. In the
Blueprint for Biodefense report, the commission said that almost no urgency within the federal government for dealing with the risk of a biological event existed. to direct the federal government to execute this strategy. Together, they sought to improve the federal government's readiness and capability to respond to human-generated, naturally occurring, and accidentally released biological threats to the Nation. The Strategy was mandated by Congress and has five extensively detailed goals. It established a new cabinet-level Biodefense Steering Committee chaired by the
scretary of health and human services.
National Security Advisor John Bolton said, "The Biodefense Steering Committee will monitor and coordinate implementation of the National Biodefense Strategy across 15 federal agencies and the Intelligence Community." The Bipartisan Commission on Biodefense commended the Trump Administration for creating the strategy in accordance with the commission's third recommendation in its
National Blueprint for Biodefense.
Need for a biological attribution apparatus The commission held a public meeting on October 3, 2017 about the biological attribution of crime, terrorism, and warfare, and continues to pursue this important topic. The continuing debate and uncertainty surrounding the origins of COVID-19 demonstrate the need for biological attribution. Biological attribution refers to the process of determining who and what was responsible for a biological attack. Perpetrators could be criminals, terrorists, or state actors. During this meeting, the commission learned about the federal government's existing capabilities to determine the sources and characteristics of deadly pathogens. The commission has taken a particular interest in the National Bioforensics Analysis Center (NBFAC). In fiscal year 2013, the NBFAC supported more than 45 investigations of potential biological crimes. Previously run by the Department of Homeland Security (DHS), the commission recommended that the
Federal Bureau of Investigation (FBI) assume management of the NBFAC, as all specimens going into the facility come from the FBI. In 2018, DHS and the FBI signed a memorandum of agreement that transferred NBFAC management to the FBI.
Need to budget for biodefense In its February 2018 report,
Budget Reform for Biodefense: Integrated Budget Needed to Increase Return on Investment, the commission noted increasing threats to the United States and its interests overseas, and determined that the U.S. government can no longer wait to commit sufficient federal funds to biodefense. Waiting is not in the best interest of the health of Americans nor the country's national security. The commission released its report to the public and Congress in 2018. One of the key budgeting issues identified by the commission is that all federal departments and many federal agencies have some biodefense responsibilities. Despite this multiplicity, there is not enough coordination. Lieberman said the
Office of Management and Budget (OMB) does not know how much the federal government spends on biodefense because "the sad fact is, more than two dozen agencies are working in silos across biodefense; that increases our vulnerabilities. Once we have a strategy and match that strategy with budget reforms...that's the beginning of a much more effective biodefense national strategy." Economic impacts of a catastrophic outbreak could reach $1 trillion, Lieberman noted. Congress has yet to establish such a Group. The House of Representatives, however, has established a Biodefense Caucus.
Need to prepare for large-scale biological events Commissioners and experts agreed during a public commission meeting held in Miami, Florida, in January 2018 that in order to respond effectively during a large-scale biological event due to a terrorist attack or natural disaster, the public and private sectors need to coordinate. The commission also noted that obstacles exist that highlight the Nation's vulnerabilities to such an event. The commission concluded that a comprehensive public health system that is able to respond before a biological disaster strikes is critical. In an op-ed in the
Miami Herald on January 15, 2018, former secretary of health and human services Donna Shalala said that during a large biological event, "I know that the federal government would move resources to affected areas throughout the United States. But those resources are already too few, and the federal government does not respond quickly to multiple locations in distress." the commission recommended that the federal government "redouble its efforts to share information with SLTT governments" and described various action items to do so.
Need for a One Health approach to biodefense The report also suggested that the government merge duplicate processes by including all biological threats, not just those from terrorism, into a national strategy. For example, the "
One Health approach" is one recommendation made by the commission that would merge strategies for dealing with human, animal, and plant health biodefense programs. also known as The Farm Bill. The legislation addressed Commission recommendations to defend U.S. food and agriculture. The new law creates a National Animal Disease Preparedness and Response Program and a National Animal Vaccine and Veterinary Countermeasures Bank, and increases federal funding to stockpile medical countermeasures for animals.
Need to address science and technology for biodefense The Bipartisan Commission on Biodefense also called for the new Innovation Funds at the
National Institutes of Health, and for ten percent of those funds to be dedicated to building technology that would allow multiple antigens in a countermeasure to be delivered from a single platform. Similarly, the commission called for ten percent of funds from the
Biomedical Advanced Research and Development Authority (BARDA) for the same purpose. == Recommendations from
A National Blueprint for Biodefense ==