2. Water pollution control laboratories.-The Federal Water Pollution Control Act Amendments of 1961 (Public Law 87-88) provides for establishment of at least seven water pollution control laboratories in different regions of the Nation. These new facilities will give technical support to the various elements of the Federal water pollution control programs. Personnel housed in these facilities will conduct applied research, investigations, field demonstrations, and studies, and provide training for Federal, State, and local personnel. To date locations have been selected at Ada, Okla.; Corvallis, Oreg.; Athens, Ga.; College (Fairbanks) Alaska, and Boston, Mass. The 1962 Supplemental Appropriation Act provided $1,600 thousand for site acquisition and planning for these seven facilities. The 1963 appropriation provided $6,200 thousand for the construction of the laboratories at Ada, Corvallis, and Athens. Architectural contracts have been completed and the preparation of plans and specifications for these three laboratories is underway. Funds requested in 1964 would provide for construction of two additional laboratories at College, Alaska, and Boston, Mass., and increased costs for three previously funded. 3. Arctic health research center. The estimate provides funds for planning a building for the Arctic health research center at Fairbanks, Alaska, to replace the 4 rented buildings and 17 additional structures in which the center is now housed in Anchorage, Alaska. It is planned to locate the new building on the campus of the University of Alaska. Research on the problems and environmental conditions in low temperature areas will be continued in the new facilities. 4. Extension of Clinical Center cafeteria, NIH.-Funds requested in 1964 combined with funds appropriated in 1961 will provide for the planning and construction of an extension to the present Clinical Center cafeteria. This facility will include a kitchen facility separate from the facility used for patient feeding and an increase of 5,000 square feet in the seating capacity to accommodate employees of this and nearby buildings. 5. Library relocation, NIH.-The funds requested will relocate the National Institutes of Health Library and provide more adequate library services for the research program in new buildings including space for study cubicles, reading and reference areas and additional storage stacks. Valuable research laboratory space occupied by the present library will be made available for research scientists. 6. Warehouse extension, building 13, NIH.-Funds for the planning and construction of an additional floor on building 13 will provide an additional 43,000 gross square feet of warehouse space required for the central storeroom activities at the National Institutes of Health and will replace rental space now utilized off the reservation. 7. Construction, mental health-neurology-cancer cafeteria, NIH.-Funds are requested for a separate cafeteria building to serve the new cancer and mental health-neurology buildings now being designed. This building will also serve the personnel in the recently completed dental and biologics standards buildings. 8. Repairs and improvements.-The request will enable the Public Health Service to inaugurate a continuing quired to maintain buildings and facilities of the Bureau program for alterations, repairs, and improvements reof State Services, and the National Institutes of Health. Funds for this purpose have heretofore been included in appropriations to the General Services Administration. 9. Construction of biologics standards laboratory annex, NIH.-Unobligated funds remaining from the other construction projects are being used to plan an annex to the biologics standards building. Funds requested for 1964 would provide for construction of the annex and for equipment, access roads, parking facilities, and utility connections. CONTINUING PROJECTS 10. Research facilities construction and site acquisition (animal farm, ÑIH).—A site for a large animal facility to serve the National Institutes of Health was acquired in 1960. Funds appropriated in 1961 provided for alterations, minor construction and planning for the first phase of construction. During 1962 design of the first phase of construction was initiated and funds available that year provided for the construction of farm-type animal facilities for large animals, a kennel building for large laboratory animals, quarters for essential personnel and basic utilities. In 1963 funds were provided for construction of a caged animal wing, animal behavior buildings and planning for future construction. 11. Construction of laboratory facilities, Puerto Rico (NIH). Funds were provided in 1963 for the planning and construction of a laboratory facility on the grounds of the Puerto Rico Medical Center. This facility would provide for laboratories, some central services, offices, and for caged animal space for the collaborative project in cerebral palsy and mental retardation. 12. General office building extension, NIH.-Funds were provided in 1962 for planning an addition to the general office building, which will provide offices and conference rooms to house 1,000 office personnel now located in rental quarters. 13. Construction of master utilities extension, NIH.-The extension to the master utilities will provide a system adequate to service additional planned structures and will also alleviate an already serious overload on present utility resources. 14. Communicable disease center.-Construction of the new expanded Communicable Disease Center facilities located on Clifton Road in Atlanta, Ga., is scheduled to start February 10, 1963, with a completion date of December 10, 1965. Construction of the off-site animal breeding and holding facilities near Lawrenceville, Ga., is scheduled to start February 15, 1963, with a completion date of April 1, 1964. 15. Construction of cancer research facility, NIH.-The new cancer research facility will serve to consolidate the intramural and extramural components of collaborative research programs in cancer chemotherapy. 16. Construction of service building, NIH (building 12).-Funds presently available are being used for the cafeteria. a build eurology vill also tal and enable tinuing ents reBureau Health uded in tion. anner. er con to the r1964 nd for utility isition acility quired Iters phase ase of year faci bora bas DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE planning and subsequent construction of a modification 17. Water quality standards research laboratories.-The 18. Construction of research facilities, Lexington, Ky., (NIH). The research facility at the Addiction Research Center, Lexington, Ky., is scheduled for redesign, and construction will start during 1963. 19. Construction of library facilities.-The National Library of Medicine occupied its new building on April 16, 1962; work is continuing on preparing for the medical literature analysis and retrieval system and extending roadways and sidewalks to join those of the National Institutes of Health. 20. Construction of surgical facilities, NIH.-The new surgical facilities for heart and neuro-surgery with installation of special instrumentation will be completed during 1963. 21. General office building, NIH.-The general office building was accepted by the Government for operational use in 1962. Several items remain to be completed during 1963. 22. Construction of animal quarters, NIH.-The conversion of wings F and G from office space to the originally intended purpose of animal production will be completed during 1963. 23. Middle America Research Unit housing, NIH.-Five duplex and 1 single family type housing units are being constructed to provide quarters for staff and their families. 24. Construction of dental research building, NIH.-The dental building was completed and accepted by the Government in 1962. Minor reservation items will be finished during 1963. COMPLETED PROJECTS 25. Biologics standards laboratory, NIH. Object Classification (in thousands of dollars) ACCIDENT PREVENTION 415 To carry out section 301 of the Act, and for expenses necessary for demonstrations and training personnel for State and local health work pursuant to section 314(c) of the Act, with respect to accident prevention, [$3,668,000] $4,857,000. (Department of Health, Education, and Welfare Appropriation Act, 1963.) Program and Financing (in thousands of dollars) Financing: Unobligated balance lapsing......... New obligational authority: 3,618 Transferred to "Operating expenses, Public Buildings Service," General Services Ad- Appropriation (adjusted). 1 Includes capital outlay as follows: 1962, $23 thousand; 1963, $21 thousand; 1964, $37 thousand. Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1961, $37 thousand (1962 adjustments, $70 thousand); 1962, $214 thousand; 1963, $241 thousand; 1964, $241 thousand. merit, grants are made to organizations and institutions to 1. Research grants.-After review by scientifically comconduct research into factors relating to the cause or prepetent study groups, and recommendation on the basis of vention of accidents. Approximately 39 research projects will be supported in 1964 as compared with 36 in 1963. 2. Research, training, and technical services.-A comprehensive program of intramural research and epidemiological investigations to determine the extent and cause of accidents, and to develop sound techniques for their prevention and control, will be continued. Through demonstrations, consultation, training, and technical assistance, agencies ultimately responsible for accident prevention and control will be encouraged and assisted in the establishment and improvement of their programs. In 1964, the increase will be used to expand and improve accident research including work on developing a driving simulator for research purposes, provide increased technical support to State and local agencies, accelerate training activities, and expand poison prevention demon strations. Object Classification (in thousands of dollars) 25 Other services... 24 Printing and reproduction....... 21 Travel and transportation of persons 32 Lands and structures.. 811 1,000 5,100 17,852 20,961 811 18,922 26,156 2,171 20,472 33,156 11 Personnel compensation: Positions other than permanent.. 67 102 180 1 7 Total personnel compensation.... CHRONIC DISEASES AND HEALTH OF THE AGED To carry out sections 301, 311, 314(e), and 316 of the Act, and for expenses necessary for [research, demonstrations, and technical assistance under section 301 of the Act and] demonstrations and training personnel for State and local health work under section 314(c) of the Act, with respect to chronic diseases and health prob lems of the aged, [and] for allotments and payments to States under section 314(c) of the Act for establishing and maintaining adequate public health services for the chronically ill and the aged, and for cooperating with State health agencies, and other public and private nonprofit institutions, in the prevention, control, and eradication of cancer, neurological and sensory diseases, and blindness by providing for consultative services, training, demonstrations, and other control activities, directly and through grants-in-aid, [$22,942,000] $55,907,000, of which $13,000,000 shall be available only for such allotments and payments to States under section 314(c) of the Act. (Department of Health, Education, and Welfare Appropriation Act, 1963.) Note. Includes $31,244 thousand for activities previously carried under the following titles (in thousands of dollars): "General research and services, National Institutes of Health". "National cancer institute" "Mental health activities". "National heart institute" "Arthritis and metabolic disease activities' "Allergy and infectious disease activities" "Neurology and blindness activities". tive transfers. 124 11,333 20 13,648 553 19 5,547 The amounts obligated in 1962 and 1963 are shown in the schedules as comparaProgram and Financing (in thousands of dollars) Includes capital outlay as follows: 1962, $231 thousand; 1963, $380 thousand; 1964, $390 thousand. 2 Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1961, $256 thousand (1962 adjustments, $55 thousand): 1962, $2,901 thousand; 1963, $3,178 thousand; 1964, $3,178 thousand. The mission of the chronic diseases and health of the aged program is to encourage and assist States and communities in developing, operating, and improving programs to prevent the occurrence and the increase of disability and dependency. This is accomplished through a coordinated program of intramural and extramural research, training, and technical services. 1. Grants (a) Research.-Grants are awarded to organizations, institutions, and individuals for research into methods of planning, conducting, and evaluating community programs and techniques to overcome barriers to the application of new-found knowledge in the prevention of chronic diseases and disability and in the care of the chronically ill and aged. chronically ill and aged. Approximately 78 research projects will be supported in 1964 as compared with 70 in 1963. (b) State control.-Grants are made on a formula basis to assist the States in developing and improving cancer and heart disease control programs, including the support of activities such as case finding, rehabilitation, education, community services, and training. Grants are also made on a formula basis to assist the States in expanding and improving programs for the development of community facilities and out-of-hospital services for the care of the aged and chronically ill, including the support of home serv ices, programs to improve the quality of care in nursing homes and homes for the aged, and training of health personnel. (c) Project. Grants are awarded to institutions, or ganizations, and individuals for surveying, developing and improving community services, for applying, and evaluating control methods and techniques, and for expanding professional and supporting competencies in cancer and neurological and sensory disease control. Grants are also awarded to States or other public or nonprofit agencies for studies and demonstrations which look toward the development of new or improved methods of providing health services outside the hospital for chronically ill and aged persons. The increase requested in 1964 would enable the funding of approximately 50 projects for cancer detection, improved community services for neurological and sensory disease control with particular emphasis on mental retardation activities, and for the development of new and improved out-of-hospital services. 2. Research, training, and technical services.-This activity provides for the development and improvement of techniques and methods for the identification and prevention of chronic illness, for the care and restoration of the chronically ill and aged, and for meeting special health problems of older people. Assistance is given to State and local health departments and to interested agencies through consultation, epidemiological investigations, demonstrations, loan of professional personnel and equipment and training. Major emphasis is given to control programs in cancer, diabetes and arthritis, heart disease, neurological and sensory diseases, and to improving health services for the long term ill and aged. Increased funds requested in 1964 will provide for improving and extending restorative services and health maintenance activities for the aged and for improving preventive efforts in heart. disease control, in cancer control, primarily through X-ray mammography, in arthritis, and in neurological and sensory diseases. Object Classification (in thousands of dollars) COMMUNICABLE DISEASE ACTIVITIES To carry out, except as otherwise provided for, those provisions of sections 301, 311, 314(c), 317, and 361 of the Act relating to the prevention and suppression of communicable and preventable diseases, and the interstate transmission and spread thereof, including the purchase of not to exceed [five] twenty-seven passenger motor vehicles, of which five shall be for replacement only; and hire, maintenance, and operation of aircraft; [$10,062,000] $30,429,000 of which $10,205,000 shall remain available until June 30, 1965 to carry out section 317 of the Act. (Department of Health, Education, and Welfare Appropriation Act, 1963.) Note. Includes $2,420 thousand for activities previously carried under the following titles (in thousands of dollars): 23 Rent, communications, and utilities. 24 Printing and reproduction.... 25 Other services.. Services of other agencies. 7 Research contracts.. Payment to: Bureau of State Services management fund.... National Institutes of Health man agement fund.. 31 Equipment.... 26 Supplies and materials.. 41 Grants, subsidies, and contributions 20,548 38,742 372 362 41,827 55,907 30 60 1 Includes capital outlay as follows: 1962, $329 thousand; 1963, $435 thousand; 1964, $1,956 thousand. 2 Selected resources as of June 30 are as follows: Unpaid undelivered orders. 1961, $245 thousand (1962 adjustments, $79 thousand); 1962, $760 thousand; 1963, $305 thousand; 1964, $305 thousand. This program provides facilities and services for the investigation, prevention, and suppression of communicable diseases other than tuberculosis and venereal diseases by the direct development, advancement, and demonstration of knowledge and techniques, and for research through grants for all communicable diseases. 1. Grants (a) Research.-Research grants are awarded to organizations, institutions and individuals for research concerned with epidemiology, prevention, laboratory diagnosis, and treatment of communicable diseases at the community level. The 1964 increase will provide for the maintenance of the 1963 level of new grants and for 4 additional continuations over the 1963 level. (b) Community immunization.-Grants are made to States, and with the approval of the States, to political subdivisions and instrumentalities of the States for intensive immunization programs against poliomyelitis, diphtheria, whooping cough, and tetanus. The grants 650100-63-27 PUBLIC HEALTH SERVICE-Continued General and special funds-Continued A supplemental appropriation for 1963 is anticipated for separate transmittal. Object Classification (in thousands of dollars) COMMUNICABLE DISEASE ACTIVITIES-Continued are made on a project basis to cover the costs of community campaigns attributable to (1) the purchase of vaccines needed to protect children under 5 years of age and (2) the planning, organization, promotional, epidemiologic, and surveillance activities of such campaigns. In 1964, the goal is to vaccinate one-fourth of the unimmunized children under age 5, plus all newborn babies. 2. Research, training, and technical services.-Scientific and technical skills in the fields of epidemiological medicine and microbiology, including reference diagnostic laboratory services, are provided to State and local health departments through investigations, consultations, and demonstration. Important disease control programs include hepatitis, aseptic meningitis, poliomyelitis, viral encephalitis, the enteric diseases, staphylococcal and other institutionally acquired infections, the acute respiratory diseases, diseases of animals transmissible to man, and the rodent-borne diseases. Professional competence in the investigation of epidemic outbreaks is afforded to the States through the staff of the Epidemic Intelligence Service which is constantly alert to the epidemic situation in the country. These officers provide a wide range of service, including epidemic aid, epidemiological field investigations, consultations in communicable disease control, surveillance of infectious diseases and collaborative field and laboratory research. The 1964 increase provides for an augmented countrywide laboratory evaluation and improvement program to meet the demands for microbiological laboratory competency at the State and local level; an expanded training program; expansion of medical audiovisual services; a program for community immunization services; and a program for the eradication of the Aedes aegypti mosquito in nine States, Puerto Rico and the Virgin Islands. National laboratory proficiency will be increased through development of improved standardized diagnostic techniques, production and distribution of microbiological reference materials, technical training and professional assistance to States in extending the improvement program to local laboratories. The expanded training program will provide for the dissemination of knowledge to public health workers and other professional personnel, concerning improved means of detecting, diagnosing, preventing and controlling communicable diseases. Medical audiovisual services will be expanded by the initiation of a program for the international exchange of medical motion pictures. The increase for the Aedes aegypti activity will permit the initiation of a program, in cooperation with State and local authorities, to meet the international commitment of the United States for the eradication of this species of mosquito. Community immunization program services will provide the central leadership, coordination, and support needed to conduct a nationwide immunization campaign against poliomyelitis, diphtheria, whooping cough, and tetanus. Training programs: Courses. 1964 estimate Under existing legislation, 1963.—-A supplemental appropriation is anticipated for 1963 to carry out the purposes of Public Law 87-868, the Vaccination Assistance Act. $12,100 thousand will provide for community immunization grants to States, and with the approval of the States, to local areas, for intensive immunization programs against poliomyelitis, diphtheria, whooping cough, and tetanus. The balance of the anticipated supplemental, $500 thousand, will provide the necessary central leader92 ship and support for the coordinated nationwide campaign. 10,000 310 29,565 83 13,000 63,720 1 |