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with the emerging requirements to emphasize both environmental health and community health activities would be an important step.
It would recognize the increasing importance of these areas and would thus assist in attracting outstanding scientific and administrative talent into the Public Health Service.
Improved organization is necessary if the Nation is to meet successfully the health challenges of a growing America.
Mr. Staats. Mr. Chairman, we have attached to this statement, which I will not read, a statement called the “Special Analysis of Federal Medical and Health-Related Programs," which is a tabulation of funds for fiscal years 1962, 1963, and 1964 and a description of the programs administered by the principal agencies which I have briefly treated touched upon here in this statement this morning. .
Mr. ROBERTS. Without objection, you may include that in the record.
(The statement referred to follows:)
EXECUTIVE OFFICE OF THE PRESIDENT, BUREAU OF THE BUDGET,
SPECIAL ANALYSIS OF FEDERAL MEDICAL AND HEALTH-RELATED PROGRAMS
(Tabulations of funds for the fiscal years 1962, 1963, and 1964 and descriptions
of programs administered by the principal agencies with medical or healthrelated activities)
FOREWORD In order to present an overview of the many medical and health-related ac tivities carred on by the Federal Government, there follow three tables which summarize Federal obligations for these programs. There also is attached a summary statement describing the health activities, including their costs for tbe fiscal years 1962, 1963, and 1964, for each of the seven departments and seren agencies having major responsibility for Federal health activities. These tables and statements are intended to provide a general description of agency activities in the health area and are not intended as definitive statements of program mission and goals.
The following agencies are covered in the tables and the descriptive state ments : Department of Agriculture
Department of Justice Atomic Energy Commission
Department of Labor Civil Service Commission
National Aeronautics and Department of Defense
Space Administration Department of Health,
National Science Foundation Education, and Welfare
Small Business Administration Housing and Home Finance Agency Department of State Department of the Interior
Veterans Administration For a more extensive analysis of these activities as they existed several year ago, attention is called to Senate Report 142 of the 87th Congress, 1st session This earlier report was prepared by the Subcommittee on Reorganization and International Organization of the Senate Committee on Government Operations
TABLE A.--Federal obligations for medical and health-related activities by agency
(Fiscal years--In millions of dollars)
Nore.-Detail may not add to totals due to rounding.
NOTE.~Detail may not add to total due to rounding. Source: The budget of the U.S. Government, fiscal year ending June 30, 1964, as modified by subsotent supplemental and legislative recommendations.
TABLE C.-Federal obligations for medical and health-related activities by agency and category
(Fiscal year 1964–In millions of dollars)
Department of Health, Education, and Welfare:
National Institutes of Health
Total, Department of Defense
NOTR.-Dotat? may not add to total due to rounding
DEPARTMENT OF AGRICULTURE The Department of Agriculture in pursuit of its responsibility to "acquire and diffuse among the people * * * useful information on subjects connected with agriculture in the most general and comprehensive sense of the word,” carries out three major types of activity which have a direct effect on human health: scientific research, inspection, control and eradication programs, and educational services.
The scientific research activities of the Department are carried out in 10 divisions of the Agricultural Research Service, the Agricultural Marketing Service and the Economic Research Service. These diverse activities are aimed at the following purposes: (1) learning how the infectious diseases and parasites of domestic animals are transmitted to man and developing methods for diagnosis, prevention, or control-some 90 domestic livestock diseases are transmissible to man; (2) the toxicological effects of agricultural chemicals in animal and human food chains; (3) improvement of plants that yield steroid chemicals for making cortisone and related drugsdrugs which are preventing and ameliorating the effects of old-age diseases; (4) understanding the biology, ecology, and prevalence of insects affecting man and animals and their role as vectors of disease; (5) establishing the physiological availability of nutrients in foods-a departmental activity since 1893; (6) studying the metabolic responses of humans to different dietary combinations; (7) surveying the diets of population groups and determining their nutritive value the fourth nationwide survey will begin this year; (8) maintaining a culture collection for identification and screening of micro-organisms for the production of antibiotics and vitamins the development of penicillin came from Department research in the micro-organisms field; (9) developing dairy plant methods for removing strontium 90 from milk; (10) statistical analyses of health care expenditures by farm families and special field studies on rural health-in cooperation with State experiment stations.
Last year the Department's Meat Inspection Division of the Agricultural Research Service examined the production of 1,511 establishments located in 623 cities and towns. The inspection of poultry moving in interstate commerce is compulsory under the act of August 28, 1957. Other activities include (1) eradication of diseases such a brucellosis and tuberculosis-transmissible to man; (2) quarantine services to prevent introduction of animal diseases from foreign countries which may affect man; and (3) the regulation of pesticidesmover 5,000 new products were registered last year and more than 1,800 official samples of economic poisons were analyzed and tested.
The Cooperative Extension Service of the Department and the land-grant universities through its more than 14,000 agents located in almost every county of the Nation assists in meeting educational needs, including the needs of youth through the 4-H program. This program is supported jointly by Federal, State, and local governments and interested groups. Through these agents, technical information is made available on health hazards of pesticides, food preservation, neal planning and preparation, home sanitation, and other health problems.
These activities of the Department are coordinated with HEW through eight najor interagency committees including the Federal Pest Control Review Board, nterdepartmental Committee on Community Air Pollution, and the Interagency ommittee on Nutrition and Education; joint projects such as prevention of adioactive contamination of milk and research to identify, collect and isolate incer-retarding plant materials; and cooperation on enforcement efforts specially in the registration of agricultural pesticides.
ATOMIO ENERGY COMMISSION
Medical and health-related activities of the Atomic Energy Commission arise mainly in connection with its research program and its protective activities. By far the largest part of the research program is in the Division of Biology and Medicine; smaller health-related activities are carried out in the reactor development program.
Aside from small amounts paid to overcome the annual deficit at the AECowned Los Alamos community hospital and for radiological and health physics fellowships, AEC's programs are entirely composed of basic and applied research on the effects and usage of radiation. Approximately 60 percent of this research is in the biological sciences, 25 percent in the medical sciences, with the balance in applied fields such as agriculture and radiation sanitary engineering.
In the biological sciences, AEC conducts research on the effects of radiation on plants and animals with interest ranging from total behavior to the specific behavior of certain systems and organs. In addition, AEC conducts fundamental research at the molecular and cellular level and on the study of radiation genetics
. AEC's program in the medical sciences is principally in the areas of somatic effects of radiation, combating the detrimental effects of radiation, and health physics. AEC also conducts cancer research and radiological environmental health, coordinating its activity with that of PHS, and generally providing the basic research backup for the national program in this area.
In carrying out these activities, HEW and AEC cooperate through (1) the Federal Radiation Council, and (2) the National Committee on Radiation Protection, a private organization which includes HEW and AEC as sponsoring institutions. Further, there are bilateral contracts and joint projects between the agencies, such as an AEC-National Cancer Institute cancer research effort on cocarcinogenesis conducted at AEC's Oak Ridge National Laboratory. Finally, there has been established a close professional relationship between AEC and PHS scientists at the senior staff level as well as at the scientitie working level.
Funds for medical and health-related activities
[Fiscal years-In millions of dollars)
As the personnel agency for the Federal Government, the Civil Service Commission has a concern for the health of civilian Federal employees.
As part of its general responsibilities in the recruitment of civilian employees and the administration of the personnel system, the Civil Service Commission establishes and reviews physical standards for civilian jobs in the Governuent
, sets professional standards for doctors and other health personnel to be enie ployed in civilian positions, and supervises and adjudicates claims for retirement on account of disability.
In addition, the CSC administers two large health insurance programsmine for active employees and one for retired employees. Under the Federal Euployees' Health Benefit Act of 1959, the Commission qualifies insurance carriers to participate in the program. The individual employee is then given the oppor tunity to select among the insurance carriers for an insurance
plan and level of services designed to meet his particular need. The Government will contribute a portion of the cost of such plan and payroll deductions are made from employees' salaries for the remainder of the cost. The health benefits plans provide, under various options, hospital, medical, surgical, obstetrical, and other supplemental benefits. At present, there are four basic insurance plans in which