« PreviousContinue »
Within prevention, HIV and AIDS activities make up a substantial portion of our budget, and I would be happy to comment on those in detail if you should wish.
I would close my prepared remarks by drawing attention, sir, to this brochure which is the Surgeon General's Conference on Agricultural Safety and Health which will be held in Des Moines the first of May. I look forward to seeing you in Iowa.
We are having this conference because of your leadership and look forward to that which occurs in the 20th year of the National Institute on Occupational Safety and Health's existence. NIOSH, as you know, is a part of CDC, and we want to celebrate their 20th anniversary with this conference that we are going to have in your home State.
PREPARED STATEMENT Again, I would stress that CDC is the Nation's prevention agency. We are pleased to have this recognition that you have given us with your legislation, that the President has given us with his budget. There is much that remains to be done. Thank you, sir, very much.
[The statement follows:)
STATEMENT OF DR. WILLIAM O. ROPER
Mr. Chairman, It is a pleasure to be here today at the beginning of my second year as Director of the Centers for Disease Control (CDC) : I am particularly pleased to be able to testify on behalf of the exceptional budget the Administration has proposed for CDC. It is a budget that shows that President Bush sharos your view and ours that prevention is a prime means of protecting the
health of our citizens.
This is the first time that any
President's budget has devoted an entire chapter to prevention programs throughout the Federal government. Simply put, these
are exciting and challenging times.
One of the most rewarding aspects of my first year as CDC Director has been to work closely with the talented and dedicated professionals who are the heart and soul of CDC. As I have traveled throughout the country and recently to Africa, I have
loarned the main reasons for the agency's distinction are its
commitment to prevention and its willingness to be held
accountable to the public.
CDC realizes that public resources
come with responsibility, a responsibility to get the maximum
of improved health and quality of life, but also in fiscal terms.
An investment in prevention is an investment in the future, and
CDC will use the public funds entrusted to us to fulfill our
responsibilities by improving the health of the American people.
We know the importance of being ready to meet the new prevention
challenges that continually emerge.
It is incumbent upon us to
think about the future even as we cope with present problems
affecting the lives and health of Americans.
To remain in a
state of readiness requires constant vigilance. Wo will continue to update antiquated equipment and repair aging structuros. know that improving our basic capabilities lacks the glamour of
fighting a new deadly virus.
But to continue to handle omorgency
situations effectively, as we did last year when a potentially lethal filovirus entered this country in monkeys, we must also continue to invest in the technology and trained personnel required to maintain our competence.
As the national prevention agency, many of the steps CDC will take in FY 1992 will contribute to our attaining the national
objectives in Healthy People 2000.
CDC also has three broad
goals that define our leadership responsibilities:
making prevention a practical reality,
We believe we can make a difference in each of those areas with
our FY 1992 budget request of $1,430,727,000 in CDC program activities, This represents a net increase of $100, 141,000 over
of this total request, $1,396, 927,000 is proposed as
new budget authority.
The increases in CDC's FY 1992 budget will enable us to expand
the application of proven prevention strategies, with special attention to children and adolescents, women, and economically
Smoking and health.
Tobacco use is responsible for more
than one of every six deaths in the country and is the most important single preventable cause of death and disease in
with our requested increase of $3.5 million,
we plan to send our message of the hazards of tobacco use to
an expanded audience that will specifically target racial/ethnic minorities, women, children and adolescents, and blue collar workers--groups that have relatively high
rates of smoking.
Breast and cervical cancer mortality prevention. About 50,000 women die of breast or cervical cancer each year, and
many of these deaths are preventable.
Studies in the United
States and Sweden demonstrated the cost-effectiveness of
screening and early detection of these cancers. In passing the Breast and Cervical Cancer Mortality Prevention Act of 1990, Congress provided the framework for CDC's national breast and cervical cancer control program. with an
increase of $20.7 million for this program, CDC will be able to fund comprehensive programs in approximately 10 states in
1992 and ensure laboratory and X-ray quality assurance
measures are implemented in all 50 states.
Unintentional injuries constitute the
fourth leading cause of death in this country and account
for more than 2.3 million years of premature death.
51 seconds someone is treated in an emergency room for
injuries from a bicycle crash, and every 10 hours someone
dies from those injuries.
with an additional $2 million for
our injury control program in 1992, we will develop an
information campaign aimed at increasing the use of child
safety seats, seat belts, bicycle helmets, and other protective equipment. In this campaign we will also
emphasize the rolo alcohol plays in injuries, especially
Tuberculos18 control. Tuberculosis is completely preventable, and yet since 1984 more than 31,000 cases have
occurred above expected levels.
The Department of Health
and Human Services has published a strategic plan to
President's request for an additional $3.2 million, CDC will
increase the number of grants for tuberculosis control,
increase the number of outreach workers by 20 porcent, and
expand programs providing preventive therapy by 40 percent.
If prevention is to become an
integral part of our nation's health care system, we must
expand our knowledge of what works, in what settings, for which groups. CDC is evaluating the efficacy of new interventions and comparing the benefits of prevention programs with their costs. The President's budget includes an additional $2 million for assessing prevention
effectiveness. with this funding, we will be able to be more aggressive in evaluating new prevention technologies. The information we gain will aid all of us in making better use of our health resources.
our children are our most important investment and our future. A
number of CDC' 8 programs focus on the health of children.
Elimination of childhood lead poisoning.
CDC had a major
role in developing the Department of Health and Human
Services' Strategic Plan for the Elimination of childhood
Lead Poisoning. Almost 6 million children live in houses containing lead-based paint. Our program encompasses many
of the activities recommended in the strategic Plan.
categorical grant program for screening and referral of
children will reach about 14 states by the end of this year.
with an additional $6.8 million, we will be able to expand
the program to 23 states in 1992.