1 Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1964, Water Pollution Control Administration"); 1966, $32,424,000; 1967, $33,106,000. Mr. FOGARTY. Are you going to testify to the buildings and facilities request? Dr. STEWART. Yes, I am. Mr. FOGARTY. This is a new wrinkle, too. Dr. STEWART. It is only new in the sense my executive officer does not exist at the moment. Mr. FOGARTY. It looks to me like you are trying to run the whole show. Dr. STEWART. No, sir. As soon as I get an executive officer he is going to do this. Mr. FOGARTY. Go right ahead. GENERAL STATEMENT Dr. STEWART. Mr. Chairman and members of the committee, the 1967 estimate for this appropriation includes funds for all proposed construction projects for the Public Health Service except those for the Indian health program. The estimate, in the total amount of $18,279,000, provides planning or construction funds for 13 projects in the sum of $16,154,000, repair and improvement funds in the sum of $2 million, and $125,000 for development of a master facilities plan. The growth of Service responsibilities and programs dictates in large measure the need for new construction. HOSPITALS From the viewpoint of preparing for the role of the Service in the future, the most important item in this budget estimate is the funding of the second step in our program to modernize the Public Health Service hospitals. The President's Science Adviser recently appointed a committee to consider the appropriate role of these hospitals. The report of this committee recommended "that the general hospitals of the Public Health Service be modernized and that they be supported at levels consistent with the several important functions they should perform." The estimate is consistent with this recommendation. It reflects the goal of the Service to conduct its functions of patient care, training, research, and demonstration as models of excellence. It is designed to provide the modern, functional facilities in which our personnel can carry forward these activities to the advantage of our beneficiaries, of medical care nationwide, and of biomedical science in general. Congress last year appropriated $1,093,000 to be used for preliminary planning. The 1967 estimate will supplement this fund with $5,021,000 and will make possible the preparation of working drawings and specifications for the Carville Leprosarium and 8 of the 10 general hospitals. FACILITIES FOR THE NATIONAL INSTITUTES OF HEALTH To continue the development of facilities at Bethesda for the National Institutes of Health, the estimate includes funds for four muchneeded projects. Planning and construction of an addition to the isotope laboratory will require $500,000. This space is needed principally for the assay of radioactive materials, for calibrating radiation survey instruments, and for the use of students in the radioisotope training course. Secondly, the disposal of refuse in an efficient manner necessitates the planning of a large incinerator. For this purpose $270,000 is recommended. The capacity of this plant would enable it to handle 1,400 tons of material-much of it infectious-per month. Finally, parking facilities to service the new cancer building, the new mental health and neurology building, and the new office building extension will require $3,474,000. Planning funds of $236,000 for these two multilevel structures were appropriated for 1966. COMMUNICABLE DISEASE FACILITY This building will provide space for projects to be conducted by the Communicable Disease Center and the Puerto Rico Department of Health. It will be constructed on land provided by the University of Puerto Rico Medical Center. Principal emphasis will be given to studies of schistosomiasis, tuberculosis, and venereal diseases. Planning funds of $180,000 were appropriated in 1966; the construction cost is estimated at $1,300,000. SHELLFISH SANITATION CENTERS Construction funds of $2,108,000 are recommended for an addition to the Narragansett laboratory in Rhode Island ($1,108,000) and the the Northwest Shellfish Sanitation Research Center to be built on Puget Sound ($1 million). Funds for planning these facilities ($76,000 and $118,000, respectively) were appropriated in 1966. The Narragansett addition will increase the utility of the laboratory by permitting additional research to be carried out on shellfish virology, and by providing specialized facilities for research on pathogenic organisms and toxic chemicals. The laboratory on Puget Sound will replace one located on privately owned land which will not be available to us after 1968. Projects to be undertaken here will relate to shellfish of commercial importance to the Northwest, including Alaska. Research will be conducted in virology, microbiology, chemistry, shellfish toxins, and marine biology. SOLID WASTE RESEARCH FACILITY Funds for construction of this plant in Johnson City, Tenn., were appropriated in 1966. The 1967 estimate of $395,000 provides for the heavy process machinery and other equipment. ENVIRONMENTAL HEALTH LABORATORY FACILITY Appropriation of $1,285,000 is recommended for the design of permanent laboratories at Cincinnati to house personnel now engaged in environmental health research in nine separate leased buildings in the Cincinnati area. The 1966 appropriation provided $100,000 for preliminary planning. The 1967 estimate is to cover the cost of architectural and engineering design. APPALACHIAN ENVIRONMENTAL HEALTH FIELD STATION The Service plans to construct a station at Morgantown, W. Va., at which to conduct research in environmental health problems pertinent to Appalachia. Our aim is to bring about solutions to these problems in a manner which will contribute to the economic development of the region. The estimate is for $330,000 to design the facility. The 1966 appropriation included $20,000 for preliminary planning. ARCTIC HEALTH RESEARCH CENTER Funds have previously been appropriated ($4,290,000) for construction of the Arctic Health Research Center at the University of Alaska in Fairbanks. The current estimate includes two items for this Center: $298,000 for the purchase of portable equipment; and $1,173,000 for the design and construction of an experimental animal facility to house normal and infected indigenous animals needed in the research projects conducted by the Center. FACILITIES PLANNING During the past 20 years the Congress has appropriated over $296 million for construction of facilities for the PHS. Most of this construction was designed to meet the immediate need of a particular program with little consideration for total current or projected space requirements for other Service programs. Frequently the program lacked resources in the architectural and engineering skills essential to proper planning and administration of a construction program. The result has been delays in actual construction of authorized facilities and the construction of some facilities that were inadequate to meet program needs. Two steps are proposed for the purpose of bringing about more orderly planning for future construction needs as well as more effective and economical utilization of architectural and engineering resources of the Service. In this appropriation we are requesting $125,000 for the purpose of contracting with a firm of architectengineers to develop a master plan covering space requirements for all PHS programs for a period of at least 10 years. In the appropriation, "Salaries and expenses, Office of the Surgeon General," we propose the transfer and consolidation of all facilities planning personnel except those located at NIH. We are convinced that this consolidation will permit more effective utilization of the professional staff, greater economy in the total planning effort, and more expeditious progress in the handling of construction proposals. The NIH has been engaged in major construction activities for many years and has developed a highly skilled staff that is responsive to its needs. For this reason and because of the geographical concentration of NIH facilities no transfer of staff or responsibility is proposed at this time. Mr. Chairman, I shall be pleased to answer any questions that you or the other members of the committee may have. Mr. FOGARTY. Thank you, Doctor. BUDGET REQUEST The appropriation for 1966 was $8,977,000, and the request for 1967 is $18,279,000, a net increase of $9,302,000. COMMUNICABLE DISEASE CENTER IN PUERTO RICO You are requesting $1,300,000 for a communicable disease facility in Puerto Rico, and I assume this will be located at the Medical Center. Dr. STEWART. Yes, sir. Mr. FOGARTY. We were down there not too long ago. Dr. STEWART. That is right. Mr. FOGARTY. This has a great potential, does it not? Dr. STEWART. It certainly does. I was very impressed with the place and delighted we are developing these facilities there. Mr. FOGARTY. Do you see this as a great help to the United States in its relationship with South America and others because of the language. Dr. STEWART. The University of Puerto Rico Medical Center really serves this in a way now and has the intention of serving this sort of interphase between South and North America. They do teach in Spanish, and this serves as a place for a U.S. kind of education but it is in the Spanish language. Also they are more likely to consider the kinds of problems they would have in their own country. Mr. FOGARTY. Would it be physically connected with the NIH facility? Dr. STEWART. No. As I understand it, there are two different locations on the University Medical Center grounds. Mr. FOGARTY. On the same acreage? Dr. STEWART. I don't know what distance there is between them, perhaps a half mile. NIH FACILITY IN PUERTO RICO Mr. FOGARTY. Has a contract been let for the NIH facility? Dr. STEWART. No, it has not. Mr. FOGARTY. What is holding it up? Dr. MIDER. The program of requirements is in the Department at this time. Mr. FOGARTY. When will you get around to it? Dr. MIDER. We are ready to go as soon as an architect-engineer is selected. Mr. FOGARTY. You are waiting for the selection of an engineering firm? Dr. MIDER. I understand that an architect-engineer may have been selected but he has not been authorized to proceed. Mr. FOGARTY. From the mainland or in Puerto Rico? Dr. MIDER. I am not sure of that, Mr. Fogarty. I understand, however, the original selection was an architect from the mainland." Mr. FOGARTY. Will you supply that for the record and give us information? Dr. MIDER. Yes. (The information requested follows:) The program requirements (POR) for the NINDB/NICHD facility was approved by the Bureau of the Budget on January 3, 1966. NIH has now requested that GSA negotiate a contract with an architect-engineering firm to design the facility. By memorandum of July 30, 1964, NIH proposed that GSA negotiate with the combined firms of Isadore & Zachary Rosenfield, Efrain E. Perez-Channis, and Fred S. Dubin Associates, with Rosenfield as the principal. This proposal |