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EXCERPTS FROM THE U.S. SENATE REPORT--DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATION BILL, 2007

July 20, 2006- Ordered to be printed
Mr. SPECTER, from the Committee on Appropriations, submitted the following REPORT [To accompany S. 3708]

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OFFICE OF THE DIRECTOR

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Multi-Institute Research Initiatives
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Psoriasis.--The Committee urges the Director to expand and coordinate research and related activities with respect to psoriasis and psoriatic arthritis across all relevant institutes, centers and offices, particularly at NIAMS and NIAID, to help foster new, safe, and effective treatments for these diseases and move toward a cure.

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NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES

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Burden of Skin Diseases- The Committee notes the relationship between the recent Burden of Skin Diseases report and the September 2002 workshop on the burden of skin diseases sponsored by NIAMS. The Committee continues to urge NIAMS to expand the research portfolio on skin disease and develop partnerships with the skin disease research community to address the recognized challenges and future research endeavors.

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Psoriasis- The Committee is disappointed that funding for psoriasis research has not grown significantly over the past decade. The Committee strongly urges NIAMS to expand and coordinate genetic, clinical, and basic psoriasis and psoriatic arthritis research and related activities, with emphasis on the cellular and molecular mechanisms of disease; genetics that lead to psoriasis susceptibility; the natural course and history of psoriasis before, during and after treatment with conventional therapies; the role of inflammation in skin and joints and co-morbidities such as obesity, depression and hypertension; the development of diagnostic tests for psoriatic arthritis; the unique challenges faced by children with psoriasis; and the use of certain types of antibodies to prevent relapse of psoriasis.

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NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

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Psoriasis- The Committee urges NIAID to support genetic, clinical, and basic research related to the understanding of the cellular and molecular mechanisms of psoriasis and psoriatic arthritis, chronic and immune-medicated diseases.

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CENTERS FOR DISEASE CONTROL AND PREVENTION

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Psoriasis- The Committee urges the NCHS [National Center for Health Statistics] to ensure that any data collected on psoriasis be comprehensive and include the full age range of individuals affected by the disease including children, adolescents and adults. The Committee is interested in having the Center collect and report psoriasis incidence and prevalence data that are based on nationwide epidemiological studies. If such data are not currently available, the Committee encourages the Center to undertake a comprehensive epidemiological study with a focus on determining incidence of psoriasis and psoriatic arthritis. The Committee urges CDC to consider working with a national psoriasis organization to develop a surveillance program to ascertain and monitor psoriasis and psoriatic arthritis incidence and co-morbidities.


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