[Senate Hearing 114-515] [From the U.S. Government Publishing Office] S. Hrg. 114-515 ASSESSING THE STATE OF OUR NATION'S BIODEFENSE ======================================================================= HEARING BEFORE THE COMMITTEE ON HOMELAND SECURITY AND GOVERNMENTAL AFFAIRS UNITED STATES SENATE ONE HUNDRED FOURTEENTH CONGRESS FIRST SESSION __________ OCTOBER 28, 2015 __________ Available via the World Wide Web: http://www.fdsys.gov/ Printed for the use of the Committee on Homeland Security and Governmental Affairs [GRAPHIC NOT AVAILABLE IN TIFF FORMAT] U.S. GOVERNMENT PUBLISHING OFFICE 22-381 PDF WASHINGTON : 2016 ____________________________________________________________________________ For sale by the Superintendent of Documents, U.S. Government Publishing Office, http://bookstore.gpo.gov. For more information, contact the GPO Customer Contact Center, U.S. Government Publishing Office. Phone 202-512-1800, or 866-512-1800 (toll-free). E-mail, [email protected]. COMMITTEE ON HOMELAND SECURITY AND GOVERNMENTAL AFFAIRS RON JOHNSON, Wisconsin Chairman JOHN McCAIN, Arizona THOMAS R. CARPER, Delaware ROB PORTMAN, Ohio CLAIRE McCASKILL, Missouri RAND PAUL, Kentucky JON TESTER, Montana JAMES LANKFORD, Oklahoma TAMMY BALDWIN, Wisconsin MICHAEL B. ENZI, Wyoming HEIDI HEITKAMP, North Dakota KELLY AYOTTE, New Hampshire CORY A. BOOKER, New Jersey JONI ERNST, Iowa GARY C. PETERS, Michigan BEN SASSE, Nebraska Keith B. Ashdown, Staff Director Gabe Sudduth, Senior Professional Staff Member Gabrielle A. Batkin, Minority Staff Director John P. Kilvington, Minority Deputy Staff Director Robert H. Bradley II, Minority Professional Staff Member Laura W. Kilbride, Chief Clerk Benjamin C. Grazda, Hearing Clerk C O N T E N T S ------ Opening statements: Page Senator Johnson.............................................. 1 Senator Carper............................................... 2 Senator Ernst................................................ 16 Senator Heitkamp............................................. 19 Prepared statements: Senator Johnson.............................................. 31 Senator Carper............................................... 33 WITNESS Wednesday, October 28, 2015 Hon. Joseph I. Lieberman, Co-Chair, Blue Ribbon Study Panel on Biodefense..................................................... 4 Hon. Thomas J. Ridge, Co-Chair, Blue Ribbon Study Panel on Biodefense..................................................... 7 Alphabetical List of Witnesses Lieberman, Hon. Joseph I.: Testimony.................................................... 4 Joint prepared statement..................................... 35 Ridge, Hon. Thomas J.: Testimony.................................................... 7 Joint prepared statement..................................... 35 APPENDIX Biodefense Report................................................ 41 Responses to post-hearing questions for the Record from Senator Lieberman and Governor Ridge................................... 140 ASSESSING THE STATE OF OUR NATION'S BIODEFENSE ---------- WEDNESDAY, OCTOBER 28, 2015 U.S. Senate, Committee on Homeland Security and Governmental Affairs, Washington, DC. The Committee met, pursuant to notice, at 2:33 p.m., in room SD-342, Dirksen Senate Office Building, Hon. Ron Johnson, Chairman of the Committee, presiding. Present: Senators Johnson, Ayotte, Ernst, Carper, McCaskill, Heitkamp, Booker, and Peters. OPENING STATEMENT OF CHAIRMAN JOHNSON Chairman Johnson. This hearing will come to order. I think I can speak for everybody on the Committee here. It is just a real pleasure to welcome back Senator Lieberman, the former Chairman of this Committee, and former Secretary Tom Ridge, two patriots, two great Americans who continue to serve their country, particularly now on this particular subject, something that really should concern all of us: potential biological warfare, naturally occurring pathogens, those types of things, and what we need to do to defend our Nation against these threats. Senator Lieberman, I am not sure whether I mentioned this last time you were here, but working with our esteemed Ranking Member Senator Carper, when I took over the chairmanship, I did something that you normally do in business. You start out, first of all, on an area of agreement. But we developed a mission Statement for the Committee, and it is pretty simple: To enhance the economic and national security of America. It is something we all agreed on. It kind of helps direct the activities of the Committee. And let us face it, if we are facing a biological threat, that would threaten both our national security and our economic security. And I truly appreciate the time you have put into this commission, this effort, to the report that I believe you released this morning and you are testifying about today, because this is a very serious issue. And rather than listen to me yammer on, I am going to ask that my opening statement be entered for the record.\1\ I just really want to spend more time listening to what you have found and what your recommendations really are. --------------------------------------------------------------------------- \1\ The prepared statement of Senator Johnson appears in the Appendix on page 31. --------------------------------------------------------------------------- With that, I will turn it over to Senator Carper. OPENING STATEMENT OF SENATOR CARPER Senator Carper. Thanks, Mr. Chairman. I was telling the Chairman, as you all walked in to take your seats, that sitting down before us are two of my all-time favorite people. Tom Ridge and I were elected to the House of Representatives--we are both Vietnam veterans. We were elected to the House in 1982, same freshman class, and served together there for--I was there for 10 years, he was there for 12--and then went on to become Governors. When Joe Lieberman was running for President, he was good enough to let me be his general campaign manager for President in the Delaware primary, and it was this high watermark. And he finished second there, seven votes ahead of John Edwards. Hotly contested. Senator Lieberman. Seven historic votes. [Laughter.] Senator Carper. Yes, they were. And when Tom Ridge was running for Governor, I told everybody from Pennsylvania that I met in Delaware, I said, ``Do you know Tom Ridge is running for Governor up there?'' And they said, ``Yes, I have heard that name.'' And I told everybody what a great guy you were. And you turned out to be a great Governor. Joe was good enough to encourage me as a freshman Senator, when I was considering Committee assignments, to consider this one, and he said, ``Who knows? You might even end up as the Chairman someday.'' And sure enough, I do not think as good as the ones who preceded me, but it was a joy serving with both of you in those capacities, and it is great to have you before us today. We thank you really for your extraordinary service in years gone by and your continued service, as the Chairman says, to our country. In recent years, public officials and academic experts alike have sounded the alarm about our ability to deal effectively with biological threats. We think about it a lot in Delaware. As Senator Lieberman knows, we think a lot about avian influenza, and he knows all about chickens in Delaware. But since 2000, several commissions, including the 9/11 Commission, have affirmed the danger that the release of a biological agent can pose to all of us. In doing so, they have urged us to devote more attention and resources to detecting, preventing, and responding to such an incident. Our experience with Ebola over the last year in East Africa serves as a fresh reminder that biological threats are real. Over 11,000 people worldwide lost their lives in that Ebola outbreak, and a number of Americans were infected with that disease. The spread of this disease, as well as the public alarm over that epidemic, demonstrate the importance of having the appropriate policies, public engagement plans, and resources in place ahead of time. It is important to remember, too, that biological threats do not just have an adverse effect on our health and our homeland security. As the Chairman has said, they can also dramatically impact and adversely impact our economy. As some of us will recall, just a couple of months ago, parts of our country, including parts that we are privileged to represent, struggled with an outbreak of highly pathogenic avian flu from wild birds going on the flyways and leaving behind their droppings and creating great havoc, great loss. Though harmless to people so far, the virus devastated some parts of the poultry industry, not just chickens, broilers, but turkey, egg-laying hens, and the impact on businesses that we heard about right here in testimony that was offered in some cases very great. Further complicating matters, there have also been a number of troubling incidents over the past year at Federal and nongovernmental labs where research of infectious diseases is done. The reports of deadly pathogens being mishandled or misplaced is concerning to all of us and underscores the need for more rigorous oversight both here and in the administration. And in the midst of these developments, a number of very smart people came together and began examining how the Federal Government, our Federal Government, in conjunction with State, local, and nongovernmental entities, was doing at preventing and combating potential biological hazards. Since last year, the Blue Ribbon Study Panel on Biodefense--led by our two very able friends here--has convened a number of public meetings, and consulted with a whole lot of experts. And their goal was simple, actually: offer recommendations on how to improve our efforts and address capability gaps that had previously been overlooked. That review, released earlier this morning, I believe, contains a number of valuable recommendations that could significantly improve our biosecurity efforts. We sure hope so. And I urge our administration and I urge all of us in the Congress to give these recommendations the attention they deserve and then take action. I remember when you were our Chairman, you and Susan were leading this Committee, we had the 9/11 Commission come before us. They had all their recommendations, which I think they adopted unanimously, and shared them with us, and my recollection is we ended up approving, I do not know, 80, 90 percent of all of them, and also unanimously. But the idea was not just to sit on them but do something with them. I look forward to discussing the Panel's findings today. I am confident that our witnesses can help Congress identify any number of common-sense improvements to our Nation's biodefense systems that could be enacted with bipartisan support. Again, our thanks to Senator Lieberman and thanks to Governor Ridge for being here today to discuss their work and that of the team they led. I look forward to a productive hearing and knowing that the two of you are going to enjoy this as well as we will. And to paraphrase one of our former commanders-in-chief, ``Bring it on! " Chairman Johnson. Thank you, Senator Carper. Well, as Senator Lieberman well knows, it is the tradition of this Committee to swear in witnesses, so if you will both rise and raise your right hand. Do you swear that the testimony you will give before this Committee will be the truth, the whole truth, and nothing but the truth, so help you, God? Senator Lieberman. I do. Governor Ridge. I do. Chairman Johnson. Please be seated. TESTIMONY OF THE HONORABLE JOSEPH I. LIEBERMAN,\1\ CO-CHAIR, BLUE RIBBON STUDY PANEL ON BIODEFENSE Senator Lieberman. Thanks very much, Mr. Chairman and Senator Carper. It is really great to be back here. Thank you for your warm personal and supportive introductions. And it is great to see other Members of the Committee. I spent a lot of years in this room, and I look back with a real sense of appreciation that I had the opportunity to do so. This was really a center of bipartisan activity when it was not happening in a lot of other places. I am just impressed and appreciative that you have continued the tradition of mixed seating here. It was a small step for mankind but a large step for Congress. [Laughter.] --------------------------------------------------------------------------- \1\ The joint prepared statement of Senator Lieberman appears in the Appendix on page 35. --------------------------------------------------------------------------- I probably have used that before, but, anyway, this Committee has a history of obviously, leadership on homeland security but also interest in the biological threat and in improving our biodefense. And for that reason, and, of course, my own personal history here, I am really grateful that this Senate Committee is the first to hold a hearing on our report, and I appreciate the interest very much. And, frankly, I hope as this goes on that the Committee will decide to be champions and advocates for some of the things we recommend as you determine your support. This commission came together, our Panel came together about a year ago. It was a small group of people, but greatly supported by the two ladies behind us, Dr. Asha George and Dr. Ellen Carlin, who led our staff. The committee was composed of Secretary Ridge and me, although I know he likes to be called ``Governor Ridge,'' prefers that, as all former Governors---- Senator Carper. My staff had written it down ``Secretary'' and I crossed that out. Senator Lieberman. I understand. You are forgiven. So great to work with Tom Ridge. You could not ask for a more constructive, more well-intentioned person to work with. The Panel was really bipartisan: Former Secretary of the Department of Health and Human Services (HHS) Donna Shalala, former Congressman Jim Greenwood; former Senate Majority Leader Tom Daschle, of course, who was himself a target in the anthrax attacks in 2001; and former Homeland Security Advisor during the Bush Administration, Ken Wainstein. I am going to just talk for a bit and keep an eye on the clock so I do not go too long, first to say the title of the hearing is ``Assessing the State of Our Nation's Biodefense,'' and I would say that the bottom-line conclusion of this report is that we are better defended than we were in 2001 after the anthrax attacks, but really the State of our biodefense is inadequate, and we are unprepared for the very real biological threats we face, both from terrorists and from naturally emerging contagious diseases. The reality is that we are spending about $6 billion a year on biodefense, and, interestingly, that is not a number that you can find easily in the Federal budget. We had to go to a group at the University of Pittsburgh who did some analysis on it because there is no unified budget for biodefense. And we concluded that we are not getting our money's worth, and this particular area of homeland security really needs another look, a review, which we started and obviously we hope Congress will continue. Is the threat real from infectious disease, an intentional bioterror attack? We would say clearly yes. Naturally occurring biothreats such as Ebola or avian flu, as was described, are bypassing borders to emerge on our shores, and they will continue to do so. Terrorist groups like the Islamic State of Iraq and the Levant (ISIL) are devastating the Middle East, setting new horrific standards for inhumanity and brutality, and have specifically endorsed--ISIL has specifically endorsed--the use of biological weapons and threatened to use them against the American homeland. So this is a real threat. Are we ready for it? I will go back to the two things that I mentioned briefly. Let us talk about Ebola. The response to Ebola, in my opinion and most people's, was unacceptable. Ebola had been deemed a material threat, designated so by the Department of Homeland Security (DHS), for nearly a decade before last year's outbreak, which killed I think more than 6,000 people in Africa. But we did not have a single rapid diagnostic vaccine or treatment available. The response to Ebola, as you will remember, by our government was uncoordinated, to put it mildly, and I found at least with people I was talking to that a panic was emerging. The public was terrified about Ebola coming here. Even with 10 months of warning, while the Ebola virus spread overseas, Federal agencies did not actually provide hospitals in the United States with the basic guidance they would need to manage an Ebola case. It is quite possible--we do not know--that the next outbreak of Ebola or something like it will not give us 10 months' warning, and the danger is, of course, it will be much more communicable. The second is avian flu. Senator Carper talked about it, so I will just touch on it briefly. But the reality is that almost 50 million birds, poultry, were euthanized, culled, as a result of the avian flu outbreak. And we were lucky that it did not cross over to the human population. We have no guarantee that it might not the next time we are hit with avian flu. But as you said, and it is important to note, the economic consequences of that outbreak were severe. I saw one estimate that said we actually spent almost $1 billion of taxpayer money to respond to it, but also the direct impact on the poultry industry, and even on consumer prices, of course, as a result of what happened. The experts that we heard from on our Panel said that they would expect--not all of them, but some that came to us--said that they would expect as early as the coming year, wild migratory birds will bring back another wave of avian flu. Nobody can say for sure whether that will be the same variety. The Department of Agriculture (USDA) has a vaccine that they are weighing putting out, but we do not know whether the next version of avian flu might not only mutate but actually cross over to the human population with those consequences. And so we are not ready, and our aim was to try to make recommendations to suggest how we could be more ready. This report--and I give the staff a lot of credit for this--is really substantive. In other words, I distinguish it. It is not wonkish. It is quite practical. It is very detailed. And I think all of us learned a lot in this process. There are 33 categories of recommendations. There are about 100 action items, and I think each of them deserves to be considered. I will just give you one example, and then I will make a final point. One of the things that I learned in my work on this Committee which I had not really appreciated enough was the interconnection between human and animal pathogens, and of the number of the various biological threats listed by the Department of Homeland Security, there is only one, as I recall, smallpox, that does not begin in an animal population. The same is true of infectious diseases. And yet we separate these two. We do not think about them together as one. And to me and I think members of the Panel, one of the most stunning oversights or omissions here is that there is no national registry or list of contemporary presence or outbreak of animal diseases so that they can be tracked. There is a list by which we aim to track human diseases to see if there is an infectious disease pandemic taking place, but as I said, these more often than not start with animal diseases. So one of our recommendations--it happens to be number 7-- is to create such a list and implement a system by which it can be conveyed on a real-time basis to relevant public and private authorities. The final point I wanted to make is that the first recommendation may be critical to any hope to see anything happen on all the other recommendations because in this area, as in so many areas of government, nobody is driving this bus. Nobody is leading the effort, coordinating the effort. And as a result, there is a tremendous amount of overlap. As I say, we do not even actually know in the Federal Government how much we are spending every year on biodefense. We need a coordinator, a leader. We started to think about who should do this. I mean, there is an Assistant Secretary at HHS that has wide-ranging responsibilities. Should we put that person in charge? But as we went on to make a long story short, we thought what if you take one department person and put them in charge of everybody else, including departments that are equal, at least in size, that it is probably not going to work. And then we thought, well, maybe we will create a new Assistant National Security Adviser or, God forbid, another czar, and everybody said no, that will not do it. And we ended up where we did not start, which is to recommend, surprisingly, that we should give this responsibility to the Vice President of the United States because that office has such stature and make sure that--and this would have to be done by the President--the Vice President have authority to create a Biodefense Council, a Biodefense Strategy, and be in charge of a unified biodefense budget. So the reason I come back and say that may be the primary recommendation, it is not in that sense the most important-- there are a lot of detailed recommendations--because we fear that if there is not somebody driving the bus, even if some of the other recommendations are adopted, their implementation is going to be haphazard and our biosecurity will suffer. I will end with what I said at the beginning. I hope that some of you on the Committee and the Committee itself will think about taking whatever parts of this report seem sensible and necessary to you and become leaders in the Senate and Congress and seeing it through to implementation. Thanks very much for having us here. Chairman Johnson. Thank you, Senator Lieberman. By the way, if you check the record, I was actually going to introduce you, but I guess we did it anyway. Senator Lieberman. Oh, I am sorry. OK. Chairman Johnson. Not a problem. Senator Lieberman. Once I was sworn in, I was ready to go. Chairman Johnson. By the way, the other tradition I think that we have in addition to kind of mixing up here on the panel is I really do think we have maintained the tradition that certainly I saw as you being a Chairman of really trying to find those areas of agreement, try and concentrate on those things that unify us rather than exploit the differences. And, again, I think you and Susan Collins did a great job setting that example, as did Chairman Carper and Ranking Member Tom Coburn. So we have tried to maintain that as much as possible. Senator Lieberman. I know you have, and I thank you for that, Senator. Chairman Johnson. Our next witness is Governor Tom Ridge, who also served as Co-Chair of the Blue Ribbon Study Panel on Biodefense. He is currently CEO of Ridge Global, an international security risk management advisory firm, among other private sector roles. Before 9/11, he served as the Governor of Pennsylvania for 6 years. After 9/11, he was appointed the First Assistant to the President for Homeland Security and in 2003 the first Secretary of Homeland Security. Governor Ridge. TESTIMONY OF THE HONORABLE THOMAS J. RIDGE,\1\ CO-CHAIR, BLUE RIBBON STUDY PANEL ON BIODEFENSE Governor Ridge. Thank you, Mr. Chairman, Senator Carper, ladies and gentlemen. First of all, I want to thank you for the invitation to participate in today's hearing. I was thinking about those kind comments you made about Senator Lieberman and Senator Collins, and I would just put an exclamation point behind them, because I had many appearances on the Hill through multiple committees, given the fact there are 108 committees and subcommittees that the Secretary of Homeland Security has to report to. And I must tell you that the bipartisan nature of this Committee and the very constructive way that both R's and D's looked to provide challenges, of course, but counsel to the Department it is embedded in my mind as the way government and politics ought to intersect, so I want to thank you for maintaining that. And it is great to be with Senator Lieberman. I have great admiration for his record of service, and when we talk with our colleagues and you take a look at the four men and women who constituted this Panel and take a look at the ex officio members and then take a look at the capable staff directed by the two extraordinary professionals seated behind us, we said we did not need one more report, because since 2001 there have been four different studies and commissions that have dealt, in part or in whole, with weapons of mass destruction (WMD) and bioweapons and problems. And yet in spite of these well-intentioned efforts and some thoughtfulness approaching this issue, not much has changed during the past 14 years. And we all agreed that we are not only going to complete a report, but we are going to make some very specific recommendations and then go beyond recommendations, even include action items to implement those recommendations. So I am not going to spend a great deal of time reviewing them. I do encourage everyone, however, it is about as thoughtful, as probative, and as important a report on the nature of the biothreat that I think this Congress has ever seen. And we are looking for champions. We are looking for bipartisan champions. It is a national problem. It requires a solution set that is bipartisan in nature. --------------------------------------------------------------------------- \1\ The joint prepared statement of Governor Ridge appears in the Appendix on page 35. --------------------------------------------------------------------------- By the way, I understand that you passed the Cybersecurity Information Sharing Act (CISA) today. Is that right? Senator, did you tell me that? That is something I have been working on for 4 years as well. So from the cyber side, I want to thank you for the bipartisan support. Things get done here, and they are even more effective when they are bipartisan, and that is what we are looking for, bipartisan champions here. So let me make a few observations and then we will open it up to questions, if you would like. The recommendations contained in this report go far beyond Homeland Security Presidential Directive No. 10, which is the cornerstone, which is really the foundation around which we built our report, but there is so much more to it than that. Together, our recommendations address the broad spectrum of biodefense activities: prevention, deterrence, preparedness, detection, response, attribution, recovery, and mitigation. It is a wide range of issues that need simultaneous attention. They are not really one-off. One thing you will see in this report is many of the recommendations and the action items are interconnected because it is about building an architecture, a system of oversight and integration not only of Federal capabilities but State and local, academic, private sector, and the like to deal with the threat. One of the reasons we all joined this Panel was we felt very strongly that this threat has not been given attention. It has not been part of the national conversation with regard to threats to America's national security and to our economic prosperity, and we all know that whether the pathogen is thrown at us by a terrorist or a nation State. By the way, the global community, including Iran, North Korea, Syria, Russia, and China, maintain dual capacities, both offensive and defensive weapons, and as the Senator pointed out, it is pretty clear that terrorists have not only talked about it, but they have access to computers. We better start worrying about them hacking into intellectual property and developing the capabilities to genetically modify some of the stuff that is out there, and then Mother Nature. We know from the Ebola crisis Mother Nature is always lurking around the corner, and what really frustrated many of us was when I--and particularly yours truly. I will speak just for myself. When I became Secretary. When I was the Assistant to the President in the White House within the first couple weeks, I got a long list of pathogens that everybody was worried about. This is 2001. One of those was Ebola. Now, one would have thought if somebody in the Federal Government considered Ebola to be a potential problem, then by 2014 or 2015, we would have had an antidote and a vaccine ready for it, because as we all know, pathogens neither know politics nor boundaries. And given the geopolitical nature and given the forces of globalization, what happens over there now happens here. So it was a part of the scenario, and everybody did the best they could in response to that. But one would have thought, given its identification over a decade previously, we would have been better prepared to deal with it, because it then was a high priority. So that is what we tried to do. We address in our recommendations programs and policies, and we set them out short term, mid-term, long term. We want to make perfectly clear, at least according to this Panel--and we talked to a lot of experts, had hearings outside of Washington. We want to make it perfectly clear who should execute each item. We like the notion of responsibility and then accountability. We like that. Exactly what they should do, we make very specific recommendations, action items, and the timeframe we think it needs to be done. This is actionable information, and we think it is pretty important that many of these initiatives be undertaken simultaneously rather than one-off. I would like to share with you a couple thoughts about the central piece of this, and then we will get into the question- and-answer period. We strongly recommend and strongly believe that the only person in the national government, in the Federal Government that has the capacity and, frankly, the political and financial muscle to move and build an integrated architecture to deal with the biothreat is the Vice President of the United States. We know there have been czars in the past. Often government responds after the incident. Remember, we are talking about prevention and intelligence and readiness and all those things. So the czar has been there. I will speak from my own experience as Assistant to the President. The office next to the President, I used the Roosevelt Room, but Assistants to the President still cannot move money around. You can make recommendations, but you do not, frankly, have as much clout on the Hill. You know this. I am preaching to the choir. And then all of a sudden you become a Secretary, and then you find out-- and this is not a criticism, but there is still a lot of turf in this town, has been, always will be. That is how we operate. I understand that completely. So whether you are a czar or an Assistant to the President, certainly an Assistant Secretary of HHS for Preparedness and Response does not have the cachet, even individual Secretaries. And this challenge, we felt, since it cuts across multiple agencies and is of the highest importance, we think we need to elevate our attention and rebuild that architecture. The President is pretty busy, and the Vice President certainly will have their share of responsibilities. But there was one person we thought could cut through it. So in addition to the recommendations that we have here, we need to explain to you why we thought the Vice President should be in charge. That is one. It is cross-cutting. I believe Secretaries will pay attention to the Vice President because that office, that individual is speaking for the President. We also think that that is the place--and we are going to ask Congress in the future to appropriate money for the Biodefense Coordination Council that will be in the Vice President's Office, and this is going to be an integrated set of capable people, government and nongovernment, public, private, and academic research institutions. We do not have a national strategy, ladies and gentlemen. This is a real threat. We cannot get ahead of this threat because it already exists. So let us accept the reality it exists. And we have to do everything we can to reduce our risk of not only exposure but also to be a lot better prepared because we know we cannot develop a fail-safe system in order to immunize ourselves permanently. So we have to do that. So we need a national strategy. Who better to oversee that than the Vice President with the right group of people around him? We need a unified budget. I can speak, as I tried to do as the Secretary--I know I wanted what the Department needed, and everybody else. And we had some cross-cutting jurisdictions, and another Secretary wanted to do what he or she wanted. But at the end of the day, we need somebody in the White House working with the Office of Management and Budget (OMB) to make sure that the unified budget reflects not the Cabinet department or the agency or the institution's preferences, but what is in the best interest in supporting an overall biodefense architecture and plan. So you need the strategy. You need the unified budget. And then obviously we give you recommendations with regard to how we think the action items, frankly, would follow on these recommendations in order to build out that architecture. And why do we do all that? Because if you take a look in the back of this, there are 25 pieces of legislation, Executive Orders (EO)--25 pieces of legislation or Executive Orders or treaties that deal with biodefense. You probably cannot name them all. We could not either, thank you, but our staff pointed them out. There are 50 political appointees in the Federal Government all having some responsibility of biodefense. Look at Appendix A, and this is something near and dear to my heart. There are four pages of congressional committees and subcommittees that have disparate jurisdictions over bits and pieces. So we are basically saying that, in addition to the really substantive recommendations we made, there are three of them--the first two will drive what we think will create a sense of urgency. We do not want to be reckless about it. A lot of these things are going to take account years to embed into our architecture. But it is serious enough, the Vice President ought to oversee it. The Cabinet Secretaries pay attention to the Vice President and the President of the United States. And we can move this along to where we do not create a fail-safe system, but we create a far better system than exists today. I think the American public--and I am not going to speak for the American public, but I just know in my conversations with a lot of people, Ebola concerned a few. Then you explain to them how responsibility--there is nobody responsible ultimately. There is no ultimate accountability in the system for biodefense. And so we give that responsibility and accountability to the Vice President, and we are quite confident that that individual with bipartisan support in the House and the Senate can get these things done. So we are grateful for the opportunity to share these thoughts with you, and hopefully we have convinced you enough in this Committee that has broad jurisdiction that we will find a couple champions in here to help us with these short-, medium-, and long-term recommendations and see that they become part of the biodefense architecture we have in this country. And we thank you very much. Chairman Johnson. Thank you, Governor. It seems you are both recommending the Vice President. It just begs the question. Have either of you or have both of you spoken with Vice President Biden, by any chance, to just get his thoughts and input in terms of having a Vice President, whether it is him or his successor? Again, did you speak with him? Senator Lieberman. Not yet. I notified Steve Ricchetti, who is his chief of staff, that the report would make this recommendation, and we sent a copy over yesterday afternoon so they would have some advance notice on it. So I have no idea-- -- Chairman Johnson. So no reaction out of that? Senator Lieberman. No. Chairman Johnson. Can you just talk about exactly how you think this unified budget would work? Would you recommend taking out the funding from the different agencies, the different departments, unify it in, for example, the budget of the Executive Office, allocate it to the Vice President, and then he would reallocate it back to those different departments and agencies? I mean, how would you see that working? Senator Lieberman. So I am going to give a legislator's response and then yield to the former Cabinet member. The truth is we did not dig down on that. Your expression of, your implementation of, our idea makes sense. That is one way to do it. I mean, the main point, the main thing is to have somebody who knows really the totality of what is being spent on this important area of biodefense and then can make judgments about what is working and what is not and move money around within the budget, or I suppose if the Vice President thinks so, ask for more money. But we think that what we are recommending can be done pretty much within the existing dollars, as we see them. Governor. Governor Ridge. I think it is a wonderful question. I am particularly interested in promoting the Vice President because of my experience with Vice President Cheney. We do not have a Nuclear Detection Office unless he got involved in the conversation in the White House and he advocated on the Hill some of the initiatives around biodefense, BioShield and the like. His staff was critically important in design and affecting. So I really think with the appropriate support, it is an office that can really make a huge difference. I guess in the world understanding and appreciating the process, a Cabinet--first of all, the Cabinet members, they project a budget based on what they view to be the institutional needs and what they want to do. I got that. I did it. Cabinet Secretaries do that. But then I see the Vice President taking a look at the line items from HHS and Agriculture and DHS and the Department of Defense (DOD) and the rest of them, mapping what they want as opposed to the national strategy and see how those requests for dollars line up with the national strategy. And I suspect there will be some inconsistencies, and so I would like to see the inconsistencies resolved in the President's budget that he submits to Congress. There will be turf battles and financial battles, but you do not get things done in this town unless you control the purse strings. I just think having somebody who works so closely with the President and OMB, I think he could probably shuffle some money around in a way that may annoy or aggravate a Secretary or two or an agency or two, but, again, it is not about them. It is about the broader mission of building an architecture and a response capability to bio. So I think it would work very well. You do not have to go outside the existing budget process. I think you let the Secretaries do what they do, and then you let the Vice President realign, consistent with that overall national strategy, which is probably going to take another year or two to develop, I understand that. But I think it is appropriately placed within that office. Chairman Johnson. I am sure Senator Lieberman, when he was Chairman of this Committee, valued the GAO as much as we do. And certainly we have seen study after study of duplicated programs in the Federal Government, so your recommendation, again, as I was reading my embargoed copy, that does seem to be the strongest recommendation about that unified organization, that unified leadership. And from my standpoint, I think you make a strong argument. If anything, it would save you money because you eliminate a lot of that duplicated effort, so you have more money to actually effectively utilize to fight the threats. One thing I was mindful of as I was going through that my embargoed copy was the number of hearings you were suggesting, and I just did my own little mental calculation. I think it was 11 out of 15. It suggested that the Homeland Security and Governmental Affairs Committee hold those hearings. With that Vice President in charge, what department do you think would be pretty much the go-to department? I mean, I realize there is a lot of authority spread all over the place, but just based on kind of the hearing schedule, it seems like the Department of Homeland Security would be pretty key, although in your testimony you were talking about HHS. Can you give me some sort of sense in terms of, even within a department, where an awful lot of your recommendations are going to reside? Governor Ridge. Well, I do not think we can possibly--a lot of it has to do with what they decide is the national strategy. I think there are three or four that could have a dominant position to play. Our warfighters keep looking at this. They want to be able to detect on the battlefield and respond and recover. Because of our concern and connection with the zoonotic transfer from animals, Ag has to have a significant role in here, and DHS. So I am not necessarily sure there has to be an epicenter of one department. I do think, however, there has to be more than rhetorical coordination. There actually has to be real coordination, which means that the programs really should not be redundant, but they ought to be actually integrated. And so I am not prepared to say that one department or another, because I think you could see three or four critical departments. And, again, that leads us back to the Vice President. Chairman Johnson. You have to have that top---- Governor Ridge. So, I mean, listen, I know all about turf fights within the executive branch. It happens all the time. Senator Lieberman. So, to a certain extent, probably the wrong way to describe it, we backed into the recommendation that the Vice President be the leader of this effort, because every time--even the natural department, if you were going to choose a department to lead it, would be the Department of Homeland Security, because this biodefense is an element of homeland security. But then Homeland Security has to start saying to somebody at HHS or the Department of Agriculture, ``This program of yours is not working. There is too much money in it. We have to pull money out and put it into BioWatch in the DHS.'' That puts DHS in a hard position and why we thought it had to be elevated, as Governor Ridge said, to the Vice Presidency. Chairman Johnson. OK. Just real quick, with the few seconds I have remaining, you mentioned Ebola. Did your Panel take a look at how far we have progressed in terms of a potential vaccine? I have asked this of others as well. But what is your input on that, the progress made? Senator Lieberman. Well, we understand that there is a vaccine coming along, but I am actually thinking more about--- yes, OK. So the vaccine is coming along, but it has not been approved yet. And the sooner the better. Governor Ridge. And it is 14 years after the Federal Government said this is a potential problem. Chairman Johnson. Senator Carper. Senator Carper. Thanks. Thanks so much. I want to go back to mention something that is not part of biosecurity, but something that both of you played a real big role in, and that is, the work that we accomplished yesterday in the Senate on information sharing, cybersecurity information sharing. And I remember well when Joe Lieberman was leading this Committee the efforts that you and Dianne Feinstein, and myself and others helped, but I wish you could have been here with us yesterday when it all came to fruition, and you laid the groundwork. And Governor Ridge was part of--actually, I think sort of the face for the U.S. Chamber of Commerce for supporting the efforts, and we are just grateful to each of you for your contribution. I said yesterday it was one of my happiest days in my 15 years in the Senate, and you all played a big role in getting us on the right path, so thanks. Senator Lieberman. Thanks, Senator Carper, and thank you for your leadership on this. I probably would have been happier if I was on the floor with you yesterday, but I was pretty happy following it. It is a really significant accomplishment. Incidentally, I just quickly related there is a lot of connection of cybersecurity to biosecurity, and in the most direct way here, if you have a company dealing with pathogens or even vaccines, let us say, preventive activity, and they are hacked, right now they are probably going to be nervous about calling the government because they are going to reveal things that could subject them to liability. Well, when this legislation is law, that is open. And, of course, what that means from the government point of view is that you can begin to notice patterns of what is being hacked and wonder about where it is coming from and find out where it is coming from. So the implications, it is a really substantial accomplishment, and I really congratulate all of you on it. Senator Carper. Thank you. I asked my staff to help me reach out to the Vice President later this week, and guess what we are going to talk about? We are going to talk about this. Senator Lieberman. Great. Senator Carper. And I would ask you to do a little bit of role playing here with us for a minute and just anticipate for us that conversation when we talk to the Vice President---- Governor Ridge. You came to it a lot closer than I did, so you can play the role. [Laughter.] Senator Carper. Anticipate what the Vice President is going to say, and then what should we say to try to convince him to take this on? Senator Lieberman. Well, so this is a very personal reaction. I would say this Vice President, Joe Biden, might be--I hope--sort of intrigued by this because, this is specific. Senator Carper. Maybe if I mention avian influenza right at the top. All politics is local. Senator Lieberman. Make it close to home. But let us say it is a Vice President--and, incidentally, to be clear, we did some legal research on this. We decided it is the better part of wisdom here and probably law that the Congress cannot mandate that the Vice President take on this responsibility. This is really an appeal to the President to designate the Vice President to do this. I think that Vice President Biden might be challenged and intrigued by this possibility and want to see if in his last year in office he can bring this together to work better. I suppose if you had a virtual Vice President, he might say or she might say, ``Why are you giving me this responsibility? This is the beginning of your going to make me into the new Super Czar?'' Obviously, that is up to the President, and the President has priorities. But as a choice between creating a new czar and making the Vice President of the United States now and in the future responsible for some critical areas, coordinating them, I would choose the Vice President. Senator Carper. Good. Governor, do you want to add anything to that? Governor Ridge. Just I like the word that the Senator used: ``intrigued.'' The architecture that we are talking about requires a lot of engagement at the Federal level and State and local levels. That means obviously the Vice President will have some pretty good political connections, having obviously prevailed in a national election. And that integration of those government capabilities and the ability to move among the Cabinet agencies and also to engage, to build. I would like to think that any Vice President would welcome the opportunity to build, not unilaterally but with everybody else, to build a platform to deal with a real substantive threat to the national security and economic security of this country and would take it on obviously as a cause celebre--not that he does not have other things to do, but give that individual, who obviously is interested in both politics and governing, the opportunity, now that they have won the competitive side in politics, a chance to really do some substantive work on the governing side. And I think that would certainly appeal, I think, to most. Senator Carper. OK. Thanks. What do you see is the most likely form that a biological threat would take? And a related followup: In your opinions, have the risks associated with biological materials increased over time? And why? Senator Lieberman. Well, I will start, Senator Carper. On page 1 of this report, we have a scenario, which we made up, fortunately, but we think it is plausible, of the opening statement of the chairman of a congressional investigation that begins 9 weeks after terrorists unleash a biological attack on our Nation's capital. And there it was a multifaceted--in this scenario, which is plausible, it was a multifaceted attack that began with aerosol sprays and also, unfortunately, was comprised of essentially poisoning or infecting of animal populations with diseases that would be communicated to people. So, I mean, the problem here is, as Tom said in his opening statement, that some big powers have this capacity, dual-use capacity. It is certainly not as complicated as building a nuclear weapon--to build the capacity to carry out a biological attack. And, of course, it is easier either to get into the country, sneak it into the country, or to build it here. So I would say that the threat of a bioterrorist attack is greater than it has been, and I would also say, without belaboring the point, that the threat from a naturally occurring biological attack, which is to say an infectious disease pandemic, is greater, just to state it summarily, because we are all traveling more, we are moving around the world, and we are bringing disease along with us. And it is amazing. A word that I came to appreciate a lot during our study was ``zoonotic.'' I do not know if I knew that word before, but this is a disease that is conveyed from animals to people, particularly by migratory bird populations. It is really quite threatening. And I guess the birds are traveling as much or more than they ever have, too, so that threat is greater than ever. Governor Ridge. Senator, I do not think we can discount, given the nature of the world today, some of these pathogens, either, leaving the laboratories of the Nation State and particularly ending up in the hands of terrorist organizations. Holding them precisely accountable for their actions is pretty difficult, attributing and then holding them accountable. So I think we cannot underestimate that possibility. I happen to believe that the science has changed dramatically, and we also know that in recent history you had scientists in certain parts of the world with minimal capacities, but with the advance of technology, are able to do some rather--to manipulate matters and create problems that are presently perhaps unforeseen. It is very interesting. I do encourage, if Congress does not read the entire blueprint, they ought to read the two-page scenario that we tried to set up as a plausible scenario. It is the Nipah virus. It is in pigs. It is in Southeast Asia. And it would not take too much to genetically engineer it, and once it is in the system--and it was interesting that those called before the Governmental Affairs Committee 9 weeks after it happens are the Governors of the four States that got hit. The second panel was the Secretary of State, Secretary of Defense (SECDEF), the Attorney General (AG), and the Director of National Intelligence (DNI). And the third is the Secretary of Ag, Secretary of Health and Human Services, and the Secretary of Homeland Security. That shows you the totality of the groups and people interested in this and one more reason why we hope the President would encourage the Vice President to take the task on. So we should take the words of the 9/11 Commission. One observation they made I think is relevant to this discussion. They concluded the Federal Government suffered pre-9/11 from ``the failure of imagination.'' It does not take much to imagine the pathogen finding its way to a terrorist organization, and we know Mother Nature--I mean, Mother Nature keeps playing around with H1N1 every year. And, by the way, let us think about that. Two years ago, we were advised that it would be potentially a more virulent strain of H1N1. Remember we had notice? And remember we did not have the vaccines ready for it? That is just Mother Nature. So a lot of work needs to be done. A lot of good people for the past 15 years have put their best foot forward, but they are not marching in unison. Senator Lieberman and I kind of look at as you get all these good people out there in organizations, they are like in the orchestra, but their sheet music is all different, and they have no conductor. Well, we want everybody playing off the same sheet of music, and we want the Vice President to conduct the song. Senator Carper. Thank you. Chairman Johnson. Senator Ernst. OPENING STATEMENT OF SENATOR ERNST Senator Ernst. Thank you, Mr. Chairman. Gentlemen, thank you so much for being here this afternoon. This is a really fascinating topic and one that we really do need to pay attention to. Now, your Panel also made a recommendation to implement military-civilian collaboration for biodefense, and I sit on both the Armed Services Committee and on this Committee of Homeland Security, and as a veteran, I would really be interested to learn more about this particular recommendation and the level of military and civilian collaboration that you have seen in the past, where we really need to take that for the future, and what we can do better in those areas. Senator Lieberman, if you would start, please? Senator Lieberman. Thanks very much, Senator Ernst. So here is an example. You will see in our report that we are critical of the so-called BioWatch program which the Department of Homeland Security operates, which was supposed to be an early detection system for biological pathogens in the air. Our judgment is that it is an old system, it is using old technology, and, frankly, it is not up to the challenge. It is not doing the job. At the same time, we found that the U.S. military is doing some aggressive, cutting-edge work on detecting biological pathogens in the air with the first natural priority being, concern being, to protect the men and women of the U.S. military either in conflict or in areas where they may be subject to biological attack. And the military is way ahead, in our opinion, of what the Department of Homeland Security has in the BioWatch program. So there is a case where we think that we are wasting money on BioWatch, to put it bluntly, and that this seems like a natural collaboration if we could take some of the breakthrough technologies that are being developed in the Department of Defense and allow them through collaboration to be applied to the domestic challenge. Tom, do you want to comment? Governor Ridge. Senator, I understand next year will be your 26th in your service? Senator Ernst. 24. Governor Ridge. 24? Well, thank you very much. Senator Lieberman. You must have been very young when you went---- Senator Ernst. I was maybe 12. [Laughter.] Senator Lieberman. That is what I would have guessed. Senator Ernst. Thank you. You are very kind. Governor Ridge. Your record of public service obviously precedes it here, so I thank you for that, one soldier to another. A couple thoughts, if I might. I think Senator Lieberman highlighted it quite well. We know the DOD--we do everything we can to protect our warfighters, and their investment in their Defense Advanced Research Program with regard to early detection on the battlefield I am quite confident has led to discoveries or learning relative to medical countermeasures. So somehow the biological contaminant gets past the protective gear, I mean, just even protective gear alone. So you see technology, you see protective gear, you see probably the advance of medical countermeasures. I remember as Governor of Pennsylvania and then as Secretary, we witnessed some exercises where the National Guard in respective States had WMD response and recovery capability. There is learning there, as well as capacity to help the State and locals respond if there is an event. And so I think while they may be--I think they are at--the epicenter of a lot of this work, and one of the frustrations that I think we have had in the Federal Government is that a lot of this work is always siloed. And, if it has an application at DOD, maybe the form may change a little bit, but it ought to be at DHS, it ought to be in the civilian world. So I think there is a lot of learning in the area of technology, protective gear, response and recovery capability, medical countermeasures, getting DOD integrating some of its learning with not only Federal agencies but with the State and locals will just enhance their capability. Senator Ernst. Well, and, Governor, you led to my next question as well. With the siloing effect that we have in so many of our agencies across the Federal Government, how does the Federal Government do a better job at working with our State and local officials? You mentioned the National Guard. Every State has a civil support team that deals with nuclear, biological, radiological episodes and can respond. And they are at the cutting edge. How do we take some of that knowledge and share it with those local emergency management coordinators at the county? We have to do a better job at that. And do you see that there are ways that we can break out of those silos and really effectively communicate across those various levels of coordination and effort? Governor Ridge. Well, first of all, I think they have to have a significant presence on the Biodefense Coordination Council because they are every bit as important to delivering particularly the response and recovery, although they do need intelligence and you need to bolster the public health capability clearly. They need to be invited in to participate and viewed not as an adjunct to what the Federal Government is doing but as a partner. I do not believe that the Federal Government--we cannot secure the country from bioweapons and pathogens inside the Beltway. And as we all know, the first responders are back home at the local level, then the State level. They are the first in and the last out. Senator Ernst. Right. Governor Ridge. And I know one of the challenges we have had historically is that there has been a second or third variation of the National Incident Management System, but it is pretty clear, at least in response to Ebola, that maybe there had not been enough outreach to the State and locals dealing with that kind of challenge at the local level. They joined later on. So I think if you invite it, you will find many willing participants, and I think we need to see them as a resource. And I am going back to my experience as Secretary of Homeland Security. You cannot secure the country as strong as we are and as big as our budgets are, the number of programs we have, you cannot do it from inside D.C. Senator Ernst. Exactly. Governor Ridge. You better look at the Governors and the mayors and the public health people as partners, not as ``we will get to you later.'' No, no, no. You get to them now. And I think they will respond very favorably. Senator Ernst. I do think that is a great point, and I would love to see that level of cooperation amongst all of our governmental officials and those that are responding to the crises. Of course, Senator Carper, we have the avian influenza that hit Iowa very hard, about 48 million birds or so that were lost. Two-thirds of those birds that were lost were from Iowa. So it hit very hard, and we really needed to see multiple levels of coordination. Governor Ridge. To that point, if I might, there is one recommendation we have not brought up. The Senator alluded to it. We do not have a national animal disease surveillance database. Senator Ernst. Right. Governor Ridge. We do not. Senator Ernst. Right. Something very basic. Governor Ridge. We have seen--particularly if you believe, as the scientists say, that 99.9 percent of those pathogens that ultimately affect humans come out of--their etiology is in--animals. So why don't we complement what we know about human disease with animal disease? Because I suspect people a heck of a lot smarter than I am, which is a ton of them, might be able to see the connection and even anticipate some problems. Senator Ernst. I think this is a great recommendation. Senator Lieberman. So you want to know if there is an infectious disease epidemic beginning to spread in the country. You want to know if there is evidence of a biological attack, which, of course, is not visible until people start to show the symptoms of it. And this will happen always at the State and local level. So for that kind of timely warning to be able to deal with the kind of crisis before it spreads, you have to have State and local people involved. I will say that there are some States--I do not know the number--that already have the kind of registry or database on a real-time basis of animal disease that we are recommending for the Federal Government. So, some of these States are ahead of us, for the same reason that we want to do this nationally, because they want to see something happening before it begins to spread to other animals and our other populations of animals, of the same animal or to people. Senator Ernst. Yes, well, thank you, gentlemen. I appreciate your efforts on this project, and hopefully we can see some of these recommendations into fruition. So thank you. Senator Lieberman. Thank you. Governor Ridge. Thank you, Senator. Senator Ernst. Thank you, Mr. Chairman. Chairman Johnson. Senator Heitkamp. OPENING STATEMENT OF SENATOR HEITKAMP Senator Heitkamp. Thank you, Mr. Chairman, and thank you both for your work on this effort. I think it is something that I think gets ignored, to our peril, and having such high level analysis and bipartisan analysis, I think, is hugely helpful. With that said, I recently participated in an hour-long discussion with the head of the World Bank, Dr. Kim, who I do not know if you are familiar with him, but he is basically a prominent infectious disease physician. He also brings some interesting kind of geopolitical understanding to that role. When asked what he thought was the greatest economic vulnerability in the world, he said pandemic. And I think we sometimes just focus on health, but we do not realize that the economic implications of a pandemic will be absolutely devastating, especially in the developing world. And we asked him a series of questions about where he saw the next outbreak, what the next kind of cutting edge concern was that he had. He talked about flu and he talked about a number of other things. And I think it is interesting because as we prepare for our national defense, we cannot do this without preparing for an international defense, whether it is, in fact, providing food security in areas where people basically have had their economies shut down, or whether it is--so that people stay in place, that we do not see a migration, we do not see continuing spread of infectious disease, and then also, taking a look at preparedness, not just prevention, but preparedness. And so I am wondering, in the work that you did, as you looked at the scenarios, you looked at the potential issues that could come up, whether you spent any time kind of saying, These are the five likely next things beyond Ebola that could happen, let us run the scenario on how that happens, because we know most of these pandemics, most of these concerns actually originate in the developing world. And I do not care which one of you take on that question, but I am curious about how we reach beyond the work that you have done to get a world prepared for a pandemic. Senator Lieberman. That is a great question. So incidentally, I want to just sort of put an exclamation point, Senator Heitkamp, after your first point, which is that this is a threat on the bioterrorist side of it that is really under- appreciated by the population, in part, because, Thank God, much to our surprise since the anthrax attacks right here on Capitol Hill in 2011, we have not had a biological attack, which everybody--not everybody--but most experts would have guessed at that point that would have happened. So it seems a little bit distant. However, although people do not want to live every day with this fear, the reaction that I saw to the Ebola crisis last year was really panic. So I think people are fearful, at least when it begins to happen, of the threat of a pandemic outbreak. I am struck by what you said Dr. Kim said and he is probably right. I mean, some people--there are other examples, but really, it is a threat in terms of dislocating. So I do not know that we listed, in terms of probabilities, what is next. There are some things going on now--sorry that Senator Carper is not here because I have learned about a disease moving to the United States called chikungunya. It has nothing to do with chicken. Is it originally an African word? I think so. Yes. But meaning something entirely different, but it threatens us now. We are not really ready for it. So that is one. It is beginning to be seen in the southern part of our country, particularly around Florida. So you want to? Governor Ridge. I do. I do have the benefit--well, the good Senator who was responding to your question had the benefit of taking a look at my recommendations, and I think if you will look at 7(c) and 33, I mean, I think this demonstrates the extent to which this extraordinary group of Americans looked across the board at as wide a range of issues it could possibly cover. But we do think that it is important, in 7(c) if you have it there, prioritize emerging and re-emerging infectious diseases, where we ask the Secretary of Health and Human Services, in coordination with Ag. and Defense, to prioritize these emerging infectious diseases. And then we turn quickly-- and there is more to that--then you turn to Recommendation 33 and this is probably more to your point, Senator. Somebody needs to provide international leadership on this issue. The United States of America seems to be the country that should do so, and we think we ought to build, with our friends in the global community, perhaps through the State Department, whoever, a functional and agile global public health response apparatus to include the convening of human and animal health leaders from around the world to help start to set some of these priorities. You also see it as an adjunct to this, we think the intelligence community (IC), even within the United States, does not pay enough attention to this. Probably this has a lot to do with the fact that it is, one is probably resources, and two it is important, but it is not that important for us to be really paying a lot of attention to this. And I think if you can have a global database. If you can convene annual leaders, particularly in these countries, the emerging countries, you can get that kind of collaboration. To your point, America provides a leadership, but given the globalization of these pandemics, we are all potentially affected. Senator Heitkamp. Just as you have looked for a home, where is the point, the immediate point of accountability, which is the addressing of this device present? And the immediate point of accountability to help prepare, but also to orchestrate and to have the clout to effectuate a response, we do not have that on an international level. And that lack of leadership on the international level, I think, makes us much--we can do all these things that you are suggesting, but until we actually build from these efforts, take these same ideas and build out in a global sense, we will be only as secure as one border crossing. And so I think it is critically important that this work not stop at this point where we are just looking at what is happening within our borders, that we heed his warning and heed the warning of a lot of people who deal with infectious diseases, especially as it relates to flu and the eventual antibiotic resistant kinds of diseases that we anticipate we are breeding, that we actually have a global response and we have a point of accountability in global response. And I think that is trickier because as we know--there is a cop on the beat in the United States of America because we are a country that is rule of law--there is no one global cop on the beat. And if we do not recognize that, we really threaten our security, I think. Senator Lieberman. That is an excellent point. The obvious candidate internationally to do that is the World Health Organization (WHO), but it does not have the rule of law authority that the U.S. Government has here. As I was listening to you, in some sense, we thought about protecting the people of America from infectious disease pandemics that are coming either by birds or animals or people from elsewhere in the world. I think we have assumed that--we have not assumed help from overseas. We have sort of assumed--we have to be ready to deal with it here and how do we deal with it here. In the 33d, the last recommendation that Tom referred to, we do ask the Secretary of State to convene a meeting of global experts in animal and human health to talk about the interaction, also what could be done globally to stop the outbreaks. The truth is, there was some effective work done on Ebola in Africa, even though 6,000 people died. But when it started, just listening to the news, it sounded like it could be much worse. So Dr. Kim actually is a great person to lead this because this is his field and I hope he will. Senator Heitkamp. I am sure he would be glad that you volunteered him, Senator. Governor Ridge. It is one more reason, though, I think to have the Vice President involved. If the Vice President shows up arm-in-arm with the Secretary of State, you are speaking with the authority of the President of the United States, and you want to convene at the highest level, you are going to get there. The other advantage, I think, of America being much more aggressive externally is that if we come up with these medical countermeasures available to the world, I think that is an extension of our value system that is every bit as important as any other thing we do. And finally, with your very appropriate comments with regard to identifying the threats and emerging diseases in these countries, I always view our borders as the last line of defense, because we know the threat is out there, so we use the military and everybody else to try to deal with terrorism before it brings, the horror to our shores. We need to take the same mind set and say, ``Look, no matter what we do here to detect and prevent and prepare, we are going to have to respond, to recovery but we just cannot be thinking of ourselves internally. The threat is global and in many areas in the emerging countries, so we have to pay a lot more attention than we ever have in the past. Senator Heitkamp. I do not think there is any doubt about it. Senator Lieberman. Thank you. Chairman Johnson. Thank you, Senator Heitkamp. As long as we are talking globally, and Senator Lieberman, you mentioned the World Health Organization, I think it is widely recognized that with Ebola outbreak, the World Health Organization did not exactly respond the way the world would have liked. Do you believe that is the organization where this global database and this response really should emanate from, or do you think it is just not a reformable organization and we have to look to something else? Senator Lieberman. Right. So we did not really dig into that deeply. I mean, I had the same impression that you did, that the WHO did not respond as well or as quickly as we would have liked. I do not know what the alternatives are unless people acted through the U.N. and created some separate entity. But I think we have just got to try to make it better and to understand. I do not know if you can think of anything else globally. Governor Ridge. No. I mean, the bottom line is that the world is paying a lot closer attention to cyber threats, a lot closer attention to the threat of terrorism, the threat of nuclear proliferation. But globally, the threat is under- appreciated and it will take strong leadership. I mean, we want America to get back engaged. We do not normally show up. They meet every couple of years on the treaty with regard to bio weapons, and while we know that some of the participants have signed the treaty are building the dual capacity, we still ought to show a face there. We have to be much more aggressive with regard to the World Trade Organization (WTO). So I cannot think of another organization. We do not have time to create a new one. We just ought to extract as much information and get as much benefit, because I do think the organization may not be the rallying point, but it could be used as a bully pulpit for us and we have to convene leaders from these countries that are really concerned. And we can do that independently of WTO, that is for sure. Chairman Johnson. Well, you repeated the phrase, failure of imagination. I think it is denial of reality. Some of these things are just so horrific to even think about, that will never happen. You have to recognize that yes, it might. Did you do any work or did you take a look at the possibility of stockpiling medicines? You mentioned anthrax. I know we did not have enough Cipro at the time. Where are we in terms of potentially stockpiling preventative medicines or cures? Governor Ridge. Well, we did take a look and made some recommendations with regard to the national stockpile. One, we do not have that much stockpile. Again, our medical countermeasures are really in the embryonic stage right now. We have not even identified those potential pathogens with which we think there needs to be innovation and an antidote developed. We also recognize that even if you have the right materials stockpiled, we still have not figured out a way to distribute it, mass population. We have tried the Postal Service. We have tried a couple of others. There is some learning there. So again, it is part of the response and recovery recommendations we make to revisit that issue and pay a lot more attention to it than we have in the past. Senator Lieberman. Mr. Chairman, I do want to mention--it is not directly responsive, but it is related--that it happens that Senator Ayotte and Senator Booker have introduced a bill for the Department of Homeland Security to reach into its stockpile of anthrax vaccine and provide it for first responders across the country. Now, part of this is because parts of the stockpile are coming to the point---- Chairman Johnson. Getting old. Senator Lieberman. They are getting old, right. So we might as well use them for that purpose. But we are not--I mean, one of the major recommendations that comes out of this is that we still have not figured out how to leverage the ingenuity and innovation of the pharmaceutical sector of our economy to get involved in developing medical countermeasures to diseases that in some sense are hypothetical. We do not know that it is going to happen. And we have tried different ways to incentivize businesses to do that. Biomedical Advanced Research and Development Authority (BARDA) has been the instrument of that and I think we have a feeling that we ought to, as much as we respect the National Institutes of Health (NIH)--now I am going to join you in getting in trouble. Governor Ridge. We respect them, but we also think that there is a disproportionate emphasis placed on basic research and not enough with regard to applied. Senator Lieberman. Yes. Governor Ridge. You take a look at what NIH gets and Dr. Fauci is an incredible public servant, NIH has existed for over 100 years, but its mission, original mission has been expanded across. They are not coordinating activity within the Federal Government. It is much too big for NIH. So again, when we devised this architecture and approach, we were not looking to spend a lot of new money. We think just reprogramming some of it, and that is a classic example and I think, Senator, I do not mean to interrupt him, but I think we felt that there is not enough innovation in the marketplace. And the market will not really respond, first of all, just to even get access to some of the dollars for research. The process is just constipated. I mean, it is like paperwork and paperwork and paperwork and who knows if you are going to get at the outcome. We want to take the contracting authority from HHS and put it over in BARDA. But I would like to think that as part of the building of a new strategy, you would sit down, not only with the big pharmas, but sit down with a small company. They are more inclined to be focusing on one antidote, one or two vaccines and what do they need to have an incentive. The incentive just cannot be the market because there is no market. Chairman Johnson. Right. Governor Ridge. And you hope there will never be a market for it. So what is it that we have to do to encourage you to expend the dollars necessary to build that countermeasure? Why do you not tell them the story about when you were with your colleague, you wanted to extend the patent life in order to-- great story. Senator Lieberman. Oh, yes. Thank you. So a few months after 9/11, and the anthrax attacks really after 9/11, I do not know if Chuck Ludlum is here. He worked with me in my office. And we were talking about the problem that there were not medical--pharmaceutical countermeasures and how do we create a market incentive where there is no natural market incentive for pharmaceutical companies to devote research to this. So he came up with the idea--of course, at the time I took credit for it. He came up with the idea that we should create a process where a company develops a proposal for a medical countermeasure. They go to HHS, stating this simplistically, and if they cross the threshold of plausibility, then they are put on a track, and if they do develop an effective medical countermeasure, then their reward is--because they still do not know whether there is a market--that they can then take one of their drugs, presumably one of the more popular drugs, and extend the patent life, I think we said for a year, maybe 2 years, but a year. So this seemed like a very logical idea, to create an incentive for pharmaceutical companies to get into this area where there is no guaranteed market. Chairman Johnson. So again, that is for potentially development, but again, stockpiling. About the only entity, the only market would be for government to start stockpiling something that expires. Senator Lieberman. Just keep buying it, that is right. Chairman Johnson. That is just a natural contract. Senator Lieberman. So what happened was that this brilliant idea of ours did not seem so brilliant to the generic drug industry which did not want the patent life extended. Chairman Johnson. They are always interested. Senator Lieberman. And they came over the Hill like a cavalry and that was the end of that idea. Chairman Johnson. Well, good try. Chairman Johnson. Nice try. Governor Ridge. Maybe, perhaps, one of these days with science and technology moving as quickly as it is, we will be a lot closer to vaccines on demand if somewhere, not necessarily in the government, but out there in the private sector, we have this collaborative research capability based on priorities, based on information, based on intelligence. But for the time being, we are just going to have to go to the stockpile mode, but I think in years ahead, we might be able to come up with a better way than that to maybe incentivize. Chairman Johnson. Well, I will think liability protection would be somewhat key to that as well. Senator Carper. Senator Carper. Just a reminder. We have a facility located close to the University of Delaware where we have a number of bioscience companies and large, not so large, but mid-sized and small. One of them actually works on developing plant-based vaccines, not using eggs, but using, among other things, tobacco plants and being able to create vaccines more quickly and a variety of them. When I first visited them years ago, I wondered, this might come in handy someday, and they have done pretty well to advance their strategy. So I think I am going to pay them another visit just based on what we are talking about here. I would ask you a question and I just want you to answer it shortly. We all have a chance in what we have done and what you all have done is visit schools. I love to visit schools from grade schools all the way up through college. But sometimes the kids ask me for advice or I have just given them advice. One time a kid said he was trying to decide what to do with his life and he wanted my advice. He was going to do this, he was going to do that. And I said to him, Aim high, aim high, there is more room up there. Aim high. And the idea of asking the Vice President or encouraging the President to direct the Vice President to take the lead on this, that is aiming high. What if neither the President nor the Vice President have any interest in the Vice President doing this? What would be Plan B? Senator Lieberman. Well, I hate to use the term--maybe I will not use the term--Plan B would be somebody like the czar, I mean, somebody in the White House so that they had the implicit authority of the Presidency to coordinate. Again, I think the conclusion we reach is you cannot take somebody in one of the departments and put them over everybody else in the various departments. Senator Carper. If I could interrupt just for a moment? The legislation that we passed last year, Dr. Coburn and I authored, co-authored it, on trying to figure out on the Federal Information Security Management Act (FISMA), the question of what is the appropriate role for OMB and the Department of Homeland Security with respect to Federal information management. And we included there language that basically said, DHS has the authority to direct agencies. We had a term for it. What was the term? Binding operational directives, binding operational directives, to really tell the agencies what they had to do. So there is a precedent for that. Senator Lieberman. So I mentioned before that if you had to choose one department, it would be the Department of Homeland Security because this is a homeland security threat. Some of this, incidentally, also implicates a Federal Emergency Management Agency (FEMA) responsibility because of emergency reaction to, let us say, a bioterrorist attack or a pandemic disease outbreak. But I think it is still hard in this kind of case to ask one of the departments to assume a superior role to the others. Senator Carper. All right. Senator Lieberman. Again, I guess the hierarchy for us would be--we have not really explored this--Vice President, somebody in the National Security Council so you have the implicit--although Governor Ridge, really explained why you can only go so far. There he was in the White House, have a meeting in the Roosevelt Room that impressed people, but he did not have that authority that the Vice President has. Governor Ridge. Maybe one example my friend rated. I remember--no reason for you to know this, but long before we passed the Department of Homeland Security, months and months before that, I convened the President's Homeland Security Group, probably a half to two-thirds of the Cabinet, because there had been multiple studies, some of them mandated by Congress, a lot of the think tanks, in a 21st Century world, building a border-centric agency. It makes a lot of sense. Kind of monitor the goods and people it served coming across the border. Fine. And I sent out a memo and announced that I wanted to--I felt we ought to--collaborate, communicate, hold hands, sing Kumbaya, I want part of your agency, I do not want part of your agency, I would like some money here and I would like to see some money there. And the answer I got from everybody except Paul O'Neill was, ``No, we just need to communicate better, we need to coordinate better.'' Nobody wanted to give up turf, nobody. Fast forward 4 or 5 months. Roosevelt Room, same people are in the room, one additional person, happens to be the President of the United States. We are sending a piece of legislation up to the Hill tomorrow, whenever, we are going to create a Department of Homeland Security. I know you are going to be shocked. Unanimous support for that initiative. Why? Because the President said, this is what we are going to do. That is why we feel so strongly that it is imperative for the President, hopefully, and a willing Vice President to volunteer. It is everything I would think a Vice President would want to do. You have domestic and international, you have Federal, State, and local, you interact with the corporate community. You have to lead an effort globally and extend America's influence in a very positive way. I would like to think that the next President, regardless of what side of the aisle they come from, will be persuasive enough and the Vice President would be willing enough, to take it on. Because once it is embedded, I think you have the infrastructure you need to really do something about this threat. Senator Carper. OK. Thank you. One of the more noteworthy recommendations coming from the panel is the suggestion of unifying the bio threats strategies both for animals and for human beings. I think you call the approach One Health? Governor Ridge. One Health. Senator Lieberman. One Health. Senator Carper. That would allow government to better track and combat animal-based disease outbreaks. Two questions. One, how do you envision this strategy working amongst the different agencies responsible for animal and for human health programs? And two, what programs do you think should be prioritized? Two questions. How do you envision this strategy working amongst the different agencies responsible for animal and for human health programs and which programs do you think should be prioritized? Governor Ridge. Let me take a shot at that first. First of all, I think the recommendation is really to have us think about the connectivity among the three elements, environment, animals, and humans, because right now, like everything else, it is all siloed. So as you are building out this national platform, I think, to the extent that some of these agencies interact with all three, we would want to assimilate the information, have the analysis done with that in mind. I do not have any specific recommendations as to how they prioritize in it, inside of it, but it is just a change in mentality. Right now we are not paying any attention to animal health. There is very little consideration internally within any of these agencies or appreciation that most of your problems emanate in animals and in wildlife. But we do not really view that as part of the intellectual infrastructure around which we build a platform of medical countermeasures or even gather intelligence, let alone response and recovery mechanisms. So I think it has much to do with changing an approach toward any particular initiative. Senator Carper. Senator Lieberman. Senator Lieberman. No, I think that is the main point, to recognize the divisions between human health and animal health or human disease and animal disease are artificial. So you have to deal with them together. I just want to talk about what we are talking about here. We are asking the Vice President to direct the National Security Council to review all strategic biodefense documents. This is an example, to answer your question, to ensure that animal health and environmental health agencies are identified and assign responsibilities and that their activities are fully aligned. And then, Mr. Chairman, two down in terms of action items, this is a response to an earlier question you asked which we did not have an answer to because there is not an answer right now, prioritize emerging and re-emerging infectious diseases. And to do that by combining the efforts of the Secretary of HHS, the Secretary of Agriculture, and interestingly and relevantly, the Secretary of Defense. I think this is something that people are not adequately aware of, but more to the point, it is not the awareness which is reality. It is not being reflected in a way our government is acting and, therefore, we are both wasting resources, but we are also not preparing ourselves adequately to deal with threats to animals and humans. Chairman Johnson. Thank you. I know I stole this from Chairman Carper, he might have stolen this from you. Senator Lieberman. Yes. Chairman Johnson. Another tradition of this Committee is basically to give our witnesses kind of one last shot, so if there is something you have not mentioned if you want to kind of summarize your points, happy to give you an opportunity before we close out the hearing. We will start with you, Governor Ridge. Governor Ridge. No, I just think that we are looking for champions, Senator. What we thought, what we have analyzed, the go-ahead plan, it is all here. We know that you and Senator Carper are going to take it seriously. We hope that through your advocacy and that of others within this body and over in the House we can find some champions to affect this. This is a real threat. We cannot get ahead of it because it exists and we just need folks, hopefully, to take this blueprint seriously, and act on it. I do not want this to be the fifth report that ends up on the shelf gathering dust by the time we acted on it. We thank you. This is the first public action and it is in the right Committee of jurisdiction, because I think it may be a long time since I looked at your jurisdictional aperture, but I think you could call it---- Chairman Johnson. It is broad. Governor Ridge. I think you can call them all in if you want. I mean, you could have SECDEF, HHS, you can have them all here and say, The Vice President's plan said you ought to do this and you are not doing that. Why not? Chairman Johnson. You should take comfort in the fact that I was really focusing on the hearings you were recommending, so you probably found your champions. Senator Lieberman. Senator Lieberman. Thanks for the opportunity, Mr. Chairman. So with your permission, I am going to tell a story that is only remotely relevant, but he inspired it with that story. Chairman Johnson. Senator Carper does that all the time. Senator Lieberman. I know. Senator Carper. That was what I learned from Joe Lieberman. Chairman Johnson. There is nothing wrong with Tom in inspiring me. It is an old technique. Senator Lieberman. So Governor Ridge told this great story about the planning at the White House for the proposal for a new Department of Homeland Security and how the Cabinet did not know about it. So we had our bill on the floor for the Department of Homeland--or out, anyway. I have a specific recollection, after President Bush put out the proposal that you have just described for the Department of Homeland Security, a day or two later the late, great Senator Robert C. Byrd took the floor and he said, ``Where did this proposal come from?-'' He said, ``I have been informed that not even members of President Bush's Cabinet knew it was coming. There was some small group of people in a room, a closed room in the White House somewhere.'' And I can hear Senator Byrd on the floor saying, ``Who was there? Was Hamilton there? Was Madison there? Was Washington there? Was Jefferson there? I realize now I am at the table with Thomas Jefferson. He was there. OK.'' So thank you for allowing me that freedom of expression, old war stories. We miss Senator Byrd, really. He was something. God bless him. So I just echo what Tom said. We need champions. And I will say this. We both approached this, the request to co-chair this operation, with the sort of skepticism or questioning that one has in this life after public office, which is, ``Is this really going to matter? Is it worth my time? Are we going to do anything? '' But we were worried enough about the problem that we took it on. And I must say, for my part, part of it was frankly to work with Tom Ridge again. But at the end of this, now the day that we issued our report, I think we come away feeling this is a real threat to our country, not enough is being done about it, and it would be irresponsible--we are asking you to be champions, it would be irresponsible of us to leave the field, drop the report and go back to whatever we are doing. So we are going to try to find a way to keep this panel going, including the staff without which we would not have done anything of what we have done so far. And I want you to know that insofar as this Committee or you individually become champions of the report, we want to be in a position, and we feel reasonably confident we will be, to back you up, to support you because we think it is that important. Again, thank you very much for your time and your interest. Chairman Johnson. Senator Carper. Senator Carper. There had been a former Governor of Delaware named Russell Peterson and a former President of the University of Delaware named Art Trabant who came to see me, I think in 1993, 1994, my first year as Governor. And they had a proposal that they delivered to me on how to transform the area along the industrial wasteland along the Christina River where the train station is in Wilmington right along I-95 where a baseball stadium is. And they had the incredible vision of what we could do with that land where 10,000 people once worked to build ships that helped win World War II. The war was over, decayed, industrial wasteland followed in its wake. And they represented a wonderful vision and I said to them at the meeting, I said, Who is going to do this? Who is going to lead this effort? And former Governor Peterson, who was by then about 80, he said to me, he said, You are. And I said, Why me? And he said, Because you are a Governor and that is what Governors do. And that is what we have done and it is just wonderful. Sometime I hope you can come and visit. It is on the riverfront. I think Governor Ridge has maybe been there once or twice. But I am really encouraged by what you said. If the Chairman and I are as persuasive as we are, go meet with the Vice President next week and say, We had a hearing, this is a great idea, tell him who presented it to us and all, I am not sure we are going to be as effective as we might be if we did not do it with you, maybe the four of us to sit down with the Vice President and say, This is something we think is important and we just think it is something you ought to consider adding in your last 15--14 months, really, as Vice President to your portfolio. What do you think? Senator Lieberman. Well, that would be great. We would be there, sure. Senator Carper. Good. Thank you. Chairman Johnson. I would be happy to participate. By the way, that story was almost related. Senator Carper. I am getting better. He got a better overtime, why should I not? Chairman Johnson. Let us face it. The Blue Ribbon Panel found two fabulous champions, Governor Ridge, Senator Lieberman, you are true patriots. You served your Nation, you are continuing to serve it. We want to work with you. I look at this as a great blueprint. Like I said, take comfort from the fact that I have already gone down that list of hearings. Again, a blueprint. We are going to want to follow that, we went to work with you on this. These threats are real. One thing I have noticed about Washington D.C. is there is an awful lot of reality denying going on around here and I am not into reality denying. If we are going to solve problems, the first step is you have to acknowledge--in reality you have to admit you have that problem. You guys certainly together put together this Blue Ribbon Panel that describes a reality that we have to face. So I really do appreciate it. I think the technique we have been trying to follow, and this is what happened with cyber security, too, it is amazing what you can accomplish when you really do not care who gets credit for it. We had the CISA bill out of the Intel Committee. We could have claimed jurisdiction; we did not. We said that is a good bill. We worked together on the Federal Cyber Security Enhancement Act. We got that put in the manager's amendment. So when you concentrate on the areas of agreement that unify us and unite us, you can actually accomplish something, rather than trying to exploit our divisions. So this surely should be an area that unifies us because we agree this is a problem that needs to be addressed. We want to work with you over the coming months, possibly years, to really address this very real threat. So again, thank you for your service and you can be assured that we will work with you in the future on this. Senator Lieberman. That is great. Governor Ridge. Thank you. Chairman Johnson. With that, the hearing record will remain open for another 15 days until November 12 5 p.m. for the submission of statements and questions for the record. This hearing is adjourned. [Whereupon, the Committee was adjourned at 4:12 p.m.] A P P E N D I X ---------- [GRAPHICS NOT AVAILABLE IN TIFF FORMAT] [all]