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5, 89, 209, 227, 421

Kline, Dr. O. L., Assistant Commissioner for Science, Food and Drug
Administration, HEW.

274

Terry, Dr. Luther L., Surgeon General, U.S. Public Health Service..

339

5,

89, 209, 227, 421

Air pollution activities, Interior Department..

Air pollution activities, Tennessee Valley Authority..

Federal obligations for medical and health-related activities by
agency, chart_

342

Federal obligations for medical and health-related activities by
category, chart..

349

381

Authorized construction of sanitation facilities for Indians
under Public Law 86-121..

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Multiple-water reuse, a necessity when demand exceeds
supply.

119

NIH change in organization..

181

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Health Amendments Act of 1956 (Public Law 84-911).
Hill-Burton program highlights, July 1947-June 1963, tables and
charts....

271

237

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Source of funds, St. Elizabeths Hospital, 1963.

324

Special laws with respect to tea and milk_

276

Special report: Actions taken by the PHS to strengthen its
research and training grant programs. -

197

Supplementary statement of the Director of the National In-
stitutes of Health..

171

Table entitled-

Career preference of 10-percent sample of first year medical
college class, 1961.

207

Additional material submitted for the record-Continued
HEW-Continued

Table entitled-Continued

Increases in employment, 1961–63..

Page

318

Increases in selected appropriations, 1961-63_
Legislative authorities for NIH programs.-

318

183

Local air pollution control agencies in the United States
(with annual budget of $5,000 or more, February 1961). -
Major legislation affecting the Department of Health, Edu-
cation, and Welfare, 1961-62...

131

319

National Cancer Institute, regular research projects and
intramural research, by category, fiscal year 1963..
National Heart Institute, regular research projects and in-
tramural research, by category, fiscal year 1963..
National Institute of Allergy and Infectious Diseases, regu-
lar research projects and intramural research, by cate-
gory, fiscal year 1963___

National Institute of Arthritis and Metabolic Diseases,
regular research projects and intramural research, by
category, fiscal year 1963_.

National Institute of Dental Research, regular research
projects and intramural research, by category, fiscal year
1963-

National Institute of General Medical Sciences, regular re-
search projects, by category, fiscal year 1963..
National Institutes of Health, regular projects and intra-
mural research, by institute, fiscal year 1963.
National Institute of Mental Health, regular research proj-
ects and intramural research, by category, fiscal year 1963.
National Institute of Neurological Diseases and Blindness,
regular research projects and intramural research, by
category, fiscal year 1963---

Number of physicians in the United States, and ratio to
population of all physicians and of those in research and
teaching..

389

391

392

393

393

392

394

390

390

206

Percent distribution of medical college classes of 1935, 1940,
and 1945 by type of activity in two surveys..
Percent of medical college graduates in teaching and/or
research, by year of graduation...

206

207

Air pollution..

Principal Bureau of State Services (Environmental Health)
interagency working and committee relationships (1963) _
Professional scientific personnel in environmental health...
Proportion of medical graduating classes in selected years
making specific types of career choices in medicine_----
Public Health Service appropriations-1950, by purpose___
Public Health Service appropriations-1955, by purpose..
Public Health Service-1960 appropriations, as apportioned_
Public Health Service-1961 as appropriated, by purpose___
Public Health Service-1962 as appropriated, by purpose..
Public Health Service-1963 as appropriated, by purpose.--
Research grants-

Environmental engineering and food protection...
Occupational health...

447

165

206

98

97

96

94

93

90

162

163

163

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State air pollution programs, 1961 (those spending $5,000

per year or more)..

130

Total number of physicians and number in research and/or
teaching, 1931-60....

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American Medical Association, letter signed by Dr. F. J. L. Blasingame dated July 16, 1963..

459

Larrick, George P., Commissioner, Food and Drug Administration,
letter dated May 10, 1963, re legal use of barbiturates and ampheta-
mines...

289

ORGANIZATION OF PUBLIC HEALTH SERVICE

TUESDAY, APRIL 23, 1963

HOUSE OF REPRESENTATIVES,

SUBCOMMITTEE ON PUBLIC HEALTH AND SAFETY

OF THE COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE,

Washington, D.C. The subcommittee met at 10 a.m., pursuant to call, in the caucus room, Cannon Office Building, Hon. Kenneth Roberts (chairman of the subcommittee) presiding.

Mr. ROBERTS. The subcommittee will please be in order.

This morning, the subcommittee on Public Health and Safety is beginning hearings on H.R. 2410, entitled "A bill to amend the Public Health Service Act to provide greater flexibility in the organization of the U.S. Public Health Service, and for other purposes."

The bill was introduced by Representative Oren Harris, chairman of the full committee, at the request of the administration. The bill would grant to the Surgeon General broad powers to reorganize the Public Health Service.

During the first days of hearings, the subcommittee will attempt to lay a broad foundation for the subsequent and more detailed consideration of the provisions of the bill.

In order to deal properly with this legislation, I believe that it is necessary for the subcommittee to have a clear picture of the present programs administered by the Public Health Service, and to be aware of the directions in which these programs have developed over the years and are likely to develop in the future if the public health needs of the American people are to be met adequately.

No person and no agency is an island. This is also true of the Public Health Service. The nature of the demands made by modern developments in the health field is such that these demands can no longer be met by the Public Health Service alone.

In order to properly meet these needs, the responsibilities of other Federal agencies both within and outside the Department of Health, Education, and Welfare must be coordinated with those of the Public Health Service.

Therefore, the subcommittee will take a brief look at the health responsibilities of other Federal agencies and at the governmental machinery and procedures used to coordinate the public health responsibilities of these several agencies.

In conducting these hearings, the Chair and all of the members of the subcommittee are very mindful of their responsibilities. In approaching the pending reorganization legislation in this manner, it is the purpose of the subcommittee to make a careful review of the programs and the organization of the Public Health Service. This is a

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