NATIONAL COMMISSION ON ACQUIRED IMMUNE DEFICIENCY SYNDROME CHAIRMAN June E. Osborn, M.D. MEMBERS Diane Ahrens Scott Allen Hon. Richard B. Cheney Harlon L. Dalton, Esq. Don C. Des Jarlais, Ph. D. Hon. Edward J. Derwinski Eunice Diaz, M.S.. M.P.H. Donald S. Goldman, Esq. Larry Kessler Charles Konigsberg, M.D., M.P.H. Belinda Mason David E. Rogers, M.D. ; Hon. J. Roy Rowland, M.D. Hon. Louis W. Sullivan, M.D. EXECUTIVE DIRECTOR Maureen Byrnes. M.P.A. 1730 K Street, N.W., Suite 815 Washington, D.C. 20006 (202) 254-5125 [FAX] 254-3060 February 15, 1991 Mr. Charles R. McCance Director Division of Quarantine Center for Prevention Services Centers for Disease Control Mail Stop E03 Atlanta, Georgia 30333 Dear Mr. McCance: On behalf of all the members of the National Commission on Acquired Immune Deficiency Syndrome, we want to commend the Administration for its recent decision to designate "infectious tuberculosis" as the only communicable disease of public health significance for which an alien can be excluded from the United States. As you know, the National Commission on AIDS, a panel appointed by the Congress and the President to develop a national consensus on policy concerning AIDS, conducted its own study in the fall of 1989 of U.S. immigration policy as it relates to HIV disease. Based on our study, the Commission called upon the Secretary of Health and Human Services to conduct a comprehensive review of immigration policies as they relate to communicable diseases, particularly HIV disease. At that time, we stated that policies which govern the medical examination and exclusion of aliens based upon communicable diseases should be determined by sound public health policies alone. We also highlighted the fact that the promise of global cooperation on important matters of public health was being jeopardized by existing U.S. immigration policy. It was clear that such policy was counterproductive and discriminatory. We outlined these and many other concerns in the study and in a resolution issued by the Commission on December 12, 1989. Both documents are enclosed with this letter. Under the leadership of the Secretary of Health and Human Services, the United States is now terminating immigration policies based upon myth, prejudice, and social stigmatization and returning to public health officials the authority to make sound public health decisions. The National Commission on AIDS supports the recent decision to designate "infectious tuberculosis" as the only communicable disease of a public health significance. We applaud Secretary Sullivan for the action he has taken in this matter and urge that the issue be resolved expeditiously. Sincerely, Pee = Wee ©. Catarn MD David E. Rogers, M.D. Jyne E. Osborn, M.D. Vice-Chairman Chairman /enclosures