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NATIONAL ADVISORY CHILD HEALTH AND HUMAN DEVELOPMENT COUNCIL

Dr. Robert H. Alway (1967), professor of pediatrics, School of Medicine, Stanford University, Palo Alto, California.

Dr. Richard J. Blandau (1969), professor, department of biological structure, School of Medicine, University of Washington, Seattle, Wash.

Dr. Robert E. Cooke (1967), director, department of pediatrics, School of Medicine, Johns Hopkins University, Baltimore, Maryland.

Dr. Philip M. Hauser (1969), professor of sociology and director, Population Research and Training Center, University of Chicago, Chicago, Ill.

Dr. Ronald Lippitt (1970), program director, Center for Research on Utilization of Scientific Knowledge, Institute for Social Research, University of Michigan, Ann Arbor, Michigan.

Mrs. Florence Mahoney (1967), 3600 Prospect Avenue, N.W., Washington, D.C. Dr. John W. McConnell (1969), president, University of New Hampshire, Durham, New Hampshire.

Dr. Leon H. Schmidt (1970), director, National Center for Primate Biology, University of California, Davis, California.

Dr. E. Stewart Taylor (1968), chairman, Department of Obstetrics and Gynecology, Medical Center, University of Colorado, Denver, Colorado.

Dr. Lewis Thomas (1968), dean, School of Medicine, New York University, 550 First Avenue, New York, New York.

Dr. Stephen J. Wright (1970), president, United Negro College Fund, 55 East 52nd Street, New York, New York.

EX OFFICIO MEMBERS

Dr. Arthur Lesser, deputy chief, Children's Bureau, Welfare Administration, DHEW, Washington, D.C.

Capt. Andrew M. Margileth, MC, USN, Chief of Pediatrics, U.S. Naval Medical Center, Bethesda, Maryland.

Dr. Harold Schnaper, associate director, Research Service, Department of Medicine and Surgery, Veterans' Administration, Washington, D.C.

Dr. William H. Stewart (chairman), Surgeon General, Public Health Service, Bethesda, Maryland.

NATIONAL ADVISORY COUNCIL ON REGIONAL MEDICAL PROGRAMS

Dr. Leonidas H. Berry (1967), professor, Cook County Graduate School of Medicine, and senior attending physician, Michael Reese Hospital, 412 E. 47th Street, Chicago, Illinois.

Dr. Mary I. Bunting (1967), president, Radcliffe College, Cambridge, Massachusetts.

Dr. Michael E. DeBakey (1968), professor and chairman, department of surgery, College of Medicine, Baylor University, Houston, Texas.

Dr. Bruce W. Everist (1967), Green Clinic, 709 South Vienna Street, Ruston, Louisiana.

Dr. John R. Hogness (1970), dean, School of Medicine, University of Washington, Seattle, Washington.

Dr. James T. Howell (1968), executive director, Henry Ford Hospital, Detroit, Michigan.

Dr. Clark H. Millikan (1968), consultant in neurology, Mayo Clinic, Rochester, Minnesota.

Dr. George E. Moore (1968), director, Roswell Park Memorial Institute, 666 Elm Street, Buffalo 3, New York.

Dr. Edmund D. Pellegrino (1970), director of the medical center, State University of New York, Stony Brook, New York.

Dr. Alfred M. Popma (1970), regional director, Regional Medical Programs, 525 West Jefferson Street, Boise, Idaho.

Dr. Mack I. Shanholtz (1970) state health commissioner, State Department of Health, Richmond, Virginia.

Dr. Cornelius H. Traeger (1967), 799 Park Avenue, New York, New York.

78-317-67-pt. 5—9

EX OFFICIO MEMBER

Dr. William H. Stewart (Chairman), Surgeon General, Public Health Service, Bethesda, Maryland.

NATIONAL ADVISORY COUNCIL ON HEALTH RESEARCH FACILITIES

Dr. John A. D. Cooper (1969), dean of sciences, Northwestern University, Evanston, Illinois.

Dr. Arthur L. Drew (1970), professor of neurology, Indiana University Medical Center, Indianapolis, Indiana.

Mrs. Pauline M. Fitzgerald (1968), 38 Barbara Road, Needham, Massachusetts. Dr. Louis S. Goodman (1970), professor and head, Department of Pharmacology, College of Medicine, University of Utah, Salt Lake City, Utah.

Dr. Maurice J. Hickey (1968), dean, School of Dentistry, University of Washington, Seattle, Washington.

Dr. Jerome H. Holland (1970), president, Hampton Institute, Hampton, Virginia. Dr. Robert B. Howard (1968), dean, College of Medical Sciences, University of Minnesota, Minneapolis, Minnesota.

Dr. L. Meyer Jones (1968), dean, School of Veterinary Medicine, University of Georgia, Athens, Georgia.

Hon. Stephen L. R. McNichols (1967), Hilton Office Building, Denver, Colorado. Dr. Stanley W. Olson (1967), professor of medicine, College of Medicine, Baylor University, Houston, Texas.

Mr. Hamilton S. Putnam (1967), president, Putnam Associates, Concord, New Hampshire.

Dr. Vernon E. Wilson (1969), dean, School of Medicine and Director of Medical Center, University of Missouri, Columbia, Missouri.

EX OFFICIO MEMBERS

Dr. Howard E. Page, National Science Foundation, Washington, D.C. Alternate for: Dr. Harve J. Carlson, National Science Foundation, Washington, D.C.

Dr. William H. Stewart (chairman), Surgeon General, Public Health Service, Bethesda, Maryland.

NATIONAL ADVISORY RESEARCH RESOURCES COMMITTEE

Dr. H. Stanley Bennett (1967), director, Laboratories for Cell Biology, University of Chicago, Chicago, Illinois.

Mr. Ted Bowen (1969), administrator, The Methodist Hospital, Texas Medical Center, Houston, Texas.

Dr. Jerome R. Cox, Jr. (1969), director, Biomedical Computer Laboratory, Washington University, St. Louis, Missouri.

Dr. Robert D. Dripps (1967), chairman, Department of Anesthesiology, University of Pennsylvania, Philadelphia, Pa.

Dr. Mason W. Gross (1968), president, Rutgers University, New Brunswick, New Jersey.

Dr. Philip Handler (1967), chairman, Department of Biochemistry, Duke University, Durham, North Carolina.

Judge Marjorie M. Lawson (1970), 1725 K Street N. W. Washington, D.C.

Dr. Manuel F. Morales (1970), professor of biochemistry, Cardiovascular Research Institute, University of California Medical Center, San Francisco, California.

Dr. Wilson S. Stone (1968), professor of zoology, University of Texas, Austin, Texas.

Dr. Isaac M. Taylor (1969), dean, School of Medicine, University of North Carolina, Chapel Hill, North Carolina.

Dr. W. T. S. Thorp (1968), dean, College of Veterinary Medicine, University of Minnesota, St. Paul, Minnesota.

Dr. Ralph J. Wedgewood (1970), professor and chairman, Department of Pediatrics, School of Medicine, University of Washington, Seattle, Washington.

EX OFFICIO MEMBERS

Dr. Benjamin B. Wells, assistant chief medical director for Research and Education in Medicine, Veterans Administration, Washington, D.C.

Alternate for: Dr. H. Martin Engle, chief medical director, Department of Medicine and Surgery, Veterans Administration, Washington, D.C. Capt. Paul D. Doolan, MC, USN, Executive Officer, Naval Medical Research Institute, Bethesda, Maryland.

Alternate for: Dr. Shirley Fisk, Department of Defense, Washington, D.C. Dr. William H. Stewart (chairman), Surgeon General, Public Health Service, Bethesda, Maryland.

NATIONAL ADVISORY MENTAL HEALTH COUNCIL

Dr. John J. Conger (69), Vice-President for Medical Affairs and Dean, School
of Medicine, University of Colorado, 4200 East Ninth Avenue, Denver, Colo-
rado 80220.
Mr. Mike Gorman (70), Executive Director, National Committee vs. Mental Ill-
ness, 1028 Connecticut Avenue, N.W., Washington, D.C. 20036

Mrs. Geraldine Joseph (67), 5 Red Cedar Lane, Minneapolis, Minnesota 55410
Dr. Paul V. Lemkau (68), Professor of Mental Hygiene, School of Hygiene and
Public Health, The Johns Hopkins University, Baltimore, Maryland 21205
Dr. Reginald S. Lourie (68), Director, Department of Psychiatry, Children's
Hospital of the District of Columbia, Washington, D.C. 20009

Mr. Earle E. Morris, Jr. (69), State Senator and Vice President, The Pickens
Bank, P. O. Box 97, Pickens, South Carolina 29671

Mr. J. Quigg Newton, Jr. (68), President, The Commonwealth Fund, 1 East 75th Street, New York, New York 10021

Dr. Charles R. Strother (67), Director, Mental Retardation and Child Development Center, University of Washington, Seattle, Washington 98105

Dr. Robert L. Stubblefield (70), Professor and Chairman, Department of Psychiatry, Southwestern Medical School, University of Texas, Dallas, Texas 75235

Dr. Louis J. West (69), Professor and Head, Department of Phychiatry, Neurology, and Behavioral Sciences, University of Oklahoma Medical Center, Oklahoma City, Oklahoma, 73104

Dr. Charles B. Wilkinson (70), Professor and Associate Chairman, Department of Psychiatry, Kansas City Division, School of Medicine, University of Missouri, 600 East 22nd Street, Kansas City, Missouri 64108

Dr. Robin M. Williams, Jr. (67), Professor of Sociology, Department of Sociology, Cornell University, Ithaca, New York 14850

EX OFFICIO MEMBERS

Dr. John J. Blasko, Director, Psychiatry, Neurology, and Psychology Service, Veterans Administration, Washington, D.C. 20420

Alternate for: Dr. H. Martin Engle, Chief Medical Director, Department of Medicine & Surgery, Veterans Administration, Washington, D.C. 20420 Capt. Ralph L. Christy, MC, USN, Head, Neuropsychiatry Branch, Bureau of Medicine and Surgery, Navy Department, Washington, D.C. 20390 Alternate for: Dr. Shirley C. Fisk, Deputy Asst. Secretary (Health & Medical), Office of Asst. Secretary for Manpower, Department of Defense, Washington, D.C. 20301

Dr. William H. Stewart (Chairman), Surgeon General, Public Health Service, 9000 Rockville Pike, Bethesda, Maryland 20014

MORTALITY, MORBIDITY, AND COST OF DISEASES

CANCER

Statistics of the annual number of deaths and total current number of disabilities caused by the major diseases dealt with in the National Cancer Institute. 1. Cancer deaths in 1965 (estimated data in provisional report of the National Center for Health Statistics, Division of Vital Statistics)

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II. Cancer disability in 1965 (estimated on the basis of data supplied by the
National Cancer Institute and the National Center for Health Statistics)
(a) Estimated cases under treatment.

(b) Estimated person-days of disability (these estimates have a
large margin of error):
Restricted activity-

Sick in bed---

III. Cancer's cost to the Nation in 1963

904, 000

54, 000, 000

32, 000, 000

(Source Estimating Cost of Illness-Health Economics Series-No. 6. These figures refer to all neoplasms-benign, malignant and unspecified.)

(a) $1.3 billion were spent for direct costs, hospital care, nursing home care, physicians services and nursing services for neopalsms.

(b) A total of 153,000 man-years of productivity, amounting to $850.7 million, were lost in 1963 as a result of illness and disability for members of the labor force, housewives, and others who were alive but unable to attend to their usual activities because they had cancer. The loss was far greater for persons who had died of cancer, but might otherwise have still been alive and productive. (c) Total economic costs which include estimated direct expenditure, indirect cost of morbidity and present value of life time earnings amounted to approximately $9 billion.

CARDIOVASCULAR DISEASES

Statistics of the annual number of deaths and total current number of disabilities caused by each of the major diseases dealt with in the National Heart Institute, and the estimated annual cost to the Nation:

I. Deaths from cardiovascular diseases during 1965—preliminary report (Division of Vital Statistics, National Center for Health Statistics)

Category:

Number

Arteriosclerotic heart disease (includes coronary disease or "heart attacks")‒‒‒‒

556, 000

Cerebrovascular lesions (includes strokes and other blood vessel diseases in the brain).

203, 000

Hypertension

67,000

Non-rheumatic chronic endocarditis and other heart muscle degeneration_____

General arteriosclerosis..

Rheumatic fever and rheumatic heart disease_.

Other cardiovascular diseases_

Total____

53, 000 38,000

16,000

56, 000

989, 000

II. Disabilities from cardiovascular diseases (unpublished figures from Division of Health Interview Statistics, National Center for Health Statistics, based on data collected during the period July 1965 to June 1966)

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A. Estimated economic impact (Health Economic Series Number 6, Estimating the Cost of Illness, USPHS, DHEW, May 1966).

The total economic impact of cardiovascular (including cerebrovascular) diseases on the Nation was estimated at $25.5 billion for the year 1963. This figure includes:

Direct costs (hospital and medical services).

Indirect costs (non-productivity):

From illness during 1963

Discounted future earnings of persons who died in 1963___

Billion

$3.1

3. 4

19.0

B. Veterans compensation and pension payments (unpublished data from Veterans Administration).

Payments to veterans (primarily World War I) disabled by diseases of the circulatory system are estimated to total $593 million for the fiscal year 1967.

DENTAL DISEASE

Statistics of the annual number of deaths and total current number of disabilities caused by each of the major diseases dealt with in the Dental Institute, and the estimated annual cost to the Nation.

1. Deaths related to dental disease

No information available.

2. Disabilities caused by dental diseases

The high attack rate of dental diseases that begin early in life and affect almost the entire population of our country, constitutes, in the aggregate, an alarming degree of disability. Widespread failure of many people to obtain dental examinations that might lead to preventive care, the irreversible nature of many of the oral diseases, and the fact that they do not respond well to home remedies. have resulted in a staggering backlog of need. A large-scale national survey concluded that the level of dental health of the American people is "shamefully low."

Most dental disability is the result of carious processes. Although tooth decay and resulting pain is frequently temporary, the total effect is a staggering national burden of absenteeism and lost productivity. In the United States today approximately 800 million cavities are presently in need of treatment.

Another major cause of disability is the complex of degenerative processes that affect the gums and areas surrounding the teeth. Signs of such periodontal disease can be detected in early every adult American. Periodontitis, sometimes called pyorrhea, is the chronic, destructive stage of the disease. Unless controlled, the process leads to deterioration of the very bone supporting the teeth. More than half of the people over 40 have lost one or more teeth because of periodontal disease; and more than 20 million adults have lost all of their teeth from this condition. In addition, periodontal infections can be the cause of life-threatening and disabling systemic disease. In one such critical area, heart patients-par

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