing water, medicines, nutrition, education, protection, and critical health services.

Let me particularly highlight the role UNICEF is playing in responding to the recent outbreak of Ebola in West Africa, which could affect almost 20,000 individuals and cause devastating secondary damage to public health infrastructure and economic development in the affected countries for years to come. UNICEF has the trust of local officials and communities and is in a rare position to make a significant difference in reducing suffering, as well as supporting efforts to mitigate secondary effects, and we believe it is critical for UNICEF to have continued flexibility to respond to such complex and evolving emergencies.

We are therefore grateful for UNICEF’s efforts to strengthen capacity for rapid and scaled humanitarian response, such:

Your nominating high caliber and an increasing number of candidates for the Humanitarian Coordinator Pool with tangible incentives for staff to pursue these positions;

Your taking on board the recommendations of evaluations to address gaps and ensure that actions taken are widely understood throughout the organisation;

And your taking the initiative to increase country office preparedness for cluster leadership in high-risk-contexts and improving capacity for cluster leadership.

We welcome any further moves that will ensure more consistent recruitment and training of right-skilled staff for large-scale emergencies, sufficient regular budget allocation to support changing scales of emergency response, better clarity on cluster roles and responsibilities, and increased reliance on joint work with other agencies.

Protection is obviously fundamental, and we welcome UNICEF’s embrace of the Rights Up Front agenda to improve protection of children in emergencies; your work to develop data-driven advocacy around protection; and your actions to improve prevention and response to sexual and gender-based violence.

We also look forward to even stronger emphasis on disabilities in all UNICEF activities,with disaggegated assessments to help ensure that children with disabilities have equal access to humanitarian and other forms of assistance.

We also appreciate Director Lake’s candor about the strain on the organization from multiple emergencies, and his call not to lose focus in the face of calamity on the long-term investments we need to make in children’s health and well-being and the developmental work for which UNICEF has long been known.

You also rightly insist that we look with clear eyes at the underlying drivers of risk, that we redouble every effort to remedy them, with a determination not to fail. You have also outlined a compelling path that would help integrate UNICEF’s emergency and development work in a way that builds the resilience of families and communities at all levels. We agree that the divide between humanitarian and development work is artificial, and we should seek every opportunity to bridge it.

UNICEF’s developmental work is widely and deservedly praised: getting children the nutrients they need to survive and thrive; getting the most vulnerable children to school and ready to learn; promoting adequate water and sanitation, food, and health services; working with other agencies to help prevent teenage pregnancy and help young women get access to trained birth attendants; and partnering with countries to advance the Millennium Development goals.

We need you to continue this work and we appreciate UNICEF’s leadership as a strong advocate for children’s priorities in our continuing deliberations over the post-2015 development agenda.

Turning to management issues, we appreciate UNICEF’s continuing dedication to transparency and accountability, including your pioneering tools like the Monitoring Results for Equity System. You have been a leader in the UN system in this regard.

It’s worthy of note that MoRES has now been expanded from 30 countries in 2012 to 80 countries in 2013, enabling more strategic analysis of data and improved results, including through integration of MoRES into countries’ own planning and monitoring systems, which builds capacity, builds comparability, and improves data collection that can improve results.

With regard to resources, we are glad to note UNICEF’s strong financial situation, with total revenue reaching an all-time high of $4.9 billion, nearly $1 billion more than 2012. These figures are a testament to your hard work on partnerships but mainly to the integrity, enduring value, and urgent need for UNICEF’s work. We also note with appreciation that you have dedicated resources where they are needed, including the 27% of revenue this year devoted to children in emergencies.

Turning briefly to the issue of critical mass: in our view, critical mass should simply reflect all the resources necessary for agencies to deliver the results we have agreed in Strategic Plans and integrated budgets. Every dollar is critical for UNICEF’s life-saving work. In the Board’s deliberations, we think the recently agreed decision on critical mass at the UNDP/UNFPA/UNOPS Board will provide a useful basis for moving forward.

Let me then just close in thanking you and all UNICEF staff once again for your leadership, dedication, and determination to champion the world’s most vulnerable children. Thank you.

ROSE GOTTEMOELLER'S REMARKS AT ANNUAL DETERRENCE SYMPOSIUM

FROM:  U.S. STATE DEPARTMENT

Remarks at the Annual Deterrence Symposium

Remarks

Rose Gottemoeller

Acting Under Secretary for Arms Control and International Security 

U.S. Strategic Command

Omaha, Nebraska

August 14, 2014

---

Thank you for that kind introduction. I am always honored to be a speaker here at the Annual Deterrence Symposium and of course, I am glad to be here at the invitation of Admiral Cecil Haney. Turn about is fair play: The Admiral gave a great speech at my invitation last month in Washington to a group of young people on the threshold of their careers. More on that later. Thank you, Admiral, for all you do for this nation.

While we are gathered here today in Omaha, the world is facing serious challenges: The threats to Ukraine’s sovereignty and Russia’s flagrant disregard for international law, the continuing conflicts in the Middle East, a dangerous Ebola outbreak in West Africa. It goes without saying that most people are not focused on nuclear weapons or nuclear deterrence. But we all know that we have important work to do and we do it. My admiration for this community, in and out of uniform, knows no bounds. We are ready to work. That is the theme I’m striking today: We who focus on the foundation of our nation’s nuclear deterrent are ready to work.
Strategic stability is the cornerstone of American national security, but as all of you know, it is not a static state of being. Threats to strategic stability can surface quickly and it is incumbent upon all of us to recognize those threats, anticipate them when we can, and make moves to counter them. We must be prepared for the unpredictable, and constantly on the look-out so that we see threats emerging while they are still over the horizon. My role as a diplomat is different from your roles on the military side, but our goals are no different. As President Obama said five years ago in Prague, as long as nuclear weapons exist, we will maintain a safe, secure, and effective nuclear arsenal. And that is as we seek the peace and security of a world without nuclear weapons.

Violation of the Intermediate Nuclear Forces Treaty (INF)

One threat to strategic stability has made news in the last month. As you all know, the Department of State recently delivered the Annual Arms Control Compliance Report to Congress with the determination that the Russian Federation is in violation of its INF Treaty obligations not to possess, produce, or flight-test a ground-launched cruise missile with a range capability of 500 to 5,500 kilometers, or to possess or produce launchers of such missiles.
We have been attempting to address this very serious matter with Russia for some time, as the United States is wholly committed to the continued viability of the INF Treaty. We are asking Russia to return to compliance with the Treaty in a verifiable manner.

This groundbreaking treaty serves the mutual security interests of the parties – not only the United States and Russia, but also the 11 other states bound by its obligations. Moreover, this Treaty contributes to the security of our allies and to regional security in Europe and in the Far East.

When we notified Russia of our determination of a violation, we made it clear that we are prepared to discuss this in a senior-level bilateral dialogue immediately. We hope that this dialogue begins soon, with the goal that Russia return to compliance with its obligations under the Treaty.

There is an expert debate in Russia about its nuclear modernization programs and about the contribution of the INF Treaty to Russia’s security. It is important for Russia to take into account that no military decisions happen in a vacuum. Actions beget actions. Our countries have been down the road of needless, costly and destabilizing arms races. We know where that road leads and we are fortunate that our past leaders had the wisdom and strength to turn us in a new direction. Let us hope that debate in and out of the government leads to a decision to return Russia to compliance with all of its international obligations.

New START and Future Reductions

Despite our serious concerns about Russia’s violation of the INF Treaty, we believe that the New START Treaty is in the national security interest of the United States. The New START Treaty enhances our national security and strategic stability with Russia and both the United States and Russia are implementing the Treaty’s inspection regime.

Current tensions with Russia highlight the importance of both the verification and confidence provided by data exchanges and on-site inspections under the Treaty, and the security and predictability provided by verifiable mutual limits on strategic weapons. We take questions about compliance with arms control treaties very seriously and are closely monitoring Russian compliance with the New START Treaty. We assess that Russia is implementing and complying with the New START Treaty, and that the Treaty remains in our national security interest. The mutual predictability this gives to the U.S.-Russia relationship increases stability, especially during difficult times such as now.

With respect to future agreements, the United States will only pursue agreements that are in our national security interest and that of our allies. The offer that President Obama made in Berlin one year ago, of an up to one-third reduction in operationally deployed warheads beyond the New START limits, is a sound one, and worthy of serious consideration. We will continue to be open to discussion of agreements that would reduce nuclear and other military threats. Of course, we know that the situation is different than it was four years ago, four months ago, four weeks ago.

But cooperation in the arms control realm has been an important facet of strategic stability over the past forty years and it should remain so in the future. Moreover, we need nuclear cooperation with Russia and others to address new threats, first and foremost the risk that terrorists could acquire a nuclear weapon or the fissile materials needed to make one. We will continue to pursue arms control and nonproliferation tools, because they are the best - and quite frankly - the only path that we can take to effectively prevent a terrorist nuclear threat and reduce nuclear dangers more broadly.

The United States has taken steps to reduce the role of nuclear weapons in our national security strategy. We have clearly stated that it is in the U.S. interest, and that of all other nations, that the nearly 70-year record of non-use of nuclear weapons be extended forever.
We are taking time now to prepare the ground for the future. That includes more research into how we incorporate new technologies and innovations into verification and monitoring. We can also shape, maintain, and improve strategic stability through a variety of bilateral and multilateral dialogues, including in the Track 1.5 and Track 2 realms. These engagements reduce the potential for misunderstanding and provide the basis for future agreement and cooperation.

Multilateral agreements like a Fissile Material Cutoff Treaty (FMCT) can also enhance global stability. The United States will continue to push for the commencement of negotiations on such an agreement.

And we are working to expand our public outreach and educational efforts on the Comprehensive Nuclear Test-Ban Treaty. As stated in the April 2010 U.S. Nuclear Posture Review: “Ratification of the CTBT is central to leading other nuclear weapons states toward a world of diminished reliance on nuclear weapons, reduced nuclear competition, and eventual nuclear disarmament.”

As we consider arms control and nonproliferation priorities, we will continue to consult closely with our allies and partners every step of the way. Our security and defense – and theirs – is non-negotiable.

Conventional Deterrence Tools

While nuclear deterrence is and will remain an important part of protecting our nation and our allies, we must also make full use of our non-nuclear capabilities – that includes regional and homeland missile defenses, security cooperation, assurances and conventional arms control.
Of course, the Russian Federation’s challenge to the security of Europe and Ukraine’s territorial integrity has to be factored into our work to modernize conventional arms control.
First and foremost, we need to make the best use of the regimes currently in place. The Vienna Document 2011 and the Open Skies Treaty, which are part of the conventional arms control regime in Europe, are vital tools to maintain stability and have provided transparency about military activities in and around Ukraine.

Second, we must consider our options for the future. We will continue the process of modernizing the Open Skies Treaty, including the upgrade to digital sensors to replace obsolescent film cameras.

With regard to the Vienna Document mechanisms, it is clear to us that there is room to improve provisions for notification of military activity and risk reduction, among other issues. Moving forward, the United States will work with others to update the Vienna Document in a way that builds on our recent experiences. NATO will also continue its review of the future of conventional arms control in Europe. We recognize that now is not the time to engage Russia on this, but we need to be thinking now about how in the future a revitalization of conventional arms control in Europe could contribute to improving mutual security in the Euro-Atlantic region.
Of course, we are not without good examples to follow. We can and will benefit from the experience of the so-called Dayton Article IV states. Eighteen years ago, these states in the Western Balkans were emerging from years of bloody conflict. Through hard work, they established military stability and security, despite a range of differences.

The architects of Dayton created a comprehensive arms control agreement that led to significant reductions in heavy weapons and equipment in just six months. Without as much as a breather, the states involved then turned their efforts to the harder step of fulfilling the obligations laid out in the Agreement, to sustain disengagement of military forces and create a stable security environment for all. The Dayton Article IV experience is a testament to what can be achieved through conventional arms control measures at a time when they are being sorely tested elsewhere in Europe.

Space and Cyber Deterrence

In addition to fully realizing the potential of conventional deterrence, we must make sure that we are ahead of the curve on space and cyber issues. I know this was the subject of a panel yesterday and rightly so - it is critical that we identify ways to stabilize behavior in both realms.
My colleague, Deputy Assistant Secretary Frank Rose spoke about strategic stability in space yesterday, highlighting the point that it is essential that all nations work together to adopt approaches for responsible activity in space in order to preserve this domain for future generations. China’s recent irresponsible and provocative ASAT test accentuates the importance of these efforts. Russia’s pursuit of anti-satellite weapons is also a matter of concern. Destabilizing actions like these threaten the long-term security and sustainability of the outer space environment.

In the cyber realm, the Department of State’s Office of the Coordinator for Cyber Issues, led by Chris Painter, is leading our efforts to promote an open, secure, and reliable information and communications infrastructure that supports international trade and innovation, strengthens international security, and fosters free expression.

As we move forward, we should continue to cooperate and coordinate both internally and with our friends and allies. Such efforts as the UN Group of Government Experts that convened last month will continue to enhance our common understanding of the ways in which international law is essential to maintaining peace and stability in cyberspace. Cyberspace can be the source of both great societal advances and significant threats. There is no doubt that domain will only remain stable through our collective efforts.

Deterrence in the Future

Of course, you know all of this - all of what we have been talking about - is moot if we don’t attract the next generation to nuclear policy jobs. As I said at the outset, this community is ready to work, but we can’t work forever. We have some recruiting to do. Frank Klotz struck this same note this morning: we need to bring the next generation into the nuclear deterrence enterprise.
That is why I was so pleased that Admiral Haney was able to join the Department of State’s 5th Annual Generation Prague Conference that was focused on engagement with the next generation of nuclear experts. It is one piece of ongoing efforts, but it is not enough. We need to be actively recruiting political scientists, lawyers, physicists, geologists, engineers, and more, if we want to make sure that this essential part of national security will be supported as long as it needs to be.

In closing, I want to leave you with a thought.

History has shown us that when faced with obstacles, we always have several paths. When it comes to our current situation with the Russian Federation, I, for one, want to follow the path that President Reagan took, the path that President George H.W. Bush took. When confronted with a difficult and sometimes unpredictable partner in the Soviet Union, they did not take their ball and go home. They did not let strategic stability become a political punching bag. They set about the hard task of building up strategic stability through arms control treaties and agreements, and they succeeded in making this world a safer place. They worked hard, and achieved much.

So let’s leave Omaha ready to work. In the world of nuclear stability and deterrence, there is much to do.

Thank you.

READOUT: PRESIDENT OBAMA'S CALL WITH PRIME MINISTER RENZI OF ITALY

FROM:  THE WHITE HOUSE 

Readout of the President's Call with Prime Minister Renzi of Italy

The President spoke this morning with Italian Prime Minister Matteo Renzi about the latest developments in Iraq, Libya, and Ukraine, as well as the Ebola outbreak in West Africa.  On Iraq, the two leaders agreed on the need to ensure humanitarian assistance is reaching vulnerable Iraqis, continue to seek the safety of the civilians on Mount Sinjar, and work together to develop options that will secure the safety of the civilians on Mount Sinjar.  Renzi expressed his support for the United States’ efforts in Iraq.  Both leaders noted the urgency of efforts to counter the threat ISIL poses against all Iraqis and discussed the latest developments in Iraq’s political transition.  On Ukraine, the President and Prime Minister considered the developing situation and reiterated that any intervention under the guise of “humanitarian” assistance must be provided only with the formal, express consent and authorization of the Government of Ukraine, and noted ongoing efforts by the Ukrainian government to deliver humanitarian aid through the ICRC and other recognized international organizations.  They agreed that any Russian steps not in accordance with these requirements would be unacceptable, would violate international law, and would lead to additional sanctions.  On Libya, they emphasized their support for the democratically-elected Council of Representatives and the need to encourage full participation by all elected members while working to end the fighting between militias.  Regarding the growing Ebola outbreak in West Africa, the leaders supported World Health Organization efforts to assist national health services in the region, and agreed on the need for the international provision of additional resources to this effort.

U.S. MILITARY ARE HELPING IN THE FIGHT AGAINST EBOLA OUTBREAK

FROM:  U.S. DEFENSE DEPARTMENT 

Military Responders Help Battle Ebola Outbreak

By Terri Moon Cronk and Cheryl Pellerin

DoD News, Defense Media Activity

WASHINGTON, Aug. 1, 2014 – Defense Department personnel are on the ground in West Africa and in U.S. laboratories fighting to control the worst outbreak in the African history of the Ebola virus, which a senior Army infectious disease doctor called a “scourge of mankind.”

Army Col. (Dr.) James Cummings, director of the Global Emerging Infections Surveillance and Response System, or GEIS, a division of the Armed Forces Health Surveillance Center, said the battle against the virus since the outbreak began in West Africa in March focuses on trying to stop disease transmission.
At the Centers for Disease Prevention and Control, or CDC, in Atlanta, Director Dr. Tom Frieden has announced that the health agency has raised the travel advisory to Liberia, Guinea and Sierra Leone where he said the Ebola outbreak is worsening, to Level 3 -- a warning to avoid unnecessary travel to those countries.
CDC already has disease detectives and other staff in those countries to track the epidemic, advise embassies, coordinate with the World Health Organization, or WHO, strengthen ministries of health, and improve case finding, contact tracing, infection control and health communication.

Over the next 30 days, in what Frieden described as a surge, CDC will send another 50 disease-control specialists into the three countries to help establish emergency operations centers and develop structured ways to address the outbreak.

“They will also help strengthen laboratory networks so testing for the disease can be done rapidly,” the director said.

For travelers in and out of the three West African countries, CDC experts will strengthen country capacity to monitor those who may have been exposed to Ebola, and each country in the region has committed to doing this, Frieden said.
“It's not easy to do,” he added, “but we will have experts from our division that do airport screening and try to ensure that people who shouldn't be traveling aren't traveling.”

Frieden said CDC has spoken with air carriers that service the West African region.

“We understand they will continue to fly, which is very important to continue to support the response and maintain essential functions in the country,” he explained.
CDC gives information to travelers to the region and health care providers in the United States who might care for people returning from the infected area. Frieden said that includes medical consultation and testing for patients who may have Ebola.

Frieden said that in the United States, “we are confident that we will not have significant spread of Ebola, even if we were to have a patient with Ebola here. We work actively to educate American health care workers on how to isolate patients and how to protect themselves against infection.”

In fact, he added, “any advanced hospital in the U.S., any hospital with an intensive care unit has the capacity to isolate patients. There is nothing particularly special about the isolation of an Ebola patient, other than it's really important to do it right. So ensuring that there is meticulous care of patients with suspected or … confirmed Ebola is what's critically important.”

The Ebola virus has no known cure and up to a 90 percent fatality rate and only supportive care can be offered to patients diagnosed with the disease while researchers work to find a vaccine.

DoD researchers think the viral disease originated in rural populations that prepare and eat meat from Ebola-carrying gorillas and monkeys.

The virus is passed among animals or people through body fluids. Only a person who is infected and is showing signs of illness can pass the disease to others.
Health care workers and home caretakers who have direct patient contact and those who prepare bodies for burial also are at risk, the infectious disease doctor said.

“We had a large footprint in Africa,” Cummings said of DoD’s response to the first Ebola cases reported in 1976 in the Democratic Republic of the Congo, formerly Zaire. Since that time, DoD has answered numerous calls for assistance from WHO, nongovernmental organizations and ministries of heath and defense, he explained.

DoD personnel provide a wide array of support to the Ebola-stricken African nations, from logistical help to guides for clinical management of the virus, Cummings said.

“DoD personnel bring a level of excellence second to none, working in response to host nations and WHO in the most-affected countries of Sierra Leone and Liberia,” he said.

U.S. TRAVELER RETURNS HOME FROM WEST AFRICA WITH LASSA FEVER

FROM:  CENTERS FOR DISEASE CONTROL AND PREVENTION 

Lassa Fever Reported in U.S. Traveler Returning from West Africa

Contact investigation under way; risk to other travelers considered extremely low
The CDC and the Minnesota Department of Health (MDH) have confirmed a diagnosis of Lassa fever in a person returning to the United States from West Africa. The patient was admitted to a hospital in Minnesota on March 31 with symptoms of fever and confusion. Blood samples submitted to CDC tested positive for Lassa fever on April 3. The patient is recovering and is in stable condition.
“This imported case is a reminder that we are all connected by international travel. A disease anywhere can appear anywhere else in the world within hours,” said CDC Director Tom Frieden, M.D., M.P.H.

Lassa fever is a severe viral disease that is common in West Africa but rarely seen in the United States.  Seven other Lassa fever cases, all travel related, have been identified in the United States, with the last one reported in Pennsylvania in 2010. Although Lassa fever can produce hemorrhagic symptoms in infected persons, the disease is not related to Ebola hemorrhagic fever, which is responsible for the current outbreak in West Africa.

In West Africa, Lassa virus is carried by rodents and transmitted to humans through contact with urine or droppings of infected rodents. In rare cases it can be transmitted from person to person through direct contact with a sick person’s blood or bodily fluids, through mucous membrane, or through sexual contact. The virus is not transmitted through casual contact. About 100,000 to 300,000 cases of Lassa fever, and 5,000 deaths related to Lassa fever, occur in West Africa each year.

CDC is working with public health officials and airlines to determine the patient’s travel route from West Africa and identify any passengers or others who may have had close contact with the infected person. Preliminary information indicates that the patient flew from West Africa to New York City and caught another flight to Minneapolis.

“Given what we know about how Lassa virus is spread to people, the risk to other travelers and members of the public is extremely low,” said Martin Cetron, M.D., M.P.H., director of CDC’s Division of Global Migration and Quarantine.
“Casual contact is not a risk factor for getting Lassa fever,” said Barbara Knust, D.V.M., M.P.H., an epidemiologist in CDC’s Division of High-Consequence Pathogens and Pathology, which performed the laboratory testing.  “People will not get this infection just because they were on the same airplane or in the same airport.”

As part of its investigation, CDC is working with the airlines to gather contact information for passengers and crew who were seated near the infected individual. CDC will provide passenger contact information to state and local health departments where the passengers live to notify them about their possible exposure.

U.S. CONGRATULATES PEOPLE OF SENEGAL ON THEIR INDEPENDENCE DAY

FROM:  U.S. STATE DEPARTMENT

On the Occasion of the Republic of Senegal's National Day

Press Statement

John Kerry
Secretary of State

Washington, DC

April 3, 2014

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On behalf of President Obama and the people of the United States, I congratulate the people of Senegal on the 54^th anniversary of your nation’s independence on April 4.

The legacy of progress in Africa is extraordinary. There are struggles, but there’s also greater freedom and greater development than ever before. It’s more than fair to say that Senegal is at the heart of that transformation.

The friendship between our nations is based on a shared commitment to democratic values, the rule of law, and economic development. Together, we are improving global security through our support for peacekeeping efforts. We also remain steadfast in working closely with Senegal on human rights, trade, and maritime security.

Senegal is a democratic leader in West Africa. Your commitment to human rights, responsive public institutions, economic growth, and regional stability will continue to serve as a model for peace and prosperity in the Casamance.

I wish all Senegalese a healthy, joyful, and festive celebration. The United States looks forward to building on our strong partnership in the years to come.

OFFICIAL TESTIFIES ON INTERNATIONAL NARCOTICS CONTROL

Photo:  Poppy Flower.  Credit:  Wikimedia.
FROM:  U.S. STATE DEPARTMENT
Testimony William R. Brownfield
Assistant Secretary, Bureau of International Narcotics and Law Enforcement Affairs Statement before the Senate Caucus on International Narcotics Control
Washington, DC
May 16, 2012
As prepared
Chairman Feinstein, Co-Chairman Grassley, and Members of the Caucus, thank you for the opportunity to address the growing presence of narcotics and narcotics-related criminal networks in West Africa, which is a significant emerging threat to regional and global security interests.

Transnational organized crime, including drug trafficking, is a major threat to security and governance throughout West Africa. Traffickers are moving drugs, people, small arms, oil, cigarettes, counterfeit medicine, and toxic waste through the region, generating large profits for transnational criminal networks. The United Nations Office on Drugs and Crime (UNODC) has estimated that, together, these illicit activities generate approximately $3.34 billion a year. Cocaine trafficking is one of the most lucrative of these illicit activities. In fact, the U.S. government and the UNODC have estimated that about 13 percent of the global cocaine flow moves through West Africa.

Drug trafficking in West Africa directly harms Americans. We have invested greatly in attacking the South American drug cartels that move cocaine to our streets. Because of our successes impeding the flow of cocaine north, and growing demand for cocaine in Europe, these cartels have found new ways to stay in business. Although most of the cocaine moving through West Africa goes to Europe, the proceeds from cocaine trafficked through West Africa flow back to organizations that move cocaine to America, reinforcing their financial strength and their motivation to continue exploiting emerging routes for drug sales. We are also starting to see drug trafficking in the West African region expand from cocaine to include heroin, which does come to American streets. In July 2011, for example, U.S. federal agents took down an international heroin trafficking ring that moved heroin from Ghana to Dulles International Airport.

As you’ve rightly identified, another reason drug trafficking in West Africa deserves particular attention today is because of its destabilizing impact across the region. Competition between government factions for control of drug trafficking profits has greatly increased instability in the region. The potential for drugs to contribute to destabilization in the region is clearly seen, for example, in the case of Guinea-Bissau, where most of the country’s leadership has been implicated in drug trafficking. This example serves as a dire warning of the destabilizing effects of drug trafficking. Recognizing this link, when West African Heads of State laid out the region’s response to the April 12th coup in Guinea-Bissau at an April 26th Extraordinary Summit of the Economic Community of West African States (ECOWAS), they specifically highlighted the need for expedited action to address drug trafficking.

Drug trafficking not only destabilizes our African partners but undercuts our U.S. policy priorities in West Africa, including security, democracy, and good governance. The proceeds of drug trafficking are fueling a dramatic increase in narco-corruption, including in the form of contributions to election campaigns in West Africa. Criminal networks are co-opting government officials and security forces – the very actors responsible for fighting crime. They seriously compromise the effectiveness of anticorruption and institution-building efforts as they permeate political and state administration institutions and build corrupt networks with state officials to facilitate or reduce the risks and costs of their operations.

Drug trafficking through West Africa is a problem for Americans and for our foreign policy. But addressing drug trafficking through the region is also an important opportunity. By developing relationships with our West African partners, we have been able to force significant traffickers, who had previously eluded arrest, to face justice. For example, in July 2010, a Federal Court in Manhattan sentenced Jesus Eduardo Valencia-Arbelaez to over 17 years for his role leading a sophisticated international cocaine trafficking organization. His organization was based in Colombia and Venezuela but operated in Europe, West Africa, and the United States. Valencia-Arbelaez’s arrest was possible only through the close cooperation of law enforcement officials in the United States, Romania, and Liberia. As we combine building working relationships and building the capacity of our West African partners, the opportunities to combat drug trafficking and other transnational threats cooperatively will increase exponentially.

Developing a U.S. Government Response
In May 2011, I led a delegation of senior U.S. officials, including Assistant Attorney General Breuer and DEA Administrator Leonhart, to Ghana and Liberia, to begin formulating a strategic approach to undermine transnational criminal networks in West Africa and to reduce their ability to operate illicit criminal enterprises. Through consultations with partners in the region, our U.S. government team developed a plan called the West Africa Cooperative Security Initiative or W-A-C-S-I.

WACSI is built from the ground up – around five objectives designed to respond to the underlying factors that allow transnational crime to flourish in West Africa. INL led a U.S. interagency effort, consisting of experts from the Office of National Drug Control Policy, the Department of Defense (U.S. Africa Command and the Office of the Secretary of Defense), Department of Homeland Security (United States Coast Guard, Customs and Border Protection and Immigration and Customs Enforcement), Department of Justice (Criminal Division, Drug Enforcement Administration, Federal Bureau of Investigation), and U.S. Agency for International Development to analyze the challenges in the region and develop a strategy to guide the U.S. government’s response. Drawing on lessons learned from the law enforcement, development, and military perspectives, as well as the conditions on the ground unique to West Africa, WACSI offers the first comprehensive U.S. government approach to drug trafficking in West Africa.

WACSI’s Guiding Principles
1. Drug traffickers have established relationships with senior government officials in many West African countries. In too many cases, traffickers in West Africa have been able to buy high-level protection for their illicit activities. WACSI’s first objective, building accountable institutions, will address corruption within the justice and security sectors, high-level corruption of government elites, and the culture of impunity. The U.S. will work to address this at two levels: First, through technical assistance, integrity controls within criminal justice institutions can be established and strengthened so the very organizations meant to fight crime are not so vulnerable to becoming agents of crime; and second, through collaborative efforts to bring corrupt officials to justice. We will work with both government and civil society actors to strengthen the will and capacity to pursue impartial, apolitical investigations and prosecutions of significant corruption.

2. Absent common legal frameworks regarding narcotics and narcotics-related crimes, rule of law is nearly impossible to introduce across national borders. ECOWAS has called for the harmonization of its Member States’ drug laws. WACSI will establish legal frameworks, tackling the need for the development of comprehensive laws that combat transnational crime, particularly drug trafficking in each program country.

3. Credible governments must be able to extend the rule of law, secure communities, and enforce common and transparent laws for all citizens. West Africa is a diverse region. WACSI will strengthen the capacity of host governments for security operations and will empower our partners to execute lawful operations. In some countries, such as Ghana and Nigeria, U.S. assistance will focus on building capacity to detect, disrupt, and dismantle drug trafficking networks. In other cases, especially in post-conflict countries like Liberia and Sierra Leone, the next step is enhancing basic law enforcement.

4. Achieving peace and security requires justice systems, not simply the administration of justice. Arresting drug traffickers and their government facilitators will not cure the problem, particularly if there is not a transparent system of justice in place to incarcerate or rehabilitate offenders. WACSI will reinforce justice operations to ensure that suspects are arrested based on transparent charges, prosecuted, convicted, and incarcerated or rehabilitated fairly and according to the law. While it is far easier to build a legal case against a low-level drug courier, successfully prosecuting mid- and senior members of drug trafficking networks requires sophisticated legal skills, which U.S. assistance will work to develop.

5. Drugs and drug-related crime may flourish in ungoverned areas, where the government’s presence is weak or corrupt, but it is also the case that socio-economic factors are largely responsible for facilitating crime. WACSI programs will engage African citizens and private enterprises to address the underlying socio-economic factors that facilitate crime and work to undermine them. Helping the region prevent and contain domestic drug use is important to our West African partners and will be part of this approach.

WACSI in Action
WACSI today is in its infancy, but our framework and engagement has already demonstrated an impact. For example, in Ghana, we have provided intensive training and support to a DEA Sensitive Investigative United (SIU) composed of a select group of vetted Ghanaian law enforcement officials. As a result of assistance through WACSI and the in-country engagement of the DEA, these Ghanaian officials have already deployed new skills to conduct sophisticated criminal investigations, leading to multiple arrests, including government officials and international traffickers. Four of these suspects were expelled into U.S. custody and the leader of the Ghana based organization was sentenced to fourteen years in prison. To support the comprehensive approach called for by WACSI, INL has also worked with the Department of Justice to deploy an Assistant U.S. Attorney to Ghana to strengthen Ghana’s capacity to successfully prosecute drug traffickers.

The goal of WACSI and of all our assistance is ultimately to help our partners develop their own capacity to fight crime and administer justice. We often impart training, mentoring, and technical assistance to further that goal. We also recognize, however, that capacity is not developed overnight. Training and partnerships take time to develop. We also recognize that WACSI’s goals must be measured in the context of local environments. Where we can build basic law enforcement and judicial capacity into something more advanced, we will. Where our partners’ capacity is more basic, our initial support can take other forms as well. One such example is in Sierra Leone, where the Anti-Corruption Commission of Sierra Leone, the Departments of State and Justice, the Government of Brazil, and INTERPOL developed a West Africa Anti-Corruption Workshop in December 2011. The workshop brought together forty law enforcement officials from Benin, Burkina Faso, Ghana, Niger, Sierra Leone, Senegal, and Togo to examine techniques for investigating and prosecuting public corruption. The Government of Sierra Leone has since requested U.S. assistance investigating a case involving senior officials who are suspected of soliciting bribes in exchange for permission to conduct illegal logging operations.

Starting this summer, an experienced U.S. prosecutor will serve as a legal advisor in Sierra Leone to follow-up on the aforementioned training program and assist Sierra Leone in its efforts to more effectively combat public corruption, including by supporting anti-corruption investigations and prosecutions. Whether the illicit activity is illegal logging or drug trafficking, the impunity that allows for such corruption must be checked.
In addition to building the capacity of individual states, addressing drug trafficking, a trans-national issue, requires transnational cooperation. In May 2011, the State Department, together with the European Union (EU), hosted the Trans-Atlantic Symposium on Dismantling Transnational Illicit Networks (TAS). The TAS brought together over 300 senior law enforcement and justice sector officials from 65 countries, including representation from 11 West African nations as well as from ECOWAS. TAS charted ways to cooperate and coordinate our activities against trans-Atlantic crime flows, including narcotics trafficking. Following the Symposium, INL and the EU agreed that we would work jointly in a number of key areas in order to build the law enforcement and judicial capacity of West African states to disrupt and dismantle the illicit transnational networks that are attacking them. We are moving forward with a number of targeted, high impact initiatives.

WACSI will continue to focus on these cooperative partnerships and use them to expand effective programming. One of the most important of these partnerships is that between the international community and ECOWAS. There is broad consensus among those most active in West Africa, including Brazil, Colombia, the European Union, France, Italy, Mexico, Portugal, Spain, the United Kingdom, and the United States, that ECOWAS plays a vital role in providing the regional answers needed. In 2008, ECOWAS developed the continent’s leading regional action plan on drug trafficking and organized crime. I believe that ECOWAS’s continued leadership is necessary for implementation and will continue to work with our European partners on how best to support that goal.
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Chairman Feinstein and Co-Chairman Grassley, the nature of transnational crime in West Africa and the unique circumstances in the region have prompted us to create a new, holistic approach in WACSI. The needs in West Africa are overwhelming and our government’s efforts must be well focused and coordinated. We face a difficult task ahead of us, and we recognize the need to partner with all players involved to fight this growing danger. The key to combating drug trafficking and other transnational crime is to undermine the factors that permit it – namely the weak rule of law and entrenched corruption – and the socio-economic factors that continue to drive it. Through WACSI, the entirety of the U.S. government has come together to focus our efforts and expertise on these very issues.

Thank you for this opportunity today. I welcome your questions.