G W î NS í뀦 · ' 3 0 . 0 6 3 & 9 & $ 6 5 * 7 & % * 3 & $ 5 0 3 S ;¹pÀÆ; ¯Ê¼;©¯ªÆ...
Transcript of G W î NS í뀦 · ' 3 0 . 0 6 3 & 9 & $ 6 5 * 7 & % * 3 & $ 5 0 3 S ;¹pÀÆ; ¯Ê¼;©¯ªÆ...
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A M E R I C A N B I O D E F E N S E I N S T I T U T E
C O N G R E S S I O N A LC L I M A T E R E P O R T
A U G U S T 2 0 2 0
COVID 19
Scientific developments| p. 18
US CONGRESS
Pandemic and Biodefenselegislation| p. 27
CONGRESSIONALBRIEFING
Novel G4 H1N1 Influenza|p. 31
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F R O M O U R
E X E C U T I V E
D I R E C T O R
The past four months have taught us how
unprepared we were for a novel threat
like COVID-19. ABI exists to collaborate
with researchers, policymakers, and
industry experts to ensure we never find
ourselves this unprepared again.
Our Congressional Climate report is
designed to give an overview of the
current policy landscape. While we have
begun to see discussion in Congress
around developing more rapid responses,
such as the recent work by Congressman
Gosar of Arizona, there is much work yet
to be done. We are calling for a four-
prong model approach to health during
pandemics going forward.
Specifically:
1. Self-care
Natural resistance to infection through
physical barriers and the innate immune
response is the first line of defense for all
people. These systems prevent infection
by most disease-causing organisms when
you are exposed to small amounts of
contagion. Clinical study has
demonstrated that the function of each
individual's innate infection resistance
can be improved by following some
simple principles.
American BioDefense Institute's
Executive Director
Ravi Starzl PhD
2. Rapid 'Preventive Firebreak' Response: Protection for New Bio Threats &
Conditions
There is a large gap between self-care and vaccination that novel threats, such
as the COVID-19 pandemic, can exploit to wreak havoc with lives and
economies. A safe, effective, and rapid means of responding to these
outbreaks is by creating passive immunity firebreaks that can be developed
and deployed quickly to intercept and suppress infectious disease threats.
This type of intervention is already well established in nature in the form of
breastfeeding. A mother transfers her immune system to her child through her
milk to help protect the child during the time when the child does not yet
have an effective immune system of their own. A mother transfers her
immune system to her child through her milk to help protect the child during
the time when the child does not yet have an effective immune system of their
own.
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By 'borrowing' the 'mother's immune system, the child is able to avoid more infections than it would experience
without the benefit of passive immunity. If this could be replicated by utilizing antibodies in a way that can be
scaled, it could produce a rapid response to established or emerging infectious disease threats alike—hence
providing large-scale, inexpensive protection within 2-3 months of a novel threat.
3. Rescue response: Treatments for New Bio Threats & Conditions
When someone becomes seriously ill, a curative treatment to improve the prognosis of the disease is important.
Antibodies are the primary means of intervening in an active case of infection because they facilitate the reduction of
virus levels and speed up the recovery. Other examples of rescue medication can also be found in the form of
steroids or other small molecule formulations. All of these are important options for a patient that is already critically
ill and requires a means of improving their prognosis. While the utility of improving the prognosis of a critically ill
patient is undeniable, the direct and indirect costs of illness, as well as the cost of the rescue medication, are very
high. Thus, making avoiding illness in the first place, a far more desirable path to retaining health.
4. Development of Vaccines Fostering Natural and Herd Immunity
The long-standing utility of vaccines in public health cannot be overstated. Although many vaccines are of varying
effectiveness and can be difficult to produce, the benefits far outweigh the costs. By reducing the number, length,
and severity of cases an infectious disease creates, it reduces the impact on the overall community significantly.
Long-term use of vaccines in conjunction with passive immunity firebreak treatments offers the most comprehensive
protection for both individuals and communities.
There are significant challenges still ahead. While we as a civilization have been fortunate to avoid a serious
pandemic for decades, the COVID-19 pandemic has proven that this is a luxury we can no longer afford. Going
forward, we have to accept that the next pandemic is inevitable, just as this one was – it is only a question of when it
is going to occur and how severe it is going to be. The sacrifices made during this pandemic make it our duty to
create a system that will be able to respond effectively in the future and protect what we have been unable to
protect today.
Ravi Starzl PhD
Executive Director
American BioDefense Institute
PAGE 3 AUGUST 2020
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CONGRESSIONAL CLIMATE REPORT AUGUST 2020
TABLE OF CONTENTS
Visit
Biodefense 06
Biosecurity 10
COVID-19 Pandemic 12
Military 15
Darpa 15
White House 16
COVID-19 Vaccine News 18
Vaccine Development Progress
Vaccine Funding Support 19
Operation Warp Speed 19
Around the World 19
Promising Vaccine Candidates
AMERICANBIODEFENSEINSTITUTE .ORG
18
Federal Agencies
Research of Importance
Hydroxychloroquine benefits againstCOVID-19
Treatments for COVID-19
Antibody profile of COVID-19 patients
Strategic Implications of COVID-19 Pandemic
Food and Drug Administration
ReOpen America with AmericanBioDefense Institute
17
20
22
22
23
23
24
25
Letter of Endorsement
Congress in Focus 27
29
17
Congressional Briefing: H1N1
Passive Immunity
31
32
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INTRODUCTION
This report presents brief summaries of various
bills and acts which have been introduced in the
House and Senate over the last few months. It
highlights the amendments made in already
existing bills and introduction of entirely new
acts by different government departments and
agencies in response to COVID-19 pandemic. In
addition, the latest news about COVID-19
vaccine, its development and progress are also
mentioned in this report. The later section of
this report focuses on notable research
including benefits of Hydroxychloroquine
against COVID-19, treatment and antibody
profile of COVID-19 patients and the strategic
implications of this pandemic. The final section
of the report suggests how to ReOpen America
based on the recommendations by American
BioDefense Institute.
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BIODEFENSEH.R.6610 - Director of Pandemic and
Biodefense Preparedness and Response Act
Sponsors: Rep. Rose, Max; Rep. Scanlon, Mary
Gay; Rep. Norton, Eleanor Holmes; Rep. Jackson
Lee, Sheila; Rep. Foster, Bill.
This bill establishes the position of the Director
of Pandemic and Biodefense Preparedness and
Response in the executive branch with the
following responsibilities:
- Advise the President, relevant councils, and
experts with respect to pandemics and
other health threats.
- Oversee the development of a National
Pandemic and Biodefense Preparedness and
Response Strategy and, in consultation with the
Office of Management and Budget, submit
biennial reports to Congress on the
implementation of the strategy.
- Plan for and coordinate specified
preparedness and response activities.
Current status: Introduced in House
(04/23/2020)
More at: https://www.congress.gov/bill/116th-
congress/house-bill/6610
H.R.6607 - Strategic National Stockpile
Enhancement and Transparency Act
Sponsors: Rep. Lynch, Stephen F.; Rep. Soto,
Darren; Rep. Jackson Lee, Sheila; Rep. San
Nicolas, Michael F. Q.; Rep. Hayes, Jahana.
This bill requires the Department of Health and
Human Services (HHS) to establish and award
grants to states for the implementation of the
National Emergency Biodefense Network. The
network consists of state entities responsible for
tracking and maintaining adequate supplies of
drugs, medical devices, and other items
necessary for the emergency health security of
the United States.
Current status: Introduced in House
(04/23/2020)
More at: https://www.congress.gov/bill/116th-
congress/house-bill/6607
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H.R.6966 - RASPP Act of 2020
Sponsors: Rep. Crow, Jason; Rep. Stefanik, Elise M.; Rep. Jackson Lee, Sheila; Rep. San Nicolas, Michael F.
Q.; Rep. Sherrill, Mikie; Rep. Carson, Andre.
The Secretary of Health and Human Services, in cooperation with the Biodefense Steering Committee,
shall clarify the national biodefense strategy and associated implementation plan developed under section
1086 of the National Defense Authorization Act for the Fiscal Year 2017 (6 U.S.C 104) to clearly document
agreed-upon processes, roles, and responsibilities for making and enforcing enterprise-wide decisions.
Current status: Introduced in House (05/22/2020)
More at: https://www.congress.gov/bill/116th-congress/house-bill/6966
H.R.5730 - National Strategy for Pandemic Influenza Update Act
Sponsors: Rep. Larsen, Rick; Rep. Langevin, James; Rep. Carson, Andre
This bill requires the White House Homeland Security Council (HSC) and the National Security Council
(NSC) to update the National Strategy for Pandemic Influenza issued by the HSC in November 2005 within
90 days of this bill's enactment. The implementation plan associated with the strategy shall be updated no
later than 180 days after such an update.
Current status: Introduced in House (01/30/2020)
More at: https://www.congress.gov/bill/116th-congress/house-bill/5730
H.R.1589 - CBRN Intelligence and Information Sharing Act of 2019
Sponsors: Rep. Walker, Mark; Rep. King, Peter T.
This bill expands the functions of the Office of Intelligence and Analysis of the Department of Homeland
Security, including sharing of information and providing tailored analytical support on these threats to the
state, local, tribal, and territorial authorities and to relevant national biosecurity and biodefense
stakeholders and other federal agencies.
Current status: Passed House (04/01/2020)
More at: https://www.congress.gov/bill/116th-congress/house-bill/1589
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H.R.6334 - Securing America From Epidemics Act
Sponsors: Rep. Bera, Ami; Rep. Yoho, Ted S.; Rep. Wright, Ron; Rep. Schrier, Kim; Rep. Raskin, Jamie; Rep.
Cisneros, Gilbert Ray, Jr.; Rep. Norton, Eleanor Holmes; Rep. Costa, Jim; Rep. Sherman, Brad; Rep. Foster,
Bill; Rep. Malinowski, Tom; Rep. Meeks, Gregory W.; Rep. Allred, Colin Z.; Rep. Lieu, Ted; Rep. Smith,
Adam; Rep. Gonzalez, Vicente; Rep. Trone, David J.; Rep. Houlahan, Chrissy; Rep. Phillips, Dean; Rep.
Blunt Rochester, Lisa; Rep. Spanberger, Abigail Davis.
This bill authorizes the United States to participate in the Coalition for Epidemic Preparedness Innovations
(CEPI), an alliance of countries and private partners whose mission is to finance and coordinate the
development of vaccines for high-priority, epidemic-potential threats. The President must submit a report
outlining (1) planned US contributions to, and participation in CEPI, (2) the manner and extent to which the
United States shall participate in the governance of CEPI; and (3) how participation in CEPI supports US
government strategies and programs in health security and biodefense.
Current status: Introduced in House (03/23/2020)
More at: https://www.congress.gov/bill/116th-congress/house-bill/6334
S.2695 - National Bio and Agro-Defense Facility Act of 2019
Sponsors: Sen. Roberts, Pat; Sen. Stabenow, Debbie; Sen. Grassley, Chuck; Sen. Moran, Jerry; Sen. Smith,
Tina; Sen. Blunt, Roy; Sen. Ernst, Joni; Sen. Hyde-Smith,Cindy; Sen. Boozman, John; Sen. Gardner, Cory;
Sen. Thune, John; Sen. Shelby, Richard C.; Sen. Fischer, Deb; Sen. Braun, Mike; Sen. McConnell, Mitch;
Sen. Hoeven, John; Sen. Leahy, Patrick J.; Sen. Tester, Jon; Sen. Crapo, Mike; Sen.Casey, Robert P., Jr.; Sen.
Perdue, David; Sen. Rounds, Mike; Sen. Durbin,Richard J.; Sen. Johnson, Ron; Sen. Peters, Gary C.; Sen.
Loeffler, Kelly
This bill provides statutory authority for the Department of Agriculture (USDA) to act through the National
Bio and Agro-Defense Facility to provide integrated research and development to defend US agriculture
and food against bio and agro-terrorism threats. The bill requires USDA to use the facility to implement
research and development objectives to (1) develop veterinary countermeasures for emerging foreign
animal diseases and animal transboundary diseases; and (2) provide advanced testing, diagnostic, and
evaluation capability for threat detection, vulnerability assessment, and veterinary countermeasure
assessment for animal and zoonotic diseases.
Current status: Introduced in Senate 10/24/2019
More at: https://www.congress.gov/bill/116th-congress/senate-bill/2695
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S.3302 - Global Health Security Act of 2020
Sponsors: Sen. King, Angus S., Jr.; Sen. Van Hollen, Chris
This bill establishes a permanent presidentially appointed position to manage outbreak response efforts.
Specifically, the bill establishes the role of Special Advisor for Global Health Security who shall (1) serve as
the President's principal advisor on global health security and global health emergencies (2) coordinate US
efforts to carry out global health security activities, and (3) convene the Global Health Security Interagency
Review Council. The bill establishes such a council to provide policy guidance to participating agencies on
global health security matters and to facilitate the implementation of the existing Global Health Security
Agenda. The Special Advisor must also develop a strategy to advance global health security and other
specified policy objectives and coordinate a whole-of-government approach to the implementation of such
a strategy. In addition, the Department of State must coordinate and facilitate interagency, multi-sectoral
activities outside of the United States in response to a declared global health emergency.
Current status: Introduced in Senate (02/13/2020)
More at: https://www.congress.gov/bill/116th-congress/senate-bill/3302
S.3656 - Global Health Security Act of 2020
Sponsors: Sen. Murphy, Christopher; Sen. Romney, Mitt.
This bill is intended to authorize a comprehensive, strategic approach for United States foreign assistance to
developing countries to strengthen global health security, and for other purposes.
Current status: Introduced in Senate (05/07/2020)
More at: https://www.congress.gov/bill/116th-congress/senate-bill/3656
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BIOSECURITY
S.3734 - Bioeconomy Research and
Development Act of 2020
Sponsors:Sen. Gillibrand, Kirsten E.; Sen.
Markey, Edward J.; Sen. Rubio, Marco; Sen.
Gardner, Cory.
This bill intends to provide for a coordinated
Federal research initiative to ensure continued
United States leadership in engineering biology.
National Engineering Biology Research and
Development Initiative will be formulated to
advance societal well-being, national security,
sustainability, and economic productivity and
competitiveness.
Current status: Introduced in Senate
(05/14/2020)
More at: https://www.congress.gov/bill/116th-
congress/senate-bill/3734
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S.3436 - Border Health Security Act of 2020
Sponsors: Sen. Udall, Tom; Sen. Heinrich, Martin; Sen. Gillibrand, Kirsten E.; Sen.McSally, Martha; Sen.
Sinema, Kyrsten; Sen. Cornyn, John.
This bill intends to establish grant programs to improve the health of border arearesidents and for all-
hazards preparedness in the border area, includingbioterrorism, infectious disease, and noncommunicable
emerging threats, and forother purposes.
Currentstatus: Introduced in Senate (03/11/2020)
More at: https://www.congress.gov/bill/116th-congress/senate-bill/3436
H.R.6070 - Border Health SecurityAct of 2020
Sponsors:Rep. Torres Small, Xochitl; Rep. Kirkpatrick, Ann; Rep. Grijalva, Raul M.; Rep.Gonzalez, Vicente;
Rep. Vela, Filemon; Rep. Jackson Lee, Sheila; Rep. Escobar, Veronica; Rep. Haaland, Debra A.; Rep. Davis,
Susan A.; Rep. Vargas, Juan; Rep.Lujan, Ben Ray; Rep. Cuellar, Henry; Rep. Hurd, Will.
This bill intends to establish grant programs to improve the health of border area residents and for all-
hazards preparedness in the border area, including bioterrorism, infectious disease, and noncommunicable
emerging threats, and for other purposes.
Current status: Introduced in House (03/03/2020)
More at: https://www.congress.gov/bill/116th-congress/house-bill/6070
H.Amdt.289 to H.R.2740 Labor, Health and Human Services, Education, Defense, State, Foreign
Operations, and Energy and Water Development Appropriations Act, 2020
Sponsors: Rep. Foster, Bill
Amendment increases the Biomedical Advanced Research and Development Authority account by
$1,000,000 to support increased R&D for biosecurity.
Current Status: 06/12/2019 Agreed to by recorded vote: 358 - 66 (Roll no. 273).
More at: https://www.congress.gov/amendment/116th-congress/house-amendment/289
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COVID-19PANDEMIC
S.3669 - COVID-19 International Response and
Recovery Act of 2020
Sponsors: Sen. Menendez, Robert; Sen. Cardin,
Benjamin L.; Sen. Shaheen, Jeanne; Sen. Coons,
Christopher A.; Sen. Udall, Tom; Sen. Murphy,
Christopher; Sen. Kaine, Tim; Sen. Markey,
Edward J.; Sen. Merkley, Jeff; Sen. Booker, Cory
A.; Sen. Wyden, Ron.
This bill intends to respond to the global
COVID–19 pandemic by enhancing protection
of American citizens abroad during a pandemic,
preventing the spread of COVID–19 at the
United States-Mexico border, and providing
international assistance and leadership for the
International Economic Pandemic Response
and humanitarian assistance to countries
affected by the COVID–19 pandemic.
Current status: Introduced in Senate
(05/07/2020)
More at: https://www.congress.gov/bill/116th-
congress/senate-bill/3669
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H.R.6599 - COVID Research Act of 2020
Sponsors: Rep. Lucas, Frank D.; Rep. Weber, Randy K., Sr.; Rep. Babin, Brian; Rep. Marshall, Roger W.; Rep.
Posey, Bill; Rep. Olson, Pete; Rep. Gonzalez, Anthony; Rep. Rooney, Francis; Rep. Murphy, Gregory; Rep.
Jackson Lee, Sheila.
The OSTP, acting through the National Science and Technology Council, must establish an interagency
working group to coordinate federal activities concerning infectious disease prediction and forecasting.
Among other tasks, the working group must identify challenges in predicting outbreaks and develop a
strategic plan to address them. In coordination with specified entities, DOE shall carry out, and report to
Congress on, a competitive research program for the National Laboratories and others to leverage
analytical tools and computational and networking capabilities to prevent and respond to emerging
infectious diseases, including COVID-19 (i.e., coronavirus disease 2019).
Current status: Introduced in House (04/23/2020)
More at: https://www.congress.gov/bill/116th-congress/house-bill/6599
S.3905 - Intelligence Authorization Act for Fiscal Year 2021
Sponsors: Sen. Rubio, Marco
Among other things, this bill requires a report on biosecurity risk and disinformation by the Chinese
Communist Party and the Government of the People's Republic of China. Not later than 90 days after the
date of the enactment of this Act, the Director of National Intelligence shall submit to the appropriate
committees of Congress a report identifying whether and how officials of the Chinese Communist Party
and the Government of the People's Republic of China may have sought:
(1) to suppress information about
(a) the outbreak of the novel coronavirus in Wuhan.
(b) the spread of the virus through China; and
(c) the transmission of the virus to other countries.
(2) to spread disinformation relating to the pandemic
(3) to exploit the pandemic to advance their national security interests.
Current status: Introduced in Senate (06/08/2020)
More at: https://www.congress.gov/bill/116th-congress/senate-bill/3905
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H.R.6455 - COVID-19 Commission Act
Sponsors: Rep. Thompson, Bennie G.; Rep. Jackson Lee, Sheila; Rep. Langevin, James R.; Rep. Richmond,
Cedric L.; Rep. Payne, Donald M., Jr.; Rep. Rice, Kathleen M.; Rep. Correa, J. Luis; Rep. Slotkin, Elissa; Rep.
Cleaver, Emanuel; Rep. Green, Al; Rep. Clarke, Yvette D.; Rep. Titus, Dina; Rep. Watson Coleman, Bonnie;
Rep. Barragan, Nanette Diaz; Rep. Demings, Val Butler; Rep. Khanna, Ro; Rep. Cicilline, David N.; Rep.
Sherman, Brad; Rep. Clay, Wm. Lacy; Rep. Wild, Susan; Rep. Haaland, Debra A.; Rep. Cohen, Steve; Rep.
Wilson, Frederica S.; Rep. Trone, David J.; Rep. Fudge, Marcia L.; Rep. Cooper, Jim; Rep. Case, Ed; Rep.
Lawrence, Brenda L.; Rep. Phillips, Dean; Rep. San Nicolas, Michael F. Q.; Rep. Vela, Filemon
This bill seeks to establish the National Commission Regarding the 2019 Novel Coronavirus COVID–19
Pandemic, and for other purposes.
Current
status: Introduced in House (04/03/2020)
More at: https://www.congress.gov/bill/116th-congress/house-bill/6455
H.R.6800 – The HEROES Act
Sponsors:Rep. Lowey, Nita M.; Rep. Engel, Eliot L.; Rep. Maloney, Carolyn B.; Rep. Nadler, Jerrold; Rep.
Neal, Richard E.; Rep. Pallone, Frank, Jr.; Rep. Scott, Robert C. "Bobby"; Rep. Takano, Mark; Rep. Velazquez,
Nydia M.; Rep. Waters, Maxine; Rep. Grijalva, Raul M.; Rep. Lofgren, Zoe
This bill responds to the COVID-19 (i.e., coronavirus disease 2019) outbreak and itsimpact on the economy,
public health, state, local governments, individuals, and businesses. The bill also modifies or expands a wide
range of other programs and policies.
Current status: Passed House (05/15/2020) Yeas and Nays: 208 – 199; Placed on Senate
Legislative Calendar under General Orders (06/01/2020)
More at: https://www.congress.gov/bill/116th-congress/house-bill/6800
PAGE 14 AUGUST 2020
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MILITARY
Darpa
DARPA has several ongoing programs focused
of COVID-19 medical countermeasures. Several
active programs are engaged in research of
rapid detection of COVID-19 exposure or
infection in both symptomatic and
asymptomatic individuals: Epigenetic
Characterization and Observation (ECHO),
Prometheus, Friend or Foe, SIGMA+ and
PREPARE. In addition, DARPA provided some
funding support to Sherlock Biosciences, which
is developing CRISPR SARS-CoV-2 kit for rapid
detection of the virus, providing results in
approximately one hour.
More at: https://www.darpa.mil/work-with-
us/covid-19
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WHITE HOUSE
White House
President Trump has unveiled Guidelines for Opening Up America Again, a three-phased approach
based on the advice of public health experts. These steps will help state and local officials when
reopening their economies, getting people back to work, and continuing to protect American lives
More at: https://www.whitehouse.gov/openingamerica/
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FEDERALAGENCIES
Food and Drug Administration
FDA - information on the Emergency Use Authorizations (EUAs) for diagnostic, non-diagnostic, and
therapeutic medical devices that CDRH has issued related to COVID-19.
More at: https://www.fda.gov/medical-devices/emergency-use-authorizations-medical-
devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices
Full information on all Emergency Use Authorization (EUA) and the list of all current EUAs
More at: https://www.fda.gov/emergency-preparedness-and-response/mcm-legal-regulatory-and-
policy-framework/emergency-use-authorization
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COVID-19 VACCINE NEWS
Vaccine Development Progress
Currently, there are 41 vaccines in pre-clinical or
clinical trials. Two have entered phase 3 of
clinical testing, while two others have finished
phase 2. Six vaccines are in phase 2 of clinical
trials.
More at: https://www.raps.org/news-and-
articles/news-articles/2020/3/covid-19-vaccine-
tracker
On June 26th, China approved the start of phase
3 clinical trials of an inactivated vaccine
candidate against COVID-19 in the United Arab
Emirates by the China National Biotech Group
Co (CNBC). The vaccine was developed by the
Wuhan Institute of Biological Products, and has
already been tested on around 2,000 volunteers
in phase 2.
More at: https://covid
19.chinadaily.com.cn/a/202006/25/WS5ef3d66a
a3108348172553ca.html
Other Chinese companies engaged in COVID-19
vaccine development are also looking to conduct
phase 3 of clinical trials abroad: Sinovac Biotech
is expected to commence its phase 3 trial in
Brazil, with about 9,000 volunteers.
More at: https://www.news-
medical.net/news/20200626/China-to-initiate-
phase-3-SARS-CoV-2-vaccine-trial-in-UAE.aspx
CanSino Biologics is in talks to conduct phase 3
of clinical trials in Russia, Brazil,Chile or Saudi
Arabia.
More at: https://www.reuters.com/article/us-
health-coronavirus-china-vaccine/chinas-
cansino-in-talks-for-covid-19-vaccine-phase-iii-
trial-overseas-idUSKCN24C0HS
U.S. biotech company Moderna started phase 3
of clinical trials on 30,000 participants in the
U.S. in collaboration with Biomedical Advanced
Research and Development Authority of the
National Institute of Allergy and Infectious
Diseases (NIAID).
More at: https://www.nih.gov/news-
events/news-releases/phase-3-clinical-trial-
investigational-vaccine-covid-19-begins
More at:
https://clinicaltrials.gov/ct2/show/NCT04470427
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Vaccine Funding Support
Operation Warp Speed
All of the investments under Operation Warp Speed include investment into manufacturing capabilities.
On March 30th HHS announced $456 million in funds for Johnson & Johnson's candidate vaccine.
Moderna received $483 million in federal funding to support COVID-19 vaccine development on April
16th.
On May 21st HHS announced awarding up to $1.2 billion in support for AstraZeneca's candidate vaccine,
developed in conjunction with the University of Oxford.
More at: https://www.hhs.gov/about/news/2020/06/16/fact-sheet-explaining-operation-warp-speed.html
Novavax announced on July 7th it received $1.6 billion in federal funding from Operation Warp Speed.
More at: https://ir.novavax.com/news-releases/news-release-details/novavax-announces-16-billion-
funding-operation-warp-speed
Around the World
The European Union has been negotiating deals for advance purchase of promising vaccine candidates
from Moderna, Sanofi, Johnson & Johnson, CureVac and BioNTech. On June 13th, four EU members of
Inclusive Vaccines Alliance (France, Germany, Italy, and the Netherlands) negotiated a deal with
AstraZeneca for the purchase of 400 million doses of its vaccine, which entered phase 3 of clinical trials.
The deals with all of the companies supported under Operation Warp Speed include provisions for 300
million doses of their respective vaccine for the U.S, Japan and the Bill & Melinda Gates
Foundation are in talks with Johnson & Johnson.
More at: https://www.fiercepharma.com/pharma/coronavirus-tracker-hydroxychloroquine-fails-va-study-
fda-approves-at-home-sample-collection
PAGE 19 AUGUST 2020
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RELEVANT VACCINECANDIDATES
Novavax – NVX-CoV2373
Uses SARS-CoV-2 recombinant spike protein
nanoparticle with proprietary saponin-based
adjuvant Matrix-M. Currently in phase 1/2
clinical trials.
More at:
https://clinicaltrials.gov/ct2/show/NCT0436898
8
Moderna – mRNA-1273
Messenger-RNA based vaccine – contains
mRNA in a lipid nanoparticle dispersion.
Entering phase 3 of clinical trials.
More at:
https://clinicaltrials.gov/ct2/show/NCT04470427
AstraZeneca – AZD1222
Adenovirus vector. Entered phase 3 of clinical
trials in the UK.
More at:
https://www.precisionvaccinations.com/vaccines
/azd1222-sars-cov-2-vaccine
CanSino Biologics – Ad5-nCoV
Recombinant adenovirus vector. Entering phase
3 of clinical trials. Moderate side-effects
reported in over 80% of the patients.
PAGE 20 AUGUST 2020
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More in: Zhu, F.C., Li, Y.H., Guan, X.H., Hou, L.H., Wang, W.J., Li, J.X., Wu, S.P., Wang, B.S., Wang, Z.,
Wang, L. and Jia, S.Y., 2020. Safety, tolerability, and immunogenicity of a recombinant adenovirus type-5
vectored COVID-19 vaccine: a dose-escalation, open-label, non-randomized, first-in-human trial.
The Lancet. (https://doi.org/10.1016%2FS0140-6736%2820%2931208-3)
BNT162 – BioNTech, Fosun Pharma, Pfizer
mRNA vaccine. Currently, in phase 1/2 of clinical trials for four vaccine candidates.
More at: https://www.precisionvaccinations.com/vaccines/bnt162-sars-cov-2-vaccine
INO-4800 – Inovio Pharmaceuticals, CEPI, Korea National Institute of Health, International Vaccine
Institute
DNA plasmid vaccine. It is currently finishing phase 1 of clinical trials in the U.S.
with phase 1/2 underway in parallel in South Korea.
More at: https://www.precisionvaccinations.com/vaccines/ino-4800-dna-coronavirus-vaccine
Ad26 (JNJ-78436735) - Johnson and Johnson (J&J) and Janssen Pharmaceutical, in collaboration with Beth
Israel Deaconess Medical Center
Non-replicating viral vector vaccine. Entering phase 1 clinical trials on an accelerated schedule. Phase 3
planned for September 2020.
More at: https://www.precisionvaccinations.com/vaccines/ad26cov2-s-sars-cov-2-vaccine
PAGE 21 AUGUST 2020
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PANDEMIC RESEARCH
Hydroxychloroquine benefits against COVID-
19
A study at the University of Minnesota claims
that hydroxychloroquine offers no benefits to
patients with COVID-19. The death rates in the
group treated with hydroxychloroquine and the
control group were identical at 0.4%, with
patients receiving hydroxychloroquine
reporting a higher incidence of mostly mild
side effects. Hospitalizations and persistent
symptoms were more common in the placebo
group, but the difference was not statistically
significant.
More at: https://triblive.com/news/health-
now/another-study-shows-no-
hydroxychloroquine-benefit-in-covid-19-fight/
On July 4th, the World Health Organization
discontinued its trials of hydroxychloroquine
and lopinavir/ritonavir treatment of COVID-19
patients, based on the recommendations of its
Solidarity Trial's International Steering
Committee.
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The interim trial results show that hydroxychloroquine and lopinavir/ritonavir produce little or no
reduction in the mortality of hospitalized COVID-19 patients when compared to standard of care.
More at: https://www.who.int/news-room/detail/04-07-2020-who-discontinues-hydroxychloroquine-and-
lopinavir-ritonavir-treatment-arms-for-covid-19
Treatments for COVID-19
A preliminary report suggests that dexamethasone reduced 28-day mortality among those receiving
invasive mechanical ventilation or oxygen at randomization, but not among patients who did not receive
respiratory support. This paper has not been peer-reviewed.
More in: Horby, P., Lim, W.S., Emberson, J., Mafham, M., Bell, J., Linsell, L., Staplin, N., Brightling, C.,
Ustianowski, A., Elmahi, E. and Prudon, B., 2020. Effect of dexamethasone in hospitalized patients with
COVID-19: a preliminary report. MedRxiv.
There are conflicting reports on the effect of antiviral drug remdesivir on recovery times in COVID-19
patients. A study in China found no statistically significant differences in recovery times of patients on
remdesivir versus those on placebo. A study financed by Gilead, the manufacturer of remdesivir, conducted
in the U.S. found that the recovery times for remdesivir patients were shorter, 11 days versus 15 days for
placebo patients. Although the use of remdesivir will require more study, it appears that the effects on
patient recovery are not significant enough to classify it as a cure for COVID-19.
More in: Wang,Y., Zhang, D., Du, G., Du, R., Zhao, J., Jin, Y., Fu, S., Gao, L., Cheng, Z., Lu, Q. and Hu, Y.,
2020. Remdesivir in adults with severe COVID-19: a randomized, double-blind, placebo-controlled,
multicentre trial. The Lancet.
Beigel, J.H., Tomashek, K.M., Dodd, L.E., Mehta, A.K., Zingman, B.S., Kalil, A.C., Hohmann, E., Chu, H.Y.,
Luetkemeyer, A., Kline, S., and Lopez de Castilla, D., 2020. Remdesivir for the treatment of Covid-19—
preliminary report. New England Journal of Medicine.
Antibody profile of COVID-19 patients
Long, Q., Liu, B., Deng, H. et al. Antibody responses to SARS-CoV-2 in patients with COVID-19. Nat Med
26, 845–848 (2020).
More at: https://doi.org/10.1038/s41591-020-0897-1
Xiang, F., Wang, X., He, X., Peng, Z., Yang, B., Zhang, J., Zhou, Q., Ye, H., Ma, Y., Li, H. and Wei, X., 2020.
Antibody detection and dynamic characteristics in patients with COVID-19. Clinical Infectious Diseases.
More at: https://doi.org/10.1093/cid/ciaa461
PAGE 23 AUGUST 2020
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Iwasaki, A., Yang, Y. The potential danger of suboptimal antibody responses in COVID-19. Nat Rev
Immunol 20, 339–341 (2020).
More at: https://doi.org/10.1038/s41577-020-0321-6
Strategic Implications of COVID-19 Pandemic
Japanese Ministry of Defense released a white paper on primary security concerns for Japan: including
COVID-19 pandemic, China, Russia and North Korea.
More at: https://www.stripes.com/japan-defense-ministry-s-white-paper-warns-of-coronavirus-threat-
aggressive-competitors-1.637432
The Chinese government released a white paper, “Fighting Covid-19: China in Action.”
More at: http://english.scio.gov.cn/whitepapers/2020-06/07/content_76135269.htm
DHL released a white paper, “Post-Coronavirus Supply Chain Recovery: The Journey to the New Normal.”
More at: https://www.dhl.com/global-en/home/insights-and-innovation/thought-leadership/white-
papers/post-coronavirus-supply-chain-recovery.html
ABI released a congressional briefing “Novel G4 H1N1 Influenza.”
More at: https://americanbiodefenseinstitute.org/novel-g4-h1n1-influenza/
ABI commended Congressman Gosar on the submission of an amendment to the H.R.6395 – William
M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021
More at: https://americanbiodefenseinstitute.org/american-biodefense-institute-commends-congressman-
gosar-for-biosecurity-amendment/
PAGE 24 AUGUST 2020
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Collaborating with researchers to develop a new class of antivirals focused on developing
preventive solutions for pandemics to provide rapid response to the current andfuture crisis.
First responder advisory
The American BioDefense Institute is working with Congressional stakeholders to formulate
solutions to reopen the American economy with built-in biodefense and biosecurity measures
meant to minimize the prolonged impact of the COVID 19 pandemic. Our program includes
multi-layered biodefense and bio-hygiene strategy that can be used to eliminate or drastically
reduce the introduction and proliferation of future pandemics globally.
This initiative is not exclusive to scientific safety measures and includes:
TOGETHERWE CAN
DO THIS!
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National, State, and localized economic reboot strategy
Bleeding edge infection tracing and disinfecting technology
BioSecurity and BioDefense virtual events for scientific researchers
Federal agency communication of pandemic focused intelligence sharing
Grassroots information socialization strategy
Minority and low-income community outreach program
and more.
ABI has a unified constituency of more than 15,000,000 grassroots enthusiasts to socialize our Reopen
America campaign for a more expedient and enunciated effort for maximum impact. We are able to triple
the distance in a fraction of time for efforts in matters of biodefense. We have taken our process global via
the addition of more than 50 Washington based embassies, which will take our tools, tactics, and procedures
to their nations to reopen their economies in a bio-secure manner.
Find out more about American BioDefense Institute’s “Reopen America” campaign here.
PAGE 26 AUGUST 2020
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CONGRESS IN FOCUS
These are the members of Congress and the
Senate whose activities in the next few months
are worth following.
Rep. James R. Langevin is the U.S.
Representative for Rhode Island's 2nd
congressional district. He has been a long-term
proponent of affordable quality healthcare.
Rep. Jim Langevin co-sponsored, among others,
the following bills:
H.R.6848 - Pandemic Protection for Transition-
age Foster Youth Act
H.R.6466 - Relaunching America's Workforce
Act
H.R.5730 - National Strategy for Pandemic
Influenza Update Act
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Rep. Paul Gosar is the U.S. Representative for
Arizona's 4th congressional district. He has been
one of the first U.S. politicians to come into
contact with COVID-19, going into self –
imposed two-week quarantine in early March,
and advocating “being proactive and cautious”.
Rep. Paul Gosar co-sponsored, among others,
the following bills:
H.R.6405 - Chinese Government COVID-19
Accountability Act
H.R.6338 - Pandemic Healthcare Access Act
H.R.6594 - Equal Access to COVID-19 Relief Act
Sen. Tom Cotton is the junior U.S. senator from
Arkansas. He was one of the early voices warning
about the dangers posed by COVID-19,
advocating travel restrictions as early as January
2020.
Sen. Tom Cotton co-sponsored, among others,
the following bills:
S.3837 - COVID-19 Vaccine Protection Act
S.3635 - Protecting Our Pharmaceutical Supply
Chain from China Act of 2020
S.3521 - Coronavirus Economic Stimulus Act
Rep. Ralph Abraham is the U.S. Representative
for Louisiana's 5th congressional district.
Rep. Abraham advocated for state-of-the-art
COVID testing for oil and gas workers in the
Gulf of Mexico.
Rep. Ralph Abraham co-sponsored, among
others, the following bills:
H.R.7710 - To provide liability protection for
elementary schools, secondary schools,
and institutions of higher education during the
COVID-19 public health emergency, and for
other purposes.
H.R.7690- To establish a payment program for
unexpected loss of markets and revenues to
timber harvesting and timber hauling businesses
due to the COVID-19 pandemic, and for other
purposes.
H.R.3502- Protecting People From Surprise
Medical Bills Act
Rep.Michael Waltz is the U.S. Representative
for Florida's 6th congressional district. Rep.
Michael Waltz has been a strong advocate of
expanding the testing for COVID-19 since the
start of the pandemic.
Rep. Michael Waltz co-sponsored, among
others, the following bills:
H.R.7029 - Protect our Children from COVID-19
Act
H.R.6822 - National Public Health Corps Act of
2020
H.R.6405 - Chinese Government COVID-19
Accountability Act
PAGE 28 AUGUST 2020
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On behalf of the American BioDefense Institute, we commend the initiative by Rep.Paul Gosar of Arizona to establish a program for the development of rapid and cost-effective medical countermeasures to pandemics under the auspices of theDepartment of Defense. We submit this statement for the record to urge the Congressto expedite this bill, to provide effective rapid pandemic response capabilities.
This bill would promote the development of the Pandemic Prevention Platform: aprogram “to implement and advance the development of rapid and cost-effectivemedical countermeasures to pandemics.” The objective is to ensure that an efficientmedical countermeasure (an antibody or a biological product) is developed anddelivered to the population at risk within 60 days of identifying a virus or otherpathogen. In addition, every effort will be made to reduce this time frame to 28 days.This would provide unprecedented capabilities to contain and suppress any pandemicbefore it spreads.
This initiative addresses a bipartisan issue. Congressman Gosar has rightlyhighlighted that pandemic prevention is a vital issue that has not been adequatelyrecognized until now. Given the current COVID-19 pandemic and its widespreadhumanitarian, economic, and social implications, it is necessary to recognize thevulnerability of our nation to a pandemic outbreak and make sure that all manner ofprotection is provided for the American people against pandemic infectious diseases.
One of the vital provisions of this bill is the challenge to the American ingenuity toreduce the time frame of the rapid pandemic response from 60 days to 28 days. In thefirst 60 days of the pandemic, every day can make a big difference, and thedeployment of pandemic countermeasures as early as possible can save a lot oflives.
Dear Colleagues and Peers,
America's BioDefense Institute
American BioDefense Institute800 Maine Ave SW #200
Washington, DC 20024
(202) [email protected] www.americanbiodefenseinstitute.org
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The development of rapid pandemic countermeasures will help to prevent anyemerging infectious disease from spreading worldwide by containing and eradicatingit if it reaches the U.S. These tools can be simultaneously used as (i) therapy forinfected patients and, (ii) as a passive immunization method to prevent furtherinfections and spread of disease.
The American BioDefense Institute urges the Congress to expedite the adoption ofthis bill and recognize its importance in the face of the pandemic. It will ensure thatthe U.S. healthcare system is equipped to deal with any future pandemic effectivelyand that the American people are given the pandemic protection they deserve. Theongoing COVID-19 pandemic has shown that this is a vital issue of both nationalsecurity and public health, and a necessary measure to protect the U.S. economy andthe American way of life.
Warm regards,
continued,
Ravi Starzl PhDExecutive DirectorAmerican BioDefense Institute
America's BioDefense Institute
American BioDefense Institute800 Maine Ave SW #200
Washington, DC 20024
(202) [email protected] www.americanbiodefenseinstitute.org
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CONGRESSIONAL BRIEFING:NOVEL G4 H1N1 INFLUENZA
The high degree of national vulnerability to infectious respiratory disease observed during the COVID-
19 pandemic brings into focus the need for rapid identification of similar emerging biothreats, to both
enable early containment and development of countermeasures. The H1N1 influenza virus represents
just such a threat – it is a known killer with a deadly history that possesses the ability to evolve serotypes
that are both highly infectious and for which there is no established herd immunity. The possibility of a
widespread H1N1 outbreak during the COVID-19 pandemic would compound the strain
on regional medical systems, as there is no cross-protection between COVID-19 and H1N1 influenza
immunity.
H1N1 is an influenza A subtype whose strains had been responsible for several known major flu
epidemics, including the deadliest known flu pandemic in 1918-19. Different strains of the H1N1 virus
are endemic to humans, pigs, and birds.
There have been three pandemics of influenza in the 20th century and one in the 21st century
(Kilbourne, 2006). The H1N1 virus caused a significant and best-known pandemic in 1918-19 and the
most recent one in 2009-10. In addition, there were three other notable epidemics in the 20th century
that were not considered pandemics: (i) a pseudo pandemic in 1947 (that was not considered pandemic
due to low death rates), (ii) 1977 epidemic that was pandemic in children, (iii) an abortive epidemic of
swine flu in 1976 in Fort Dix, NJ. All of these were caused by strains of the H1N1 virus.
An antigenic variation of H1N1 caused the 1947 epidemic. One remarkable feature of this epidemic was
the complete failure of the H1N1 vaccine with the 1943 H1N1 strain due to the antigenic drift of the 1947
virus. Millions of U.S. military personnel that were vaccinated were found to have no protection against
the new strain of the H1N1 virus. Luckily, the epidemic caused relatively few deaths and is, therefore,
considered to be a pseudo pandemic.
The 1976 outbreak of H1N1 was confined to Fort Dix, NJ, although it triggered a mass vaccination
program that planned to vaccinate 43 million Americans. The vaccination was suspended after repeated
reports of Guillain-Barré syndrome affecting vaccinated individuals in around a dozen states and seven
times the higher reported incidence of swine flu in vaccinated individuals.
Complete Downloadable Report HERE → H1N1 Report
PAGE 31 AUGUST 2020
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PASSIVE IMMUNITYTHE NEXT GENERATION OF
PANDEMIC RESPONSEImmunization is a process of fortifying an individual’s immune system against an agent, typically
disease-causing pathogen or a toxin. When the immune system is exposed to foreign molecules, this
will trigger an immune response. Because of immunological memory, our immune system is also
able to develop the ability to respond quickly to any subsequent encounter with the same agent, which
is a function of the adaptive immune system – a subsystem which responds within 4-7 days to a
previously encountered foreign molecule. The concept of exposing the body to a foreign agent in a
controlled manner to artificially activate the immune system and impart the ability of a quick response
to a subsequent encounter due to immunological memory is called active immunization.
Active immunization gives the body the ability to produce antibodies to counter the pathogen or a
toxin on its own. The most common technique of active immunization is vaccination, a process of
introducing a microorganism or a virus in a weakened, live or killed state, or proteins or toxins from
that microorganism, triggering the body’s adaptive immunity. This allows the body to quickly respond
to a next encounter with the same pathogen or toxin. Inoculation refers to a method where the body is
exposed to a milder form of a disease to induce immunity. It originated as a method of preventing
smallpox, where dried smallpox macules were used to induce a generally milder form of the disease,
which still induced full immunity to the disease. Compared to vaccination, it is inferior due to
significantly higher risk – vaccination does not cause disease, even in its milder form, while inoculation
does.
Passive immunization is a process of introducing antibodies into the body directly, rather than
imparting on the body the ability to produce them. This still imparts immunity, however, because this
immunity is not caused by the body’s immune system, it will only last as long as the introduced
antibodies as present in the organism. This is called transient immunity. Antibodies have been used for
the prevention and treatment of various diseases for centuries (Keller, 2000). Immunization by the
administration of antibodies is a very efficient way of obtaining immediate, short-lived protection
against infection or the disease-causing effects of toxins from microbial pathogens or other sources.
Complete Downloadable Report HERE → Passive Immunity
PAGE 32 AUGUST 2020