PUBLIC HEALTH SERVICE-Continued General and special funds-Continued HOSPITAL CONSTRUCTION ACTIVITIES-Continued 1% for tuberculosis hospitals, 4% for chronic disease hospitals, 6% for nursing homes, 14% for public health centers and State health department laboratories, 8% for diagnostic centers, and 4% for rehabilitation centers. Funds requested for 1964 will finance 629 hospital and medical facility projects, which will include 21,317 beds, assuming that the agencies program projects along the same lines as occurred in 1960 and 1961. The general hospital beds in this total, together with those constructed without Hill-Burton program aid, will be sufficient to take care of the annual population increase, replace those which annually become obsolete and further reduce the general hospital bed deficit. A supplemental appropriation for 1964 is anticipated for separate transmittal. Object Classification (in thousands of dollars) Under proposed legislation, 1964.-Legislation is recommended to authorize the Surgeon General to make special project planning grants ($5 million) on an annual basis to public and nonprofit organizations, including State agencies, to assist in developing and implementing comprehensive State, regional, area, and local plans for constructing hospitals and medical facilities, including facilities for the care of the mentally ill or retarded, and for coordinating health services provided by such facilities. Legislation is also recommended to amend section. 651(4) to increase the annual appropriation authorization for nursing homes from $20 million to $50 million beginning in 1964. ENVIRONMENTAL HEALTH SCIENCES Object Classification (in thousands of dollars)-Continued To carry out, except as otherwise provided for, sections 301, 311 and 314(c) of the Act with respect to environmental health and arctic health activities, $4,246,000. Note. Includes $2,346 thousand for activities previously carried under the following titles: "Milk, food, interstate, and community sanitation," $767 thousand; "General research and services, National Institutes of Health." $1,579 thousand. The amounts obligated in 1962 and 1963 for these activities are shown in the schedule as comparative transfers. Program and Financing (in thousands of dollars) To carry out the Act of July 14, 1955, as amended (42 U.S.C. 1857-1857f), and for expenses necessary to carry out the purposes of sections 301 and 311 of the Act relating to air pollution, including purchase of not to exceed three passenger motor vehicles, and hire, maintenance, and operation of aircraft; [$11,069,000] $12,998,000, of Health, Education, and Welfare Appropriation Act, 1963.) This new appropriation will finance extramural and intramural research and training activities which are basic to all environmental health programs. These activities, together with those funded by the categorical appropria- to remain available only until June 30, 1963] 1964. (Department tions, will make possible a unified approach to study of the health of man in his total environment. 1. Grants (a) Research.-Research grants which are multi-categorical in purpose or scope and which cannot appropriately be funded in a categorical appropriation will be made to individuals, organizations, and institutions. (b) Training.-Grants are made to institutions to provide support for the development and improvement of broad based engineering and scientific competencies required for environmental health research. Approximately 30 grants will be supported in 1964. 2. Arctic health research center.-At the Arctic health research center in Alaska, studies are made on problems of environmental sanitation, endemic and epidemic communicable diseases, including diseases transmissible from animals to man, and the nutritional and physiologic problems of arctic life. 3. Research, training, and technical services.-Research on problems of common interest to all the environmental health divisions will be undertaken in the areas of toxicology, pharmacology, physiology, and analytical methods and instrumentation. 8,590 11,062 12,998 Object Classification (in thousands of dollars) Appropriation (adjusted)....... 1 Includes capital outlay as follows: 1962, $507 thousand: 1963, $425 thousand; 1964, $430 thousand. Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1961, $426 thousand (1962 adjustments, $91 thousand); 1962, $409 thousand; 1963, $409 thousand; 1964, $409 thousand. The Public Health Service has the responsibility for the investigation of the causes of air pollution, the determination of the effects of air pollution upon life and property, and the development of effective means of prevention and control of air pollution. These problems AIR POLLUTION—Continued Total number of permanent positions.. are dealt with through a coordinated program of basic 1. Grants (a) Research.-Research grants are made to organizations and institutions to conduct research into air pollution problems. Approximately 162 grants will be supported in 1964 as compared to 120 in 1963 and 78 in 1962. (b) Training. In 1964 it is estimated that 19 grants to individuals will be awarded to qualified applicants to improve individual competence as compared to 9 in 1963. In addition, in 1964 approximately 17 grants will be made to universities to support graduate level curriculum development and improvement as compared to 9 in 1963. 2. Research, training, and technical services.-The major part of the resources of this program is devoted to research designed to determine the nature, the effects, and the means for control and prevention of air pollution. Technical services are rendered to State and local health and air pollution control agencies, universities, and industry through consultations, collaborative surveys, and dissemination of technical information. In 1964 additional activity in the research area will be directed toward the study of the potential for improved air pollution control through modification of automotive engine design and meso-scale studies concerned with the movement of air pollution along major urbanized metropolitan regions. The training activity will be moderately increased. Object Classification (in thousands of dollars) MILK, FOOD, INTERSTATE, AND COMMUNITY SANITATION To carry out sections 301, 311, and 361 of the Act, and for expenses necessary for demonstrations and training personnel for State and local health work under section 314(c) of the Act, with respect to milk, food, and community sanitation, and interstate quarantine [and arctic health] activities, including purchase of not to exceed two passenger motor vehicles, [$8,536,000] $9,079,000. (Department of Health, Education, and Welfare Appropriation Act, 1963.) Note.-Excludes $767 thousand for activities transferred in the estimates to Environmental health sciences.' The amount obligated in 1963 is shown in the schedule as a comparative transfer. Program and Financing (in thousands of dollars) Program by activities: 1. Research grants. 2. Research, training, and technical services. Total program costs, funded 1. Total obligations..... Financing: Comparative transfers to other accounts.. 757 62 New obligational authority....... 21 Travel and transportation of persons. 22 Transportation of things.... 347 23 Rent, communications, and utilities. 24 Printing and reproduction.... 25 Other services. Research contracts.. Services of other agencies.. Payment to Bureau of State Services management fund.. 26 Supplies and materials.. 31 Equipment....... 32 Lands and structures. 32 41 Grants, subsidies, and contributions. 918 2 Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1961. $54 thousand (1962 adjustments, $21 thousand); 1962, $1,646 thousand: 1963. $109 thousand; 1964, $109 thousand. The milk, food, interstate, and community sanitation program improves health protection for the public by providing leadership, research, and technical assistance to States, municipalities, and' industry to assist them in coping with environmental health problems which are nationwide in scope and impact. To assure that only safe water, milk, shellfish and other marine food, and food 430 supplies are served to the public and to the 2,000,000 travelers carried per day on interstate conveyances, and to stimulate creation and maintenance of healthful environments, the operating programs must be augmented and improved through research activities in areas affected by 4,895 7,422 8,528 9,079 rapidly changing technology and through increased communication with interested groups. 1. Research grants.-The purpose of the research grants program is to encourage investigators at universities and other research institutions to undertake research in areas of pressing need and to support nationwide research in milk, food, shellfish and marine food sanitation and technology, in oceanography, solid wastes disposal, individual water supply and sewage disposal, recreational sanitation, swimming pool and bathing place microbiology and control, and engineering in relation to planning to alleviate health problems of metropolitan areas. Approximately 238 research projects will be supported in 1964 as compared to 200 in 1963 and 177 in 1962. 2. Research, training, and technical services.-By means of research, consultation, application of research findings, technical assistance, training, and inspections, professional guidance and leadership are provided to States and the local communities for improved health protection of the public. Included in program costs for 1963 is a nonrecurring item of $1,873 thousand for construction of two new shellfish sanitation research centers. The increase in 1964 will provide for research and technological assistance programs on shellfish and other marine foods at the two new shellfish sanitation research centers, and additional services for review and approval of research grants. The increase will also provide for added technological assistance to States and municipalities in connection with new Public Health Service drinking water standards. Object Classification (in thousands of dollars) 11 Personnel compensation: Transferred to "Operating expenses, Public Permanent positions. Positions other than permanent.. Other personnel compensation... Buildings Service," General Services Ad- 21 Travel and transportation of persons. 300 22 Transportation of things..... 23 Rent, communications, and utilities. 24 Printing and reproduction........ 25 Other services... Services of other agencies. Research contracts.. 55 Payment to Bureau of State Services management fund... 156 National Institutes of Health manage ment fund.. 26 Supplies and materials. 64 31 Equipment.... 32 Lands and structures. 27 41 Grants, subsidies, and contributions 2 1 Includes capital outlay as follows: 1962, $100 thousand; 1963, $122 thousand; 1964, $111 thousand. 2 Selected resources as of June 30 are as follows: Unpaid undelivered orders. 1961, $31 thousand (1962 adjustments, $6 thousand); 1962, $290 thousand; 1963, $290 thousand; 1964, $290 thousand. 1. Research grants.-Grants are made to individuals, 55 organizations, and institutions for research studies of hazards and diseases related to the occupational environment. Approximately 66 research projects will be supported in 1964, as compared to 61 in 1963. 64 2. Research, training, and technical services.-Research on occupational hazards and diseases is conducted and assistance provided to Federal, State, and local agencies and to industry in preventing and controlling occupational hazards and diseases. In 1964, the increase will be used for training activities. Object Classification (in thousands of dollars) National Institutes of Health management fund... 32 Lands and structures. 4 88 2,228 197 9 7.5 $7,326 To carry out sections 301, 311, and 314(c) of the Act, with respect to radiological health, including grants for training of radiological health specialists; purchase of not to exceed [four] three passenger motor vehicles of which [two] one shall be for replacement only; and hire, maintenance, and operation of aircraft; [$15,875,0001 $18,776,000, of which [$1,500,000] $2,000,000 shall be available only for allotments and payments to States pursuant to such section 314(c) for the establishment and maintenance of adequate radiological public health services. (Department of Health, Education, and Welfare Appropriation Act, 1963.) Note.-Excludes $24 thousand for activities transferred in the estimates to "Communicable disease activities." The amounts obligated in 1962 and 1963 are shown in the schedule as comparative transfers. Program and Financing (in thousands of dollars) 1962 actual 1963 1964 estimate estimate 1,545 2,240 2,000 2,500 1,500 2,000 10,743 15,788 18,776 The Public Health Service has responsibility for conducting a national program for the prevention and control of radiological hazards to public health. The Service is conducting a program to assess the levels and effects of radiation exposure and, in cooperation with other health agencies at Federal, State, and local levels, to minimize such dangers. Such a program involves both basic and applied research on the sources, levels, and effects of radiation, the provision of technical information and assistance to State and local agencies in developing their own radiation protection programs, and a training program to provide the competencies needed in this new and expanding area of radiation protection and control. 1. Grants (a) Research.-Research grants are administered to complement intramural research as an integral part of the overall research effort and to capitalize on the talents of nongovernmental scientists. Approximately 100 research projects will be supported in 1964 as compared to 74 in 1963 and 60 in 1962. (b) Training.-Grants are made to institutions to provide support of new or expanded programs for training of radiological health specialists. A program of grants for training of radiological health technicians will be started in 1964. Approximately 46 training projects will be supported in 1964 as compared to an estimated 35 in 1963 and to 20 in 1962. (c) State program development.-Grants are made to States to provide financial assistance in the development of comprehensive State radiological health programs. Funds are allotted in accordance with a formula based on population, financial need, and the extent of the problem. The proposed increase will enable the States to improve their programs of radiological health. 2. Research, training, and technical services.-Research is performed to determine the levels of radiation exposure of man from various sources and the precise biological 12,036 effects, somatic and genetic, of such exposure. Laboratory and surveillance activities are conducted to provide basic data needed for research and control work. Technical services are supplied to other Federal agencies, 18,776 States, and local authorities. Training courses for State, local, and industry personnel are conducted through the training facilities at various field locations such as Montgomery, Ala.; Las Vegas, Nev.; and Winchester, Mass. The increased funds requested for 1964 will be used to expand and accelerate ongoing work in selected program 18,776 |