Mr. NESTINGEN. They would.

Mr. ROGERS of Florida. All right, sir.

Mr. NESTINGEN. In the Food and Drug Administration we have activities in the international field. None of the people are specifically assigned in the Food and Drug international activities as such. In the Office of Education we have 136 devoted to international activities.

In the Office of Vocational Rehabilitation, we have eight.
In the Social Security Administration, we have 17.

Mr. ROGERS of Florida. Overseas or here?

Mr. NESTINGEN. Those are all here.

Mr. ROGERS of Florida. Did I understand you to say in Food and Drug there were none?

Mr. NESTINGEN. None specifically assigned as such, although they are interested in international activities in one way or another quite frequently.

Mr. ROGERS of Florida. Where are the personnel in the Office of Education?

Mr. NESTINGEN. Mr. Kevan?

Mr. KEVAN. Those are in the Division of International Education of the Office of Education, and a considerable portion of those people are paid for by transfer of funds by AID and by State Department in the operation of programs in their behalf.

Mr. ROGERS of Florida. Is this an educational program on public health?

Mr. KEVAN. No, these are all in the pure international education field.

Mr. ROGERS of Florida. Strictly education?

Mr. KEVAN. That is right.

Mr. ROGERS of Florida. What type of programs?

Mr. KEVAN. These people are involved in administering, on behalf of State Department, the teacher exchange program and the teacher development program.

They are considerably involved for AID in the programing of AID participants in the education field. They are involved in doing recruitment of educators in behalf of AID.

They also have some statutory responsibilities of their own in connection with the conducting of comparative education studies. Mr. ROGERS of Florida. What is the extent of the exchange program, the student exchange? How many?

Mr. KEVAN. The Office of Education is involved primarily in the teacher exchange, not in the student end of it, for State. And the teacher exchange activity for fiscal year 1961, I believe, programed by the Office of Education, was roughly around 1,000.

Mr. ROGERS of Florida. Teacher exchange?

Mr. KEVAN. Yes.

Mr. ROGERS of Florida. Does that include our students going to foreign schools?

Mr. KEVAN. No. This includes teachers going both ways.

Mr. ROGERS of Florida. Both ways?

Mr. KEVAN. Yes, sir.

Mr. ROGERS of Florida. What would you say would be the ratio between those going out and those coming in?

Mr. KEVAN. I would have to furnish that for the record, CongressI will be glad to provide that.

man.

(The information requested follows:)

Public Law 531, 83d Cong., cooperative research..

National Institutes of Health, Public Health Service Act as amended.

Other U.S. Departments and Agencies..

United Nations and Specialized Agencies.

Organization of American States..

Total..

Non-U.S. sponsored..

Grand total.

1 Estimated.

Fiscal year
1961

1st half, fiscal year

1962

2,230

1,642

903

803

331

235

22

I 16

1 68

13

American teachers and scholars sent abroad under DHEW-administered programs

Mr. ROGERS of Florida. Do you handle the student exchange at all?

Mr. KEVAN. No. The Office of Education is not involved in that in any direct manner. Only in the teacher development program and the exchange of teachers in the elementary and secondary levels. Mr. ROGERS of Florida. With this Assistant Secretary, I am presuming he is involved in working out all the arrangements and agreements?

Mr. KEVAN. Yes. In working out the various policy arrangements with the Assistant Secretary for Educational and Cultural Affairs, as far as the State Department is concerned, and, of course, any relationship with Mr. Hamilton, Mr. Coffin, and other top officials in AID.

Mr. ROGERS of Florida. Could you tell us, Mr. Secretary, or furnish for the record, the amount of foreign-aid funds that will be used in the international health field?

Mr. NESTINGEN. We will furnish that, yes, sir. (The information requested follows:)

The responsibility and authority for these funds is vested in the Agency for International Development so that the information requested is not available in this Department. Accordingly we have requested the Agency for International

Development to prepare this information and will transmit it to you as soon as it is received.

Mr. ROGERS of Florida. That would be helpful to have that. Thank you very much. I appreciate it.

Thank you, Mr. Chairman.

The CHAIRMAN. Thank you, Mr. Rogers.
The gentleman from Minnesota.

Mr. NELSEN. Going back to my question, my earlier question, you stated that one of these employees would primarily be a change in title from his existing position. I am assuming that this particular Assistant Secretary is doing the job that he would continue to do as an Assistant Secretary, judging from this language, is that true? Mr. NESTINGEN. That is correct.

Mr. NELSEN. Assuming that this bill were not to pass, would it not be possible under the organization of the Department to assign someone to do the job that you want done under this bill, with the responsibilities that you cite?

I am asking the question for this reason:

That within Departments, it is always possible to organize the lines of authority so someone is assigned to do the job that is necessary to be done. And I wondered what would happen, could you not do this job without the passage of this bill?

Mr. NESTINGEN. I think the concern we have in leaving the position as Special Assistant to the Secretary is you are not-there is not being accorded to the work, responsibility and the scope of that position the recognition that it is entitled to and very much deserves.

This is a very broad and important range of activities that extends through a Department involving 78,000 employees, a budget in excess of $5 billion estimated for fiscal year 1963, and it is tremendously important.

Now, the position is an Assistant Secretary level, and should be accorded that. It takes a legislative change to effectuate that.

Mr. NELSEN. The work could be done. However, the prestige is valuable as far as the recognition of the responsibility, I presume.

Mr. ROGERS of Florida. From my understanding of the testimony, you feel that it is correct and essential to have this change in designation because not only with the workload, but because in dealing with other Government departments, this particular individual would deal on the level where other departments have such a position designated as an Assistant Secretary, is that correct?

Mr. NESTINGEN. He deals on that level, yes, he does.

Mr. ROGERS of Florida. And so dealing, now, as a special assistant puts him in a category that is not exactly the same as the other departments?

Mr. NESTINGEN. I do not believe that you need to place the emphasis on that; in my judgment, you do not. It is repetitious, but what is basic to the request is the scope, nature, and importance of the work, which is very extensive.

Mr. NELSEN. Do you have any breakdown as to where the new personnel have been assigned, the 7,600?

Mr. NESTINGEN. We can furnish it to you. I do not have it immediately available.

(The information requested follows:)

Department of Health, Education, and Welfare estimated increase in employment,

Organization

fiscal year 1962

1 Excludes Gallaudet College and Howard University. Also excludes employees paid from allocations to and from DHEW.

Mr. NELSEN. That is all, Mr. Chair an.
The CHAIRMAN. What would the salary of th

be?

Mr. NESTINGEN. $20,000.

The CHAIRMAN. $20,000?

Mr. NESTINGEN. Yes, sir.

The CHAIRMAN. The gentleman from Florida.

Mr. ROGERS of Florida. I believe you stated that the spa assistant now has that salary?

Mr. NESTINGEN. He has that salary now.

Mr. ROGERS of Florida. So there would be no change as far a cost?

4 Mr. NESTINGEN. There would be no change.

The CHAIRMAN. Thank you, Mr. Secretary.

Mr. NESTINGEN. Thank you, Mr. Chairman and members of the committee.

The CHAIRMAN. The Chair would like to acknowledge the presence of the ladies who joined us a few minutes ago. They add a lot to our hearing, I might say. They are members of a club in Maryland and are here as guests of Congressman Brewster, of Maryland.

The Chair, in behalf of the subcommittee, would like to say we are delighted to have you.

Thank you, Mr. Secretary.

This will conclude the hearing on H.R. 6839.

The next bill that we will hear will be H.R. 8398, introduced by Mr. Harris, of Arkansas, chairman of the full committee, which has as its purpose the establishment of an Institute of Child Health and Human Development.

Our first witness will be Dr. Boisfeuillet Jones, special assistant to the Secretary, health and medical affairs, Department of Health, Education, and Welfare.

I see you are accompanied by Dr. Terry, our Surgeon General, and Dr. James A. Shannon, Assistant Surgeon General.

We are delighted to have you with us, and you may proceed with your statement.

STATEMENT OF BOISFEUILLET JONES, SPECIAL ASSISTANT TO THE SECRETARY, HEALTH AND MEDICAL AFFAIRS, DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE; ACCOMPANIED BY DR. LUTHER L. TERRY, SURGEON GENERAL, PUBLIC HEALTH SERVICE; DR. JAMES A. SHANNON, ASSISTANT SURGEON GENERAL, NATIONAL INSTITUTES OF HEALTH; AND SYDNEY A. SAPERSTEIN, LEGISLATIVE ATTORNEY, OFFICE OF GENERAL COUNSEL, HEW

Mr. JONES. Thank you, Mr. Chairman.

Mr. Chairman and members of the committee, I welcome this opportunity to explain and support the provisions of H.R. 8398—a bill to amend the Public Health Service Act to provide for the establishment of an Institute of Child Health and Human Development, and for other purposes.

This bill was introduced by the chairman of your committee to carry out one of the specific legislative recommendations in President Kennedy's health message to the Congress last year. Its immediate purpose is to strengthen the administrative structure for certain research programs at the National Institutes of Health. Its ultimate objective, however, is to facilitate the conduct and support of research leading to better health for our own people and the people of other nations with particular emphasis on the health needs of children and of the aged.

PRESENT ORGANIZATION OF THE NATIONAL INSTITUTES OF HEALTH

Before proceeding to a discussion of the specific provisions of the bill, let me briefly review the legislative history of our present institute structure, a legislative history in which your committee has played a prominent role.

Within the National Institutes of Health there are now seven categorical Institutes established by, or pursuant to, specific legislative enactments. For each of these Institutes there has also been established a separate National Advisory Council. The National Cancer Institute and its Council were established in 1937. Then, in the years immediately following World War II several more institutes and councils were established, in fairly rapid succession, in the fields of mental health, heart diseases, dental diseases, arthritis and metabolic diseases, and neurological diseases and blindness.

Included in the 1950 legislation which established the last two statutory Institutes were provisions authorizing the Surgeon General, by administrative action, to create such additional institutes and councils as he may find necessary for the conduct and support of research relating to other diseases. Under this authority an additional Institute and Council were established in 1955 for research in the field of allergy and infectious diseases.

It should be noted, however, that the language of this authority for the administrative establishment of new institutes is limited in one important respect. Any institute so established must be focused on research relating to a particular "disease or group of diseases." It is not possible, under present statutory language, to establish an