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November 5, 2008

President's Emergency Plan for AIDS Relief: Health Development at the Crossroads

Author Affiliations

Author Affiliation: O’Neill Institute for National and Global Health Law, Georgetown University, Washington, DC.

JAMA. 2008;300(17):2046-2048. doi:10.1001/jama.2008.588

The United States Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003, which funded the President's Emergency Plan for AIDS Relief (PEPFAR), was the largest commitment by any nation to combat a single disease in human history, authorizing up to $15 billion over 5 years. On July 30, 2008, President Bush signed into law the historic reauthorization of PEPFAR, dramatically increasing the financial commitment by authorizing up to $48 billion over 5 years, including $5 billion for malaria and $4 billion for tuberculosis. During the signing ceremony, the president said, “There is no way to quantify PEPFAR's greatest achievement: the spread of hope. . . . And spreading hope is in our moral interests—because we believe that to whom much is given, much is required.”1 PEPFAR's global targets are inspiring: treat 3 million people; prevent 12 million new human immunodeficiency virus (HIV) infections, and care for 12 million people, including 5 million orphans and vulnerable children.