Notice2025-16063

Rescission of Embargo Prohibiting the Importation of Goat Skin Handicrafts From Haiti Into the United States

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Published
August 22, 2025

Issuing agencies

Health and Human Services DepartmentCenters for Disease Control and Prevention

Abstract

Based on a review of existing import requirements, CDC has determined that the import requirements for goatskin handicrafts from Haiti are no longer necessary to protect the public's health and should therefore be rescinded. Accordingly, effective immediately, CDC is rescinding the advisory memorandum order banning the importation of Haitian goatskin handicrafts (August 14, 1981).

Full Text

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<title>Federal Register, Volume 90 Issue 161 (Friday, August 22, 2025)</title>
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[Federal Register Volume 90, Number 161 (Friday, August 22, 2025)]
[Notices]
[Pages 41074-41075]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-16063]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Rescission of Embargo Prohibiting the Importation of Goat Skin 
Handicrafts From Haiti Into the United States

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice.

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SUMMARY: Based on a review of existing import requirements, CDC has 
determined that the import requirements for goatskin handicrafts from 
Haiti are no longer necessary to protect the public's health and should 
therefore be rescinded. Accordingly, effective immediately, CDC is 
rescinding the advisory memorandum order banning the importation of 
Haitian goatskin handicrafts (August 14, 1981).

DATES: CDC's advisory memorandum banning importation of Haitian 
goatskin handicrafts is rescinded on August 22, 2025.

FOR FURTHER INFORMATION CONTACT:  Ashley C. Altenburger, J.D., Division 
of Global Migration Health, Centers for Disease Control and Prevention, 
U.S. Department of Health and Human Services, 1600 Clifton Road NE, MS 
H16-4, Atlanta, Georgia 30329; telephone 1-800-232-4636. For 
information regarding CDC operations and CDC-regulated importations, 
please contact: Dr. Mark E. Laughlin, D.V.M., Division of Global 
Migration Health, Centers for Disease Control and Prevention, U.S. 
Department of Health and Human Services, 1600 Clifton Road NE, MS H16-
4, Atlanta, Georgia 30329; telephone 1-800-232-4636.

SUPPLEMENTARY INFORMATION: CDC is rescinding its advisory memorandum 
order banning the importation of Haitian goatskin handicrafts (August 
14, 1981). In keeping with its public health practice of reviewing the 
status of potential public health threats at U.S. ports of entry, the 
U.S. Centers for Disease Control and Prevention (CDC) within the U.S. 
Department of Health and Human Services (HHS), concluded, for the 
reasons outlined below, that importation requirements for goatskin 
handicrafts from Haiti no longer serve the interests of public health 
and should therefore be rescinded. Specifically, CDC has determined 
that the marginal public health benefit of this long-standing action 
does not outweigh the potential burden on importers.
    Executive Order 14192 of January 31, 2025 on ``Unleashing 
Prosperity Through Deregulation'' requires that any new incremental 
costs associated with certain significant regulatory actions ``shall, 
to the extent permitted by law, be offset by the elimination of 
existing costs associated with at least 10 prior regulations.'' This 
notice, which rescinds an existing import requirement, meets the 
criteria of a ``deregulatory action'' under Executive Order 14192.

CDC Action

Anthrax and Haitian Goat Skin Handicrafts

1. Background
    Since 1974, under the authority of 42 CFR 71.32(b), CDC has 
prohibited the importation of goatskin drums to the United States from 
Haiti to prevent anthrax transmission <SUP>1 2</SUP> (QD-CPS Advisory 
Memorandum No. 61). This longstanding policy was subsequently modified 
in 1994 to specify Haitian goatskin handicraft derived from untanned 
rawhide or with attached hair capable of transmitting anthrax (QD-EPI 
Advisory Memorandum No. 107). Humans can become infected if they handle 
or are involved in the slaughter of a sick animal or are in contact 
with contaminated animal products (such as meat, blood, wool, hides, 
bones).<SUP>3 4</SUP> Anthrax is an acute bacterial disease that can be 
fatal for humans if untreated. However, humans infected with anthrax 
generally respond well to most antibiotics (with penicillin G and 
amoxicillin as the first choice, and ciprofloxacin and doxycycline 
serving as alternatives). In addition to antibiotic therapy, specific 
antitoxin serum for anthrax (either polyclonal anthrax immune globulin 
intravenous or monoclonal antitoxin) may be used in injectional anthrax 
and systemic anthrax.\5\
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    \1\ CDC. Cutaneous anthrax acquired from imported Haitian 
drums--Florida. MMWR April 26, 1974; 23: 142, 147. Available at 
<a href="https://stacks.cdc.gov/view/cdc/1690">https://stacks.cdc.gov/view/cdc/1690</a>.
    \2\ CDC. Anthrax contamination of Haitian goatskin products. 
MMWR July 17, 1981: pp 338. Available at <a href="https://stacks.cdc.gov/view/cdc/1267">https://stacks.cdc.gov/view/cdc/1267</a>.
    \3\ CDC. Use of Anthrax Vaccine in the US; Recommendations of 
the Advisory Committee on Immunization Practices, MMRW 2010: 59 (No. 
RR-6): [1-30].
    \4\ Metcalfe N. The history of woolsorters' disease: a Yorkshire 
beginning with an international future? Occup Med (Lond). 2004 
Oct;54(7):489-93. doi: 10.1093/occmed/kqh115.
    \5\ Doganay M, Dinc G, Kutmanova A, Baillie L. Human Anthrax: 
Update of the Diagnosis and Treatment. Diagnostics (Basel). 2023 Mar 
10;13(6):1056. doi: 10.3390/diagnostics13061056.
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2. Rationale for Rescission
    In recent decades in the United States, there have been very few 
human cases of anthrax; additionally, there is effective and affordable 
treatment for persons exposed to or infected with anthrax.\6\ The U.S. 
Department of Agriculture--Animal and Plant Health Inspection Service's 
(USDA-APHIS) Veterinary Services (VS) regulates the importation of 
untanned ruminant trophy/craft hide importations for anthrax under 9 
CFR 95.16 and this oversight will continue despite CDC's action 
removing the importation ban on goatskin handicrafts.
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    \6\ CDC. Use of Anthrax Vaccine. MMWR 2010; 59 (No. RR-6): [1-
30].
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    Since 1998, there have been five imported anthrax cases reported in 
the United States, all of which were associated with imports from 
countries

[[Page 41075]]

in Africa, not Haiti.<SUP>7 8</SUP> Four of the five imported cases 
have been associated with products imported from West African 
countries, and three were associated with drum-making using illegally 
imported hides.\9\ The fourth case was associated with a West African 
drum that had been in the United States for more than a decade.\10\ 
This drum was used frequently by community members, with only one case 
of anthrax resulting. This indicates a very low risk of anthrax 
associated with handling animal-hide drums or attending events where 
such drums are played. The fifth imported case, diagnosed in 2018, was 
contracted by an individual who had been exposed while working with 
wildlife in Namibia. CDC's ban on the importation of goat hide drums 
from Haiti would not have reduced the risk of infection for any of the 
individuals since 75% of the hides were imported illegally and all 
products entered the United States from countries in Africa.
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    \7\ CDC. Gastrointestinal Anthrax after an Animal-Hide Drumming 
Event--New Hampshire and Massachusetts. MMWR, Vol. 59, No. 28, July 
23, 2010. 59(28).
    \8\ CDC. Inhalation Anthrax Associated with Dried Animal Hides--
Pennsylvania and New York City. MMWR, Vol. 55, No. 10, March 17, 
2006 vol. 55, no. 10, 2006
    \9\ DC. Cutaneous Anthrax Associated with Drum Making Using Goat 
Hides from West Africa--Connecticut, 2007. MMWR 2008; 57:628-631.
    \10\ CDC. Gastrointestinal anthrax after an animal-hide drumming 
event-New Hampshire and Massachusetts, 2009. MMWR 2010; 59:872-877.
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3. Conclusion
    CDC has determined that the prohibition on the importation on 
Haitian goatskin drums and handicrafts into the United States is no 
longer needed to protect the public's health and should therefore be 
rescinded. Anthrax is enzootic (naturally present) in U.S. soils \11\ 
and there are effective and financially prudent treatments, including 
four antibiotics approved by the U.S. Food and Drug Administration 
(FDA) \12\ and available throughout the United States, as well as three 
FDA-approved anthrax antitoxin products and a post-exposure 
vaccine.\13\ Also, because anthrax exists in other countries and 
neither the United States nor the international community are 
attempting to eliminate anthrax \14\, there is marginal public health 
benefit in a narrowly-focused embargo specific to one country. 
Therefore, an anthrax ban that focuses on one country, such as Haiti, 
would not be effective. Finally, regulatory oversight by other federal 
agencies, such as USDA,\15\ helps to mitigate risk from anthrax 
contaminated hides entering the United States, although it does not 
reduce the risk to zero. For these reasons, the prohibition on the 
importation of goatskin drums and other goatskin handicraft from Haiti 
is hereby rescinded.
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    \11\ Blackburn JK, McNyset KM, Curtis A, Hugh-Jones ME. Modeling 
the geographic distribution of Bacillus anthracis, the causative 
agent of anthrax disease, for the contiguous US using predictive 
ecological [corrected] niche modeling. Am J Trop Med Hyg. 2007 
Dec;77(6):1103-10. Erratum in: Am J Trop Med Hyg. 2008 
Feb;78(2):358. PMID: 18165531.
    \12\ Antibiotics for Anthrax Postexposure Prophylaxis--
Prepositioning Antibiotics for Anthrax--NCBI Bookshelf
    \13\ CDC. Use of Anthrax Vaccine. MMWR 2010; 59 (No. RR-6): [1-
30].
    \14\ World Organization for Animal Health (WOAH). (2013). In 
Terrestrial Animal Health Code (8.1). Retrieved from <a href="https://www.oie.int/doc/ged/D12825.PDF">https://www.oie.int/doc/ged/D12825.PDF</a>. Accessed: October 5, 2018. Codes and 
Manuals--WOAH--World Organisation for Animal Health
    \15\ USDA Foreign Agricultural Service, FAIRS Annual Country 
Report Annual, December 31, 2020; Section VII--Other Specific 
Standards, pp. 10-11.
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Immediate Action

    Effective immediately, for the reasons outlined above, HHS/CDC 
rescinds the following: advisory memorandum order banning the 
importation of Haitian goatskin handicrafts (August 14, 1981).

David Fitter,
Director, Division of Global Migration Health Centers for Disease 
Control and Prevention, U.S. Department of Health and Human Services.
[FR Doc. 2025-16063 Filed 8-21-25; 8:45 am]
BILLING CODE 4163-18-P


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Indexed from Federal Register on August 22, 2025.

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