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Funds were appropriated in 1961 for construction of a combined basic and collaborative research facility for the National Institutes of Mental Health and Neurological Diseases and Blindness, including a physical biology component, and including plans and specifications, fixed and semifixed equipment, access roads and parking facilities, extension of and tie-in with existing power, refrigeration and other utility systems of the National Institutes of Health.

During 1962 the diagrammatic plans were completed and a contract awarded for the working drawings. During 1964 design of this facility will be completed and the construction contract awarded.

Object Classification (in thousands of dollars)

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For purchase of foreign currencies which the Treasury Department determines to be excess to the normal requirements of the United States, for necessary expenses of the Public Health Service, as authorized by law, [$2,800,000] $6,647,000, to remain available until expended: Provided, That this appropriation shall be available, in addition to other appropriations to the Public Health Service, for the purchase of the foregoing currencies. (7 U.S.C. 1704; 74 Stat. 364; Department of Health, Education, and Welfare Appropri ation Act, 1963.)

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Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1961, $0; 1962, $2,770 thousand: 1963, $2,770 thousand: 1964, $2,770 thousand.

The research efforts to be supported with foreign currencies which are excess to the normal requirements of the United States will be directed toward the solution of disease and health problems which hold promise of contributing knowledge of value and significance to the advancement of medical research in the United States and other countries. The program for translation of research publications is designed to continue to encourage and support international communication in the sciences relating to health. Research projects on collection and analysis of morbidity and mortality data would also be supported.

National vital and health statistics (program

costs, funded). Change in selected resources

Total obligations....

Financing:

2

Unobligated balance lapsing.....

New obligational authority (appropriation)

4,398

5.228

5.949

88

-78

4,486

5,150

5,949

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1 Includes capital outlay as follows: 1962, $126 thousand; 1963, $110 thousand: 1964, $65 thousand.

? Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1961. $210 thousand; (1962 adjustments. -$16 thousand): 1962, $282 thousand; 1963. $204 thousand; 1964, $204 thousand.

The program of the National Center for Health Statistics comprises the major activities of the Public Health Service in the measurement of the health status of the Nation and in developing and applying optimum technical methods for the collection, processing, and analysis of health statistics. It includes (a) the collection, compilation, analysis, and dissemination of statistics on births, deaths, fetal deaths, marriages and divorces and other health data related to these basic vital events; (b) continuing surveys and special health statistics studies on the amount, distribution, and effects of illness and disability in the United States and the services received for or because of such conditions; (c) studies of health survey methods with a view to their continued improvement; and (d) technical advice and assistance on the application of statistical methods in the health and medical fields.

Object Classification (in thousands of dollars)

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Library of Medicine conducts an extramural program designed to provide systematic coverage of worldwide advances in medical research and to communicate the results of medical research published in languages unfamiliar to American medical scientists.

The estimate for 1964 contemplates continuation and improvement of the Library's basic programs of acquiring, organizing, preserving, and making available the worldwide literature of the biomedical sciences. It includes increases for procuring the computer and related equipment for the Medical Literature Analysis and Retrieval System (MEDLARS) and for bringing the MEDLARS system into operational status. An increase is requested for improving medical communication activities of the Library through increased support of publications in the biomedical sciences.

Workload is reflected in the following summary data:

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5,949

Titles cataloged................

17,443

18,000

18,000

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20,000

Inquiries answered.

10,345

12,000

12,000

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183,000

205,000

Pages duplicated for orders..

2,356,438

2,592,000

2,981,000

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Pages photographed for preservation.

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1,100,000

Journal articles indexed_

6

5

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165,000

6

280

318

356

Number of employees at end of year.. Average GS grade..

307

354

379

Object Classification (in thousands of dollars)

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Average GS salary.

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Change in selected resources

2

1,186

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NATIONAL LIBRARY OF MEDICINE

To carry out section 301 of the Act with respect to translation of foreign scientific documents and for expenses, not otherwise provided for, necessary to carry out the National Library of Medicine Act (42 U.S.C. 275), [including purchase of not to exceed one passenger motor vehicle, $3,335,000] $4,074,000. (Department of Health, Education, and Welfare Appropriation Act, 1963.)

Program and Financing (in thousands of dollars)

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Other services...

Health management fund....

26

Supplies and materials.

31

Equipment..

41

Grants, subsidies, and contributions.

Total, Public Health Service..

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1 Includes capital outlay as follows: 1962, $76 thousand; 1963, $115 thousand; 1964, $1,091 thousand. 2 Selected resources as of June 30 are as follows: Unpaid undelivered orders. 1961, $67 thousand (1962 adjustments, -$26 thousand); 1962, $1,227 thousand; 1963, $390 thousand; 1964, $90 thousand.

The National Library of Medicine collects, organizes, and services the worldwide literature of medicine. disseminates the literature through an extensive interlibrary loan program; it publishes basic medical bibliographic guides in the form of indexes, catalogs, and other listings; and it provides reference and research assistance. Through the scientific publications program, the National

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1. Retirement payments and survivors' benefits.--Provision is made for the pay of officers retired for age, disability, or length of service, and for payments to survivors

of officers who die while on the retired list. There were 388 retired officers on the rolls on June 30, 1962, and it is anticipated that there will be 443 in 1963 and 500 in 1964. 2. Dependents' medical care.-Provision is made for care in non-Public Health Service facilities for dependents of Public Health Service beneficiary members of the uniformed services and retired personnel in accordance with the Dependents' Medical Care Act, approved December 7,

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-1

"Community health practice and research" (42 U.S.C. 226)

-187

Appropriation (adjusted)

5,560

5,663 6,091

1 Includes capital outlay as follows: 1962, $74 thousand; 1963, $81 thousand; 1964, $54 thousand.

Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1961, $116 thousand (1962 adjustments. -$48 thousand); 1962, $154 thousand; 1963, $154 thousand; 1964, $154 thousand.

1. International health activities.-This program is concerned with all phases of Public Health Service activities in the international field. It includes (a) direct staff assistance to the Surgeon General; (b) development of policies covering all Public Health Service relationships in international matters; (c) provision of current information on the health status and conditions in foreign countries; (d) developing and recommending United States and Service policy positions for health and related fields; (e) maintenance of Public Health Service relationships with multilateral and bilateral health agencies; (f) dissemination of health information in foreign countries through exhibits and other appropriate means.

2. Management and central services.-Staff advice is provided to the Surgeon General and guidance is furnished to bureaus with regard to administrative and financial management, personnel, property and records management, office services, and organization and staffing problems.

Object Classification (in thousands of dollars)

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PUBLIC HEALTH SERVICE-Continued

General and special funds-Continued

EMERGENCY HEALTH ACTIVITIES

For expenses necessary for carrying out emergency planning and preparedness functions of the Public Health Service, and procurement, storage (including underground storage), distribution, and maintenance of emergency civil defense medical supplies and equipment authorized by section 201(h) of the Federal Civil Defense Act of 1950, as amended (50 U.S.C., app. 2281(h)), [$7,000,000] $41,361,000, to remain available until expended. (Independent Offices Appropriation Act, 1963.)

Program and Financing (in thousands of dollars)

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(a) Acquisition of stocks..

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1555

236

1,297

1,508

9

10

41

3

11

19

248

1,318

1,568

12 Personnel benefits...

19

109

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325

22 Transportation of things........

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1.966

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23

Rent, communications, and utilities.

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39

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42

1,841

25

Other services..

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21

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8,423

32,696

30,352

Change in selected resources2_

21,034 -14,793

26

Supplies and materials.

163

4,182

11.517

11,009

31

Equipment....

20,815

6,263

17.243

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Grants, subsidies, and contributions..

189

231

41,361

Financing:

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1 Includes capital outlay as follows: 1962, $2,401 thousand; 1963, $2,515 thousand: 1964, $6,633 thousand. Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1961, $0; 1962, $21,034 thousand; 1963, $6,241 thousand; 1964, $17,250 thousand.

1. Medical stockpile.-The goal of this activity is to insure to the greatest extent possible the availability of adequate and usable medical supplies and equipment for civilian needs in time of disaster. Medical supplies and equipment are assembled into civil defense emergency hospitals prepositioned in strategic locations under written agreement between the Federal Government and the custodial State. Funds previously appropriated provided for 2,680 such hospitals. The estimate for 1964 provides for the purchase of additional emergency hospitals, toward a total estimated need of 9,500; increased maintenance activities of stock surveillance and quality controls; replacement of obsolete and deteriorated materials in the existing stockpile working toward attainment of a minimum year by year requirement; and for placement of reserve bulk stocks in secured underground storage facilities.

2. Emergency health training and community preparedness. This program is concerned with the preparation of the Nation to meet its health needs in a national emergency through the development of plans and programs covering health services, civilian health manpower, and health resources; implementation of emergency plans and programs in every State and community; development and initiation of training, research and health resources

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"Civil defense and defense mobilization functions of Federal agencies." "Emergency supplies and equipment." "Research and development."

Funds appropriated to the President:

"Development grants, economic assistance."

"Supporting assistance, economic assistance."

"Contingency fund, economic assistance."

"Administrative expenses, economic assistance."

"Inter-American social and economic cooperation program."

"Agency for International Development.'

"Military assistance."

"Public works acceleration."

Justice, Bureau of Prisons: "Salaries and expenses."

Labor: "Farm labor supply revolving fund."

State: "American sections, international commissions."

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