Secretary of State Marco Rubio indicated on Tuesday that the United States may resume its funding of a global vaccines alliance that Health Secretary Robert F. Kennedy Jr. pulled the United States out of last year, an unusual public rebuke of Mr. Kennedy\u2019s involvement in matters of global health.<\/p>\n
Testifying on Capitol Hill, Mr. Rubio told senators that President Trump had asked the State Department to allow Mr. Kennedy to \u201cplay a leading role\u201d in the decision on whether to fund Gavi, an organization that provides immunizations for low-income nations and maintains the global Ebola vaccine stockpile.<\/p>\n
But Mr. Rubio suggested in pointed testimony that he was reclaiming control of the U.S. relationship with Gavi, which has historically been managed by the State Department.<\/p>\n
The State Department is \u201cgoing to re-engage on the issue of Gavi,\u201d Mr. Rubio told the Senate Foreign Relations Committee. He said that the department was not going to \u201cyank\u201d the matter from Mr. Kennedy, a longtime vaccine skeptic, or ignore \u201chis points of view.\u201d But he said that a few weeks ago, he had made the decision to resume management of the relationship.<\/p>\n
About Mr. Kennedy, Mr. Rubio added: \u201cI wouldn\u2019t use the word defer, but we have certainly allowed him to play a leading role in determining what we\u2019re going to do next. But right now, we\u2019re sort of at a stage where we are going to re-engage. We need to drive this to an outcome.\u201d<\/p>\n
Mr. Rubio\u2019s reassertion of authority is part of a broader effort by the State Department to reclaim control of global health from the Department of Health and Human Services, said J. Stephen Morrison, a global health expert at the Center for Strategic and International Studies in Washington.<\/p>\n
Although the Trump administration has moved to sharply reduce the amount the United States spends on foreign aid, including money for global health and disease surveillance, Congress has continued to fund these areas.<\/p>\n
Congress has appropriated $600 million for Gavi that has been blocked by Mr. Kennedy, despite the State Department\u2019s usual role in handling the relationship.<\/p>\n
\u201cWe are very encouraged by Secretary Rubio\u2019s remarks that the U.S. intends to re-engage on the issue of funding Gavi,\u201d Dr. Sania Nishtar, Gavi\u2019s chief executive, said after the hearing. \u201cUnlocking the funds that Congress has appropriated to Gavi would enable us to keep the world safe from infectious disease threats.\u201d<\/p>\n
At the hearing, Senator Jeanne Shaheen, Democrat of New Hampshire, pressed Mr. Rubio on funding for Gavi in the context of the current Ebola outbreak in central Africa. While there is no vaccine against the species of virus,<\/a> Bundibugyo, causing this outbreak, Gavi has committed up to $40 million<\/a> to back production of promising vaccine candidates \u2014 the kind of global health security measure that the Trump administration has said it wishes to support.<\/p>\n \u201cHow are you making sure that Secretary Kennedy, who has been sitting on those funds for months now, is going to release them so that they can go to help develop a vaccine to address the Ebola outbreak?\u201d Ms. Shaheen asked.<\/p>\n Mr. Rubio replied that Mr. Trump wanted Mr. Kennedy to play a role in decisions about Gavi \u201cbecause of the strongly held views with regards to vaccine safety, and he wanted them to conduct some reforms.\u201d<\/p>\n But Mr. Rubio said that \u201cwe\u2019d like to get this issue resolved in an outcome that\u2019s acceptable both to Congress and also to our goals on global health.\u201d<\/p>\n The State Department refused to comment on whether Mr. Rubio\u2019s reference to re-engagement meant a return to previous levels of funding for Gavi, or on what timeline that might occur.<\/p>\n Andrew Nixon, a spokesman for the Department of Health and Human Services, said that the State Department and health department \u201ccontinue engaging directly with Gavi and remain cautiously optimistic that ongoing discussions can produce greater transparency, accountability and a constructive path forward.\u201d<\/p>\n