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COMMITTEE ON GOVERNMENT OPERATIONS

JACK BROOKS, Texas, Chairman JOHN CONYERS, JR., Michigan

FRANK HORTON, New York

ROBERT S. WALKER, Pennsylvania GLENN ENGLISH, Oklahoma

WILLIAM F. CLINGER, JR., Pennsylvania HENRY A. WAXMAN, California

AL MCCANDLESS, California TED WEISS, New York

LARRY E. CRAIG, Idaho MIKE SYNAR, Oklahoma

HOWARD C. NIELSON, Utah STEPHEN L. NEAL, North Carolina

JOSEPH J. DIOGUARDI, New York DOUG BARNARD, JR., Georgia

JIM LIGHTFOOT, Iowa BARNEY FRANK, Massachusetts

BEAU BOULTER, Texas TOM LANTOS, California

DONALD E. "BUZ” LUKENS, Ohio ROBERT E. WISE, JR., West Virginia

AMORY HOUGHTON, JR., New York MAJOR R. OWENS, New York

J. DENNIS HASTERT, Illinois
EDOLPHUS TOWNS, New York

JON L. KYL, Arizona
JOHN M. SPRATT, JR., South Carolina ERNEST L. KONNYU, California
JOE KOLTER, Pennsylvania

JAMES M. INHOFE, Oklahoma
BEN ERDREICH, Alabama
GERALD D. KLECZKA, Wisconsin
ALBERT G. BUSTAMANTE, Texas
MATTHEW G. MARTINEZ, California
THOMAS C. SAWYER, Ohio
DAVID E. SKAGGS, Colorado
LOUISE M. SLAUGHTER, New York
BILL GRANT, Florida

WILLIAM M. JONES, General Counsel
STEPHEN M. DANIELS, Minority Staff Director and Counsel

HUMAN RESOURCES AND INTERGOVERNMENTAL RELATIONS SUBCOMMITTEE

TED WEISS, NEW YORK, Chairman THOMAS C. SAWYER, Ohio

JIM LIGHTFOOT, Iowa JOHN CONYERS, JR., Michigan

ERNEST L. KONNYU, California HENRY A. WAXMAN, California

JAMES M. INHOFE, Oklahoma BARNEY FRANK, Massachusetts

Ex OFFICIO

JACK BROOKS, Texas

FRANK HORTON, New York
JAMES R. GOTTLIEB, Staff Director

GWENDOLYN S. McFADDEN, Secretary
MARY KAZMERZAK, Minority Professional Staff
LINDA A. VALLEROY, PH.D, Congressional Science Fellow

CONTENTS

Page

Hearing held on March 16, 1987

1

Statement of:

Dunne, Richard, executive director, Gay Men's Health Crisis.......

145

Fraser, David W., M.D., president, Swarthmore College, and member,

Institute of Medicine, and Health Care and Public Health Panel of the

National Academy of Sciences Committee on a National Strategy for

AIDS....

3

Gebbie, Kristine M., R.N., M.N., administrator, health division, Oregon
Department of Human Resources.

117
Gerald, Gilberto, director of minority affairs, National AIDS Network 151

Joseph, Stephen C., M.D., M.P.H., commissioner of health, New York City

Health Department...

Rosenberg, Michael J., M.D., M.P.H., executive director, American Social

Health Association

173

Stroud, Florence, R.N., M.P.H., deputy director for community public

health programs, San Francisco Department of Public Health

127

Swales, George, M.A., director, Sunnye Sherman AIDS Education Project. 158

Weiss, Hon. Ted, a Representative in Congress from the State of New

York, and chairman, Human Resources and Intergovernmental Rela-

tions Subcommittee: Opening statement.

1

Windom, Robert E., M.D., Assistant Secretary for Health, Department of

Health and Human Services, accompanied by Dr. Lowell Harmison,

Deputy Assistant Secretary for Health; Dr. Walter R. Dowdle, Deputy

Director (AIDS), Center for Infectious Diseases, Centers for Disease

Control; Dr. Juan Ramos, Deputy Director for Prevention and Special

Projects, National Institute of Mental Health; Dr. Roy Pickens, Direc-

tor of Clinical Research, National Institute of Drug Abuse; Dr. Gary

Noble, AIDS Coordinator, Public Health Service; Dr. Samuel Matheny,

Director, AIDS Office, Bureau of Resources and Development, Health

Resources and Services Administration; Dr. James Hill, Assistant to

the Director, NIAID; and Harell Little, Chief, Budget Branch, OASH ..... 21

Letters, statements, et cetera, submitted for the record by:

Dowdle, Dr. Walter R., Deputy Director (AIDS), Center for Infectious

Diseases, Centers for Disease Control, Department of Health and

Human Services:

Breakdown for high incidence areas by project area

91

Information concerning money spent for fiscal year 1987

92

Dunne, Richard, executive director, Gay Men's Health Crisis: Prepared
statement..

148-150
Fraser, David W., M.D., president, Swarthmore College, and member,

Institute of Medicine, and Health Care and Public Health Panel of the
National Academy of Sciences Committee on a National Strategy for
AIDS: Prepared statement..

6-12
Gebbie, Kristine M., R.N., M.N., administrator, health division, Oregon
Department of Human Resources: Prepared statement.

121-126
Geraid, Gilberto, director of minority affairs, National AIDS Network:
Prepared statement...

153-157
Joseph, Stephen C., M.D., M.P.H., commissioner of health, New York City
Health Department: Prepared statement..

103-116

Little, Harell, Chief, Budget Branch, OASH:

AIDS information dissemination/public affairs.

94

Fiscal year 1986 amount awarded to high incidence areas

90

Rosenberg, Michael J., M.D., M.P.H., executive director, American Social

Health Association: Prepared statement .......

176-184
193 312

Page Letters, statements, et cetera, submitted for the record by-Continued

Stroud, Florence, R.N., M.P.H., deputy director for community public

health programs, San Francisco Department of Public Health: Pre-
pared statement...

131-143 Swales, George, M.A., director, Sunnye Sherman AIDS Education Project: Prepared statement..

162-172 Windom, Robert E., M.D., Assistant Secretary for Health, Department of Health and Human Services:

Amount budgeted to aid community-based groups for fiscal year 1987. 92 Amount spent in 1986 and 1987 on community-based demonstration projects....

93 Fiscal years 1986 and 1987 expenditures for the AIDS augmentation projects......

92 Memorandum concerning “Housecalls” series

73 Money spent in fiscal year 1986 on community-based capacity building projects.....

92 Prepared statement..

27-46 Weiss, Hon. Ted, a Representative in Congress from the State of New

York, and chairman, Human Resources and Intergovernmental Rela-
tions Subcommittee:

May 15, 1986, memorandum concerning a draft initiative......... 78-85
Minutes of a Public Health Service task force dated September 8,
1986...

51-56

APPENDIXES Appendix 1.- Documents referred to in the record Appendix 2.-Material submitted for the record.......

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