President Biden and Vice President Harris came into office determined to end the COVID-19 pandemic while making progress toward a world that is safe from biological threats. Today we are releasing the final annual global health security report of the Biden-Harris Administration, U.S. Government Support for Global Health Security - Protecting Lives and Safeguarding Economies, which highlights progress in global health security and identifies remaining challenges.

The Biden-Harris Administration has advanced a bold agenda to prevent the devastating toll of outbreaks and pandemics, including investing more than $3 billion in strengthening global health security (GHS) since 2020. These investments have helped to: prepare countries around the world to more effectively prevent, detect and respond to biological threats; build stronger and more effective regional and global institutions to support health emergency preparedness and response; and respond rapidly to numerous outbreaks - from Ebola to mpox - to limit the health and economic impacts on the American people, as well as people living around the world. U.S. leadership in global health security is built on decades of investments in global health and research and development, as well as strong partnerships with other countries, regional and multilateral institutions, civil society, and the private sector.

REDUCING THE RISK OF NEW THREATS EMERGING AND BUILDING COUNTRY CAPACITY TO RESPOND TO THREATS

The most effective way to limit the impact of biological threats is to stop them at their source. The United States is working with countries and partners around the world to ensure they have the capacity to identify and stop emerging threats before they grow into regional or global threats. Central to these partnerships is the development of a shared plan based on gaps in each country's capacity, as well as country ownership to sustain global health security capacities once U.S. Government support has ended. Highlights from the report include:

BUILDING MORE EFFECTIVE AND SUSTAINABLE GLOBAL HEALTH SECURITY GOVERNANCE AND FINANCING SYSTEMS

Strong national systems within the United States and other countries are essential to global health security. However, each country, including the United States, operates within a regional or global system that can either facilitate or hamper quick and effective responses to health emergencies. The Biden-Harris Administration has invested in building stronger multilateral systems and partnerships to strengthen global health security.

Limitations in the existing systems to finance pandemic prevention, preparedness, and response left countries and financial institutions ill prepared to effectively contain COVID-19, contributing to the health and financial crises that resulted in the deaths of over 1.2 million Americans and an estimated $14 trillion in economic losses to the U.S. economy. On day one, President Biden called on his Administration to transform the existing financing institutions and to cultivate new financing sources for global health security that are more effective and sustainable, and that are less dependent on U.S. government assistance.

EXPANDING ACCESS TO MEDICAL COUNTERMEASURES

The Biden-Harris Administration has prioritized expanding access to quality medical countermeasures (MCMs) around the world, building on decades of global health and health security leadership by the United States. The United States has long led the world in innovation, research and development. The COVID-19 pandemic demonstrated the vital role of U.S. biotechnology and biomanufacturing in developing and producing the life-saving diagnostics, therapeutics, and vaccines needed to protect American lives and livelihoods, and national and economic security against future biological threats, whether naturally-occurring, accidental, or deliberate. The Biden-Harris Administration has strengthened sustainable global manufacturing and supply chain capacity; donated vaccines, diagnostic tests and treatments and support for their delivery; expanded pandemic response financing for MCMs; and strengthened legal and regulatory systems to ensure quality products and overcome barriers to rapid access.

STOPPING BIOLOGICAL THREATS AT THEIR SOURCE

In February 2021, just a few weeks into the Biden-Harris Administration and during the height of the COVID-19 pandemic, DRC and Guinea experienced two unrelated Ebola outbreaks. Since then, the United States Government has supported responses to numerous outbreaks, from Ebola disease and Marburg virus disease to mpox, avian influenza, Oropouche virus, as well as ongoing threats including dengue, cholera, measles, malaria and HIV. United States Government support to emergency response is closely linked with ongoing bilateral investments in preparedness, with the goal of each country developing the capacity and resources to lead and coordinate responses to threats as soon as they emerge. Examples of U.S. Government support to outbreak responses during the Biden-Harris Administration include:

While we have made progress since emerging from the acute phase of the COVID-19 pandemic, continued investment of financial, political, and technical resources is needed to ensure success in building stronger preparedness today, sustainability of those efforts, and resilience to future biological threats. Both at home and abroad, willingness to invest critical financial and political resources has waned as global health security competes with other priorities for attention and resources. Collective action across sectors and throughout the world is needed to ensure we do not cycle once more into neglect, rather that we sustain and build on the significant progress made. Success in these efforts will make Americans safer, protect our economy and reduce international reliance on U.S. resources and expertise during times of crisis.