Opportunity Information: Apply for CDC RFA CK22 2201

The grant opportunity titled "Reducing the Tuberculosis Burden in U.S. Bound Populations from the Philippines" (Funding Opportunity Number: CDC RFA CK22-2201) is a CDC cooperative agreement designed to lower the impact of tuberculosis (TB) among people in the Philippines who are preparing to immigrate or arrive in the United States as immigrants or refugees. The underlying policy driver is the required medical examination for U.S. immigration under Section 232 of the Immigration and Nationality Act (8 U.S.C. 1222), along with related authorities in Sections 212(a)(1) and 232 of the INA and Section 325 of the Public Health Service Act (42 U.S.C. 252). These laws authorize HHS and CDC to set and enforce medical screening requirements for noncitizens seeking entry to the U.S., including identifying communicable diseases of public health significance and ensuring examinations are conducted in line with CDC Technical Instructions used by designated physicians (often referred to as panel physicians) who perform overseas medical exams.

In practical terms, the NOFO focuses on reducing TB incidence in the Philippines and specifically reducing TB burden among U.S.-bound populations, with the intent of lowering the amount of TB that must be detected and managed during the required immigration medical screening process. The idea is to strengthen upstream public health work so that fewer people reach the immigration medical exam with undiagnosed TB or with gaps in diagnosis and treatment that can increase transmission risk, worsen outcomes, or complicate migration processing. This is especially relevant given concerns about drug-resistant TB and the need for consistent, high-quality practices across regions.

The funded work is expected to engage public health officials and partners in the Philippines to build a more systematic approach to TB risk identification and response. Core activities described in the opportunity include developing and implementing systems to identify people at higher risk of TB infection, providing training and support to regions with elevated rates of TB and drug-resistant TB, and strengthening local capacity to diagnose, treat, and provide ongoing care for individuals with TB. Another major emphasis is training: developing and delivering trainings for public health partners to improve knowledge and encourage adoption of best practices in TB identification, diagnosis, and treatment. Taken together, these activities are meant to improve earlier detection, support effective clinical management (including drug-resistant TB), and reinforce public health coordination so that TB is addressed more effectively before travel and resettlement.

Administratively, this is a discretionary funding opportunity and uses a cooperative agreement mechanism, which typically means the CDC expects substantial involvement in the work beyond standard grant monitoring (for example, collaboration on implementation approaches, technical guidance, and performance expectations). The program sits within HHS/CDC, specifically CDC NCEZID (National Center for Emerging and Zoonotic Infectious Diseases). The CFDA number associated with the opportunity is 93.318. The opportunity anticipated a single award (Expected Awards: 1), with an award ceiling of $1,000,000.

Eligibility was broad and included many entity types: state, county, city or township, and special district governments; independent school districts; public and private institutions of higher education; federally recognized tribal governments and certain tribal organizations; public housing authorities/Indian housing authorities; nonprofits (both 501(c)(3) and non-501(c)(3)); for-profit organizations (including small businesses); and other applicants as further clarified in the NOFO text. The opportunity was posted with a creation date of February 25, 2022, and an application due date of May 2, 2022.

Overall, the grant is structured around a clear public health and immigration health objective: reduce TB and drug-resistant TB risk among people in the Philippines who are likely to immigrate to the United States, by improving risk identification systems, strengthening regional and local TB response capacity, and expanding training and best-practice implementation among public health partners. The expected downstream effect is fewer TB cases missed or discovered late, improved treatment linkage and continuity of care, and a reduced TB burden presenting during the U.S. immigration medical examination process.

  • The Department of Health and Human Services, Centers for Disease Control - NCEZID in the health sector is offering a public funding opportunity titled "Reducing the Tuberculosis Burden in U.S. Bound Populations from the Philippines" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.318.
  • This funding opportunity was created on Feb 25, 2022.
  • Applicants must submit their applications by May 02, 2022 5/2/2022 application due date. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $1,000,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For profit organizations other than small businesses, Small businesses, Others (see text field entitled Additional Information on Eligibility for clarification), Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
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