[Federal Register Volume 60, Number 67 (Friday, April 7, 1995)]
[Notices]
[Pages 17792-17795]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-8634]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
Centers for Disease Control and Prevention; Statement of
Organization, Functions, and Delegations of Authority
Part H, Chapter HC (Centers for Disease Control and Prevention) of
the Statement of Organization, Functions, and Delegations of Authority
of the Department of Health and Human Services (45 FR 67772-76, dated
October 14, 1980, and corrected at 45 FR 69696, October 20, 1980, as
amended most recently at 59 FR 63406-62407, dated December 5, 1994) is
amended to reflect the transfer of the Division of HIV/AIDS, excluding
the Hematologic Diseases Branch, Immunology Branch, and Laboratory
Investigations Branch, from the National Center for Infectious Diseases
to the National Center for Prevention Services.
Section HC-B, Organization and Functions, is hereby amended as
follows:
Delete in its entirety the title and functional statement for the
Division of HIV/AIDS (HCRK).
Following the functional statement for the Division of Oral Health
(HCM6), Office of the Director (HCM61), insert the following:
Division of HIV/AID (HCM7). (1) Conducts national surveillance of
infectious diseases and other illnesses associated with human
immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS),
and sentinel surveillance of HIV infection; (2) conducts national and
international surveillance, epidemiologic investigations, and studies
to determine risk factors and transmission patterns of HIV/AIDS; (3)
develops recommendations and guidelines on the prevention and control
of HIV/AIDS; (4) evaluates prevention and control activities in
collaboration with other CDC components; (5) provides epidemic aid,
epidemiologic and surveillance consultation, and financial assistance
for HIV/AIDS surveillance activities to State and local health
departments; (6) provides consultation to other PHS agencies, medical
institutions, and private physicians; (7) provides information to the
scientific community through publications and presentations; (8) works
closely with NCID on HIV/AIDS surveillance activities and epidemiologic
studies that require laboratory support and collaboration.
Office of the Director (HCM71). (1) Plans, directs, and coordinates
the activities of the Division; (2) develops goals and objectives and
provides leadership, policy formulation, and guidance in program
planning and development; (3) provides program management and
administrative support services for HIV/AIDS activities, both domestic
and international.
International Activity (HCM712). (1) Designs and executes
epidemiologic studies of HIV infection in developing nations of Africa
and other continents; (2) develops and conducts epidemiologic studies
of risk factors for AIDS and HIV transmission; (3) provides technical
assistance to developing nations to develop AIDS case surveillance
systems; (4) assists foreign governments in carrying out seroprevalence
studies and surveys; (5) implements strategies to protect the blood
supply in developing countries; (6) assists in the design,
implementation, and evaluation of AIDS prevention and control
activities; (7) performs epidemiologic studies of HIV/AIDS
interventions in foreign countries; (8) coordinates with other CIOs in
CDC that have similar international responsibilities; (9) provides
consultation to WHO, USAID, and AIDSTECH, and other organizations whose
mission is to prevent and control HIV infection and related outcomes.
Technical Information Activity (HCM713). (1) Provides scientific
information, in cooperation with other CDC organizations, to health-
care professionals, public health officials, and the general public;
handles controlled and general correspondence and prepares responses to
Freedom of Information Act requests; (2) coordinates preparation of
responses and provision of material requested by Congress; (3)
coordinates preparation of documents for annual program review with the
Directors of NCPS and CDC; (4) prepares HIV/AIDS briefing reports for
Director, CDC, and the Assistant Secretary for Health; (5) prepares
printed and audiovisual materials on HIV/AIDS in cooperation with other
CDC organizations; (6) assists in preparing guidelines for prevention
of HIV infection; (7) maintains library of HIV/AIDS reprints and MMWR
articles and distributes on request; (8) coordinates requests for
presentations at scientific, medical, and public health meetings; (9)
assists in preparing, editing, and clearing manuscripts; (10) plans and
arranges for HIV/AIDS conferences and scientific meetings sponsored by
CDC.
Epidemiology Branch (HCM72). (1) Designs and conducts epidemiologic
studies to determine risk factors, co-factors, and modes of
transmission for AIDS and HIV infection; (2) conducts epidemic aid
investigations of HIV infection, infectious disease, and other
illnesses associated with HIV/AIDS; (3) conducts technical reviews of
proposals submitted for epidemiologic studies, arranges for ad hoc
panel reviews, and recommends funding levels; (4) provides
epidemiologic consultation to State and local health departments, other
PHS agencies, and other groups and individuals investigating the
syndrome; (5) responds to inquiries from physicians and other health
providers for information on the medical and epidemiologic aspects of
HIV/AIDS.
Pediatric and Family Studies Section (HCM722). (1) Designs and
conducts epidemiologic studies of AIDS and HIV infection that examine
risk factors, modes of transmission, and the natural history of disease
in children, adolescents, mothers, and other family members; (2)
develops guidelines and recommendations to reduce transmission in these
populations, particularly aspects related to transmission from mother
to child and [[Page 17793]] the effects of pregnancy on infected women;
(3) conducts epidemic investigations of infectious diseases and other
illnesses associated with AIDS and HIV infection related to these
populations; (4) provides technical assistance to medical
professionals, health departments, the mass media, and the public on
various issues concerning the HIV/AIDS epidemic and its effect on these
population groups.
Social and Behavioral Studies Section (HCM723). (1) Designs and
conducts social, psychological, and behavioral studies of AIDS and HIV
infection that examine cognitive, social, and environmental influences
on behaviors associated with the transmission of HIV and development of
life-threatening disease; (2) develops guidelines and recommendations
to reduce transmission of HIV and the development of AIDS; (3) assists
biomedical and epidemiologic researchers in investigations of
infectious diseases associated with AIDS and HIV infection; (4)
provides technical assistance to social, behavioral, and biomedical
scientists, health departments, universities, the mass media, and the
public on social and behavioral aspects of the HIV/AIDS epidemic.
Special Studies Section (HCM724). (1) Designs and conducts
epidemiologic studies examining the natural history of HIV infection
and AIDS and the efficiency of, and risk factors for, the transmission
of HIV by homosexual, heterosexual, or bloodborne routes (i.e.,
transfusion, organ transplantation, or needle-sharing); (2) conducts
epidemic investigations of infectious diseases and other illnesses
associated with AIDS and HIV infection in these risk groups; (3)
develops guidelines and recommendations to reduce HIV transmission in
these affected populations; (4) provides technical assistance to
medical professionals, health departments, the mass media, and the
public on various issues concerning the HIV/AIDS epidemic in these
populations; (5) develops and maintains systems for the laboratory
monitoring of specimens for human immunodeficiency virus type 2 (HIV-2)
infection in the United States and conducts epidemiologic
investigations of identified cases.
Field Services Branch (HCM73). (1) Serves as the focus for the
Division of HIV/AIDS in carrying out field initiatives and programs
with State and local health departments; (2) assists the Surveillance,
HIV Seroepidemiology, and Statistics and Data Management Branches in
implementing and maintaining HIV/AIDS surveillance activities and HIV
seroprevalence surveys and studies at the State and local level; (3)
administers and tracks the surveillance and seroprevalence components
of combined AIDS Prevention and Surveillance cooperative agreements
with State and local health departments; (4) works with the Office of
the Division Director and the Procurement and Grants Office in
processing cooperative agreements and contracts; (5) negotiates field
assignments of public health advisors with State and local health
officials and provides supervision and training for the advisors; (6)
provides training, technical assistance, and consultation to State and
local health departments; (7) consults and collaborates with other CDC
organizations to assure efficient and effective utilization of
available resources.
Consultation Section (HCM732). (1) Assists the Surveillance, HIV
Seroepidemiology, and Statistics and Data Management Branches in
implementing projects related to HIV/AIDS surveillance and serosurveys;
(2) coordinates, reviews, and conducts program negotiations and
participates in budget negotiations for HIV/AIDS surveillance and
seroprevalence cooperative agreement applications; (3) serves as the
Division focal point for communications with State and local health
departments and the PHS Regional Offices regarding HIV/AIDS
surveillance and seroprevalence surveys and studies; (4) works closely
with the medical epidemiologists of the Surveillance and HIV
Seroepidemiology Branches to ensure local adherence to surveillance and
serosurvey protocols and program guidelines; (5) identifies projects
needing on-site epidemiologic assistance from the Surveillance and HIV
Seroepidemiology Branches and provides coordination of required on-site
visits; (6) monitors, maintains, and follows surveillance and
seroprevalence activities (including no identified risk cases)
conducted by recipients of HIV/AIDS cooperative agreement funds in
collaboration with the Surveillance and HIV Seroepidemiology Branches;
(7) negotiates field assignments of public health advisors with State
and local health officials, provides support and supervision of field
assignees, and conducts site reviews and evaluations of State and local
HIV/AIDS surveillance and seroprevalence programs to identify and
assist in resolving problems.
Training Section (HCM733). (1) Serves as Division resource in
conducting meetings, conferences, and workshops; (2) plans, conducts,
and evaluates training and development of public health advisor field
assignees; (3) determines training needs and plans, and conducts and
coordinates surveillance and seroprevalence training courses for State
and local health department staff; (4) develops surveillance and
seroprevalence training and operational manuals and guidelines for
State and local personnel.
HIV Seroepidemiology Branch (HCM74). (1) Plans, develops, and
coordinates HIV clinic and special surveys and population studies in
selected geographic areas; (2) provides data and serves as the focus
for information about the extent of HIV prevalence and incidence in the
U.S.; (3) collaborates and provides technical assistance to public and
private organizations regarding HIV seroprevalence; (4) works closely
with other CDC organizations in applying prevalence and incidence data
to target and evaluate HIV prevention programs; (5) works with the
Surveillance Branch and the Statistics and Data Management Branch to
evaluate HIV/AIDS trends in incidence and prevalence projections; (6)
collaborates and works closely with the Field Services branch to
effectively implement and evaluate CDC-funded HIV seroprevalence
surveys.
Clinic and Special Surveys Section (HCM742). (1) Designs, monitors,
and evaluates HIV seroepidemiologic surveys and studies in health care
sites such as sexually transmitted disease, tuberculosis, drug
treatment, and women's health clinics, and in additional selected
populations; (2) provides guidance, technical assistance, and
consultation to the Field Services Branch and State and local health
departments in implementing clinic and special surveys and studies; (3)
ensures the collection and analysis of HIV prevalence data; (4)
prepares MMWR and other scientific articles and report related to HIV
prevalence and trends of HIV infection in selected health care
facilities; (5) provides technical assistance to and coordination with
CDC organizations in interpreting and utilizing seroprevalence data to
implement and evaluate HIV prevention programs.
Population Studies Section (HCM743). (1) Designs, implements,
monitors, and evaluates seroepidemiologic surveys and studies among
populations such as childbearing women, hospital clients, blood donors,
civilian applicants for military services, Job Corps entrants, patients
of family practitioners, and Native Americans; (2) ensures the analysis
of HIV prevalence data in these populations; (3) coordinates, reviews,
and participates in budget and program negotiations of HIV
seroprevalence cooperative agreement [[Page 17794]] applications and
contract proposals; (4) provides on-site technical assistance and
consultation to grantees and contractors, including State and local
health departments, hospitals, universities, blood centers, and private
organizations, and other Federal agencies such as the Departments of
Defense and Labor, and the Indian Health Service; (5) administers
cooperative agreements and contracts for HIV seroprevalence and
studies; (6) prepares MMWR and scientific articles and reports related
to the incidence and prevalence of HIV infection among selected
populations; (7) provides technical assistance and consultation to the
Field Services Branch and to other CDC organizations and other agencies
interpreting and utilizing seroprevalence data to implement and
evaluate HIV prevention programs.
Statistics and Data Management Branch (HCM75). (1) Manages,
directs, and coordinates the activities of the Statistics and Data
Management Branch; (2) provides leadership in the development of Branch
planning, policy, implementation, and evaluation; (3) provides data
management and statistical support for AIDS/HIV surveillance, HIV
serosurveys, and epidemiologic studies; (4) develops, negotiates,
monitors, and evaluates projects to construct mathematical models of
the spread of AIDS and HIV infection; (5) creates mathematical models
to project the incidence of AIDS and HIV infection; (6) provides
statistical models of epidemiologic parameters to describe the
efficiency of HIV transmission and the incubation time for AIDS; (7)
responds to inquiries from medical professionals, health departments,
the media, and the public about AIDS epidemic statistical issues,
including projections of the number of AIDS cases and estimates of
persons infected with HIV.
Seroepidemiology Support Section (HCM752). (1) Provides data
management support for the HIV Family of Surveys, including receipt and
acknowledgment of electronically transmitted data, entry of hard copy
data, editing, uploading, and producing standard data analyses; (2)
coordinates, in collaboration with the HIV Seroepidemiology Branch, the
development and operation of data management systems for HIV surveys
and studies; (3) designs and develops microcomputer-based software for
clinics, hospitals, State laboratories and health departments to use in
managing data collected from a variety of HIV prevalence surveys; (4)
provides consultation and computer programming assistance to project
officers in analyzing data from their respective surveys and studies;
(5) assists the HIV Seroepidemiology Branch and Section Chiefs in
preparing summaries of analyses and reports of Family of Surveys data;
(6) recommends mainframe and microcomputer hardware and software that
will be required to support the National HIV Seroprevalence Surveys
data management.
Statistics Section (HCM753). (1) Provides statistical support in
the design and analysis of data from epidemiologic studies; (2)
provides statistical support in estimating the prevalence of HIV
infection in a variety of survey populations; (3) develops statistical
models describing changes in the prevalence of HIV infection over time;
(4) assists the Surveillance Branch in the analysis of trends in HIV/
AIDS surveillance data by different demographic and patient risk
characteristics; (5) supplies a large number of statistical services to
division components, including the review of statistical methods in
manuscripts, production of standardized statistical reports and
additional data analysis; (5) creates mathematical models to project
the incidence of AIDS and HIV infection; (7) provides statistical
models of epidemiologic parameters to describe the efficiency of HIV
transmission and the incubation time for AIDS.
Surveillance Support Section (HCM754). (1) Coordinates, in
collaboration with the Surveillance Branch, the development and
operation of data management systems for HIV surveys and studies; (2)
designs and develops microcomputer-based data management software used
by State and local health departments for collecting and reporting HIV/
AIDS surveillance data; (3) provides user manuals and telephone support
to health department personnel using CDC-developed software; (4)
designs, implements, and supports mainframe data systems for HIV/AIDS
epidemiologic and surveillance studies; (5) provides consultation and
computer programming assistance to project officers in analyzing data
from their respective surveys and studies; (6) prepares, distributes,
and supports public information data sets containing HIV/AIDS
surveillance and epidemiologic statistical findings for the world
research community; (7) recommends hardware and software packages that
will be required to support the national AIDS/HIV surveillance.
Systems and Hardware Support Section (HCM755). (1) Designs,
implements, and supports data systems for HIV/AIDS epidemiologic and
laboratory studies, both in the United States and in overseas sites;
(2) creates and maintains data entry and management systems for use by
collaborating health departments and research organizations; (3) codes
and enters data collected from HIV/AIDS research studies into CDC's
computers; (4) supports office automation hardware and software; (5)
recommends and supports hardware and software used for data management,
data analysis, networking, word processing, and desktop publishing.
Surveillance Branch (HCM76). (1) Conducts national surveillance of
AIDS cases in coordination with State/local health departments; (2)
maintains national confidential registry of cases; (3) monitors adult
and pediatrics HIV-related mortality and morbidity and AIDS risk-group
trends; (4) develops additional methods of surveillance of HIV and HIV-
related disease; (5) evaluates surveillance systems for HIV-related
disease and modifies surveillance and methodologies as needed to meet
changing needs of AIDS programs at the national, State, and local
levels; (6) provides consultation and technical assistance on
surveillance activities to State and local health departments; (7)
provides international consultation on surveillance and epidemiology of
HIV/AIDS.
Reporting and Analysis Section (HCM762). (1) Conducts national
surveillance of HIV/AIDS; (2) develops and distributes surveillance
guidelines, case definitions, and case report forms in coordination
with State/local health departments; (3) maintains national
confidential registry of cases; (4) conducts routine analysis of
surveillance data and disseminates information on morbidity, mortality,
and AIDS risk-group trends, and survival trends; (5) collaborates with
the Statistics and Data Management Branch in the projection of HIV/AIDS
trends through mathematical modeling; (6) in collaborating with other
NCPs programs, evaluates State and local case reporting systems for
HIV-related disease, including impact of State laws on reporting and
modifications in reporting criteria; (7) assists with responses to
public inquiries; (8) provides technical direction to the HIV
Seroepidemiology Branch in monitoring surveillance programs at the
State level.
Special Projects Section (HCM763). (1) Develops alternative methods
of surveillance for spectrum of HIV-related disease; (2) conducts
selected analyses of HIV-related morbidity and mortaility data to
determine at-risk populations, risk factors, survival trends, etc., and
[[Page 17795]] disseminates results through publications and
presentations; (3) updates criteria for reporting pediatric and adult
cases; (4) assists the Reporting and Analysis Section with studies to
evaluate the completeness, timeliness, and other aspects of reporting;
(5) collaborates with other NCPS programs in the epidemiologic
investigations of atypical or unusual HIV/AIDS cases.
Effective Date: March 28, 1995.
David Satcher,
Director, Centers for Disease Control and Prevention.
[FR Doc. 95-8634 Filed 4-6-95; 8:45 am]
BILLING CODE 4160-18-M
