INTERSTATE AND FOREIGN COMMERCE NINETY-SECOND CONGRESS SECOND SESSION ON H.R. 14030 STANFORD UNIVERS A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACT TO VACCINATION ASSISTANCE AND H.R. 14455 DOCUMEN 1972 A BILL TO AMEND THE PUBLIC HEALTH SERVICE ACARTMENT EXTEND AND REVISE THE PROGRAM OF ASSISTANCE APRIL 27, 1972 Serial No. 92-66 Printed for the use of the Committee on Interstate and Foreign Commerce 78-832 O U.S. GOVERNMENT PRINTING OFFICE WASHINGTON: 1972 COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE HARLEY O. STAGGERS, West Virginia, Chairman TORBERT H. MACDONALD, Massachusetts WILLIAM L. SPRINGER, Illinois JOHN JARMAN, Oklahoma JOHN E. MOSS, California JOHN D. DINGELL, Michigan PAUL G. ROGERS, Florida LIONEL VAN DEERLIN, California J. J. PICKLE, Texas FRED B. ROONEY, Pennsylvania DAVID E. SATTERFIELD III, Virginia W. S. (BILL) STUCKEY, JR., Georgia. SAMUEL L. DEVINE, Ohio ANCHER NELSEN, Minnesota JAMES T. BROYHILL, North Carolina TIM LEE CARTER, Kentucky FLETCHER THOMPSON, Georgia JOHN Y. MCCOLLISTER, Nebraska Report of Office of Management and Budget_ Bauman, Dr. M. Leon, president, U.S. Conference of City Health Carver, Dr. David H., director, division of infectious diseases, depart- ment of pediatrics, Johns Hopkins University School of Medicine-- Duncan, Edgar N., Acting Deputy Administrator for Health Services Delivery, Health Services and Mental Health Administration, De- partment of Health, Education, and Welfare.. Kiesewetter, Charles R., National Tuberculosis and Respiratory Hardy, Dr. George E., Jr., health officer, Jefferson County (Alabama) Hinman, Dr. Alan R., assistant commissioner for epidemiology and preventive health services, New York State Department of Health. 71, 76 Hume, Dr. John C., chairman, executive committee, American Social Reichman, Dr. Lee B., director, bureau of tuberculosis, New York Sellers, Clyde A., director, bureau of communicable disease control, Jefferson County (Alabama) Department of Health Sencer, Dr. David J., Director, Center for Disease Control, Health Services and Mental Health Administration, Department of Health Webster, Dr. Bruce P., president, American Social Health Association American Medical Association, letter dated May 8, 1972, from Ernest American Nurses' Association, Inc., letter dated May 3, 1972, from Eileen M. Jacobi, R.N., Ed. D., executive director, to Chairman American Social Health Association: Letter dated May 3, 1972, from Dr. Bruce Webster, chairman, National Commission on Venereal Disease, to Chairman Rogers re amounts of Federal money expended on venereal disease Report of the National Commission on Venereal Disease to the Assistant Secretary for Health and Scientific Affairs, Depart- ment of Health, Education, and Welfare....... "Today's VD Control P. oblem-1972," joint statement written and published by the American Social Health Association and co-sponsored by the American Public Health Association, the American Venereal Disease Association, and the Association of State and Territorial Health Officers.. Association of State and Territorial Health Officers, Dr. Raymond L. Additional material submitted for the record by-Continued Carver, Dr. David H., director, division of infectious diseases, "Current status of measles in the United States," from the Journal Hepatitis—reported as infectious 1970 and 1971; and reported as Morbidity and mortality weekly report-Annual number of cases: Morbidity and mortality weekly report-December 4, 1971; Morbidity and mortality weekly report-April 15, 1972- Table 1.-Poliomyelitis cases reported to CDC in 1970.. Health, Education, and Welfare Department: Appropriations requested under sections 314(e), 317 and Public California policy re nurses and paramedics administering vaccine Section 314(d)—Health services delivery allocations of grants for State plan for public health and mental health services under 47 States which indicated insufficient resources for DPT vaccine 30 Jefferson County (Alabama) Department of Health: Figure 1-Syphillis and gonorrhea case rates per 100,000 popula- 92 93 Figure 3-Tuberculosis: 1971 new active case rates per 100,000 94 ham Koch, Hon. Edward I., a Representative in Congress from the State New York City Department of Health, Appendix I-New active Gonorrhea, New York State 1950-71. Number of measles immunizations in public clinics, New York Primary and secondary syphilis, New York State, 1950-71- Quarterly cases of measles and cumulative doses measles vaccine Resolution of the Action Committee for Childhood Immuniza- U.S. Conference of City Health Officers: Appendix C-Primary and secondary syphillis, urban-rural dis- Appendix A-U.S. immunization survey-1970–71. 98 99 99 COMMUNICABLE DISEASE CONTROL AMENDMENTS 1972 THURSDAY, APRIL 27, 1972 HOUSE OF REPRESENTATIVES, SUBCOMMITTEE ON PUBLIC HEALTH AND ENVIRONMENT, Washington, D.C. The subcommittee met at 10 a.m., pursuant to notice, in room 2322, Rayburn House Office Building, Hon. Paul G. Rogers (chairman) presiding. Mr. ROGERS. The subcommittee will come to order, please. We are considering legislation to extend and revise the Vaccination Assistance Act. For the past 5 months we have developed legislation to mount an attack on the Nation's two great killers: cancer and heart. We have passed into law the cancer legislation and have just concluded hearings on heart, lung, and blood legislation. During hearings on both we heard talk of the eventual magic bullet which some day we hope will be given us by the scientific research. In the meantime, we should use available tools of early detection and prevention, for these are about the only magic bullets we have now. We speak of prevention in medicine. I firmly believe in this concept, and I think the subcommittee does. Certainly this is the approach we need to begin to emphasize more. I think great neglect has been shown in using the tools of prevention in medicine which even now are available to halt the majority of communicable diseases. This is amazing to me. We can prevent measles, rubella, polio, tetanus, diphtheria and yet we really are not doing an adequate job. We have all but eradicated smallpox, but we have not taken the proper action against the other diseases, particularly childhood diseases. It is amazing that children are still dying from measles here in this country when there really is no reason for this. We fight to restore those who are mentally retarded, often as a result of measles, but fail to act against the diseases which could have prevented it. There is also the tremendous financial burden that is placed on those people who get these diseases. The measles epidemic in Los Angeles which is just now subsiding will cost people there almost $3 million. Just recently three people died there of measles or measles-related illness. It is estimated 18 to 20 will be retarded and will require lifetime care. Three years ago we were on the brink of eliminating measles with reported cases down to 22,000 in 1968. But a lack of commitment has allowed this disease to spread to over 75,000 reported cases in 1971. (1) |