[Federal Register Volume 63, Number 169 (Tuesday, September 1, 1998)]
[Notices]
[Pages 46458-46461]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-23476]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Diseases Control and Prevention
Statement of Organization, Functions, and Delegations of
Authority
Part C (Centers for Diseases 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 69296, October 20, 1980, as
amended most recently at 63 FR 34408-09, dated July 16, 1998) is
amended to reflect the restructuring of the Division of HIV/AIDS
Prevention, National Center for HIV, STD, and TB Prevention, Centers
for Diseases Control and Prevention.
Section C-B, Organization and Functions, is hereby amended as
follows:
Retitle the Division of HIV/AIDS Prevention (CK2) to the Division
of HIV/AIDS Prevention--Intervention Research and Support (CK2). Delete
the functional statement and insert the following:
(1) In cooperation with the CDC components, administers operational
programs for the prevention of human immunodeficiency virus (HIV)
infection and acquired immunodeficiency syndrome (AIDS); (2) provides
consultation, training, promotional, educational, other technical
services to assist State and local health departments, as well as
national, State, and local nongovernmental organizations, in the
planning, development, implementation, evaluation and overall
improvement of HIV prevention programs; (3) conducts behavioral,
communications, evaluation, and operational research into factors
affecting the prevention of HIV/AIDS; (4) develops recommendations and
guidelines on the prevention of HIV/AIDS; (5) evaluates prevention and
control activities in collaboration with other CDC components; (6)
provides assistance and consultation on issues related to programmatic
support, research, evaluation methodologies, and fiscal and grants
management to State and local health departments, nongovernmental
organizations, national organizations, and other research institutions;
(7) promotes linkages between health department HIV/AIDS programs and
other governmental and nongovernmental partners who are vital to
effective HIV/AIDS prevention efforts; (8) works closely with Health
Care Financing Administration (HCFA), Health Resources and Services
Administration (HRSA), other governmental and nongovernmental agencies,
and the managed care community (or the private medical sector) to
enhance and evaluate HIV prevention services in public and private
health care delivery systems; (9) provides consultation to other Public
Health Service agencies, medical institutions, private physicians, and
international organizations or agencies; (10) provides information to
the scientific community and the general public through publications
and presentations; (11) implements national HIV/AIDS prevention public
information programs and assists in developing strategic communications
activities and services at the national level to inform and educate the
American public about HIV/AIDS, especially people whose behavior places
them at risk for HIV infection; (12) provides technical support to CDC
assignees to State and local health departments who are working on HIV/
AIDS prevention and communications activities.
Delete the functional statement for the Office of the Director
(CK21) and insert the following:
(1) Plans, directs, and evaluates the activities of the division;
(2) develops goals and objective and provides national leadership and
guidance in HIV/AIDS prevention policy formulation and program planning
and development; (3) provides leadership for developing research in
behavioral aspects of HIV/AIDS prevention, evaluation of HIV/AIDS
prevention, and in coordinating activities between the division and
other NCHSTP divisions, CDC Centers, Institute, and Program Offices
(CIOs), and national-level prevention partners who influence HIV/AIDS
prevention programs involved in HIV/AIDS investigations, research, and
prevention activities; (4) in collaboration with other components of
CDC and with other governmental and non-governmental organizations,
develop and promotes policies and evaluation methods and recommends
research to enhance HIV prevention and control efforts in public and
private health care delivery systems; (5) provides oversight for human
subjects review of protocols and coordinates human subjects review
training; (6) coordinates within the division and between the division
and the Communications Office, NCHSTP, the response to the national and
local communications media on HIV/AIDS issues; (7) ensures
multidisciplinary collaboration in HIV/AIDS prevention activities; (8)
provides leadership and guidance for program management and operations
and the development of training and educational programs; (9)
coordinates the development of guidelines and standards to ensure
ongoing, effective HIV prevention programs and their evaluations; (10)
oversees the creation of materials designed for use by the media,
including press releases, letters to the editor, and other print and
electronic materials and programs, and ensures appropriate clearance of
these materials; (11) assists in the preparation of speeches and
Congressional testimony on HIV/AIDS for the Division Director, the
Center Director, and other public health officials; (12) provides
program services support in extramural programs management,
administrative services, and information systems services; (13)
collaborates, as appropriate, with nongovernmental organizations to
achieve the mission of the division; (14) provides international
consultation in collaboration with the Division of HIV/AIDS
Prevention--Surveillance and Epidemiology's lead activity on
international HIV/AIDS activities; (15) collaborates with other
branches, divisions, and CIOs to synthesize HIV prevention practices;
(16) in carrying out these activities, collaborates, as appropriate,
with other divisions and offices of NCHSTP, and with other CIOs
throughout CDC.
Delete the title and functional statement for the International
Activity (CK211).
Delete the title and functional statement for the Technical
Information Activity (CK212).
Delete the functional statement for the Behavioral Intervention
Research Branch (CK22) and insert the following:
(1) Applies current theory, practice, and empirical findings in
designing and conducting research on state-of-the-art interventions to
prevent HIV infection; (2) conducts research to examine methodological
issues related to implementation, design and evaluation aspects of
behavioral intervention research trials; (3) conducts research to
examine the processes and factors that influence effective and
efficient translation, diffusion, and sustainability of behavioral
intervention research findings to HIV prevention programs; (4)
summarizes and synthesizes the intervention research literature to
derive research priorities and specify the characteristics of effective
interventions to prevent HIV infection; (5) contributes to the
intervention research literature by publishing regularly in peer-
reviewed journals and CDC-sponsored publications; (6) collaborates with
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Federal, State, and local HIV prevention partners in identifying
research priorities and in designing intervention research (7)
collaborates and consults with CDC staff, other Public Health Service
agencies, State and local health departments, and other groups and
organizations involved in HIV prevention activities to devise and
facilitate technical assistance systems and activities related to the
application of behavioral science research findings to prevention
programs and policies.
Delete the functional statement for the Community Assistance,
Planning, and National Partnerships Branch (CK23) and insert the
following:
(1) In collaboration with State and local public health and non-
governmental national/regional and local partners, CDC CIOs, and other
Federal agencies, develops and implements programs, policies, and
activities that enable and mobilize affiliates and communities to
become involved with, and support, local and statewide strategic
community planning that improves HIV prevention programs and
activities; (2) plans, develops, implements, and manages strategies and
resources that build a comprehensive public health private-sector
partnership to prevent HIV infection/AIDS; (3) provides technical
consultation and assistance to State and local health departments,
community planning groups,and nongovernmental and other prevention
partners in operational aspects of HIV prevention; (4) monitors
activities of HIV prevention projects to ensure operational objectives
are being met; (5) establishes guidelines and policies for
implementation and continuation of State and local HIV prevention
programs; (6) provides technical review of grant applications and
prevention plans; (7) conducts continuing analysis of support
utilization and career development of field personnel and analysis of
other resource allocations and utilization in relation to HIV
prevention; (8) provides supervision for HIV prevention field staff;
(9) assists in the development of new operational programs and program
solicitations for HIV prevention; (10) coordinates program development
and implementation with State/local/regional community planning groups;
(11) facilitates linkages with sexually transmitted diseases (STDs) and
other HIV prevention programs at all levels to ensure coordination of
harm reduction and intervention strategies for populations with common
prevention needs; (12) works with national partners to foster HIV
prevention capabilities and activities in affected communities; (13)
funds and monitors the progress of minority and other community-based
organizations undertaking HIV prevention programs and activities; (14)
develops national public information programs for HIV/AIDS prevention,
working closely with behavioral scientists to create communications
messages that effectively promote adoption or maintenance of safe
behaviors; (15) promotes and facilitates the application of social
marketing principles to HIV prevention at the State and local levels;
(16) collaborates with external organizations and the news, public
service, entertainment, and other media to ensure that effective
prevention messages reach the public; (17) in collaboration with the
Training and Technical Support Systems Branch, creates and disseminates
materials that incorporate prevention marketing principles for use at
national, State, and local levels.
Delete the title and functional statement for the Edipdemiology
Branch (CK24).
Delete the title and functional statement for the HIV/AIDS
Surveillance Branch (CK25).
Delete the title and functional statement for the HIV
Seroepidemiology Branch (CK26).
Delete the title and functional statement for the Prevention
Communications Branch (CK27).
Retitle the Program Evaluation Branch (CK28) to the Program
Evaluation Research Branch (CK28).
Delete the title and functional statement for the Statistics and
Data Management Branch (CK29).
After the functional statement for the Training and Technical
Support Systems Branch (CK2A), insert the following:
Techical Information and Communications Branch (CK2B). (1)
Evaluates the effectiveness, costs, and impact of HIV prevention
interventions, strategies, policies, and programs as practiced or
implemented by public health agencies and organizations at the
national/regional and State/local levels; (2) collaborates in the
application of evaluation findings and techniques to the ongoing
assessment and improvement of HIV prevention programs; (3) conducts
evaluation research activities that include studies to evaluate the
effectiveness and impact of prevention strategies and programs, major
prevention activities, and policies; economic evaluations of HIV
prevention, including assessments of alternative prevention strategies
to encourage the best use of prevention resources; and development of
both process and outcome measures that HIV prevention programs can use
to assess their going performance; (4) seeks to advance the methodology
of HIV prevention evaluation through evaluation research activities;
(5) applies evaluation methods to improving HIV prevention programs,
including serving as a resource to other branches/activities, grantees,
and prevention partners regarding evaluation of both domestic and
international HIV prevention programs; collaborating with other
branches as they develop, test, and disseminate models for quality
assurance of programs and services; and collaborating with other
branches/activities in the development of methods to support the
systematic assessment (including self-assessment) and continuous
improvement of HIV prevention programs.
After the title and functional statement for the Surveillance and
Epidemiology Branch (CK46), Division of Tuberculosis Elimination (CK4),
insert the following:
Division of HIV/AIDS Prevention--Surveillance and Epidemiology
(CK5). (1) Conducts national surveillance of the human immunodeficiency
virus/acquired immunodeficiency syndrome (HIV/AIDS); (2) provides
consultation and statistical, epidemiological, and other technical
services to assist State and local health departments, as well as
national, State, and local nongovernmental organizations, in the
planning, development, implementation, and overall improvement of HIV
prevention programs; (3) conducts epidemiologic, surveillance,
etiologic, health services and operational research into factors
affecting the prevention of HIV/AIDS; (4) develops recommendations and
guidelines on the prevention of HIV/AIDS and associated illnesses; (5)
monitors surveillance of risk behaviors associated with HIV
transmission; (7) determines risk factors and transmission patterns of
HIV/AIDS by conducting national and international HIV/AIDS
surveillance, epidemiologic investigations, and research studies; (8)
develops preventive health services models for a variety of HIV-related
activities; (9) provides assistance and consultation on issues related
to epidemiology, surveillance, and research to NCHSTP, CDC, other
Public Health Service agencies, State and local health agencies,
community-based organizations; CDC prevention partners, medical
institutions, private physicians, and international organizations; (10)
provides epidemic aid, epidemiologic and surveillance consultation, and
financial assistance for HIV/AIDS surveillance activities to State and
local
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health departments; (11) provides information on HIV/AIDS surveillance
and epidemiology to the scientific community and the general public
through publications and presentations; (12) works closely with
National Center for Infectious Diseases (NCID) on HIV/AIDS surveillance
and epidemiologic investigations that require laboratory collaboration,
and on activities related to the investigation and prevention of HIV-
related opportunistic infections; (13) provide technical support to CDC
assignees to State and local health departments who are working on HIV/
AIDS surveillance activities; and (14) serves as the World Health
Organization (WHO) Collaborating Division on HIV/AIDS for epidemiology
and surveillance.
Office of the Director (CK51). (1) Plans, directs, and evaluates
the activities of the division; (2) develops goals and objectives and
provides national leadership and guidance in HIV/AIDS prevention policy
formulation and program planning and development; (3) provides
leadership in developing research in epidemiology, surveillance, and
other scientific aspects of HIV/AIDS prevention, and in coordinating
activities between the division and other NCHSTP divisions, CDC CIOs,
and national-level prevention partners who influence HIV/AIDS
prevention programs involved in HIV/AIDS investigations and research;
(4) provides oversight for human subjects review of protocols and
coordinates human subjects review training; (5) maintains lead
responsibility for HIV/AIDS issues related to epidemiology,
surveillance, or policy; (6) provides leadership and guidance for the
development of data management systems; (7) assists in the preparation
of speeches and Congressional testimony on HIV/AIDS for the division
Director, the Center Director, and other public health officials; (8)
coordinates international HIV/AIDS activities of the division and
ensures interdivisional coordination of international activists within
the center and CDC, as appropriate; (9) provides program services
support in extramrual programs management, administrative services, and
information systems services; (10) collaborates, as appropriate, with
nongovernmental organizations to achieve the mission of the division;
and (11) in carrying out these activities, collaborates, as
appropriate, with other divisions and offices of NCHSTP, and with other
CIOs throughout CDC.
Epidemiology Branch (CK52). (1) Designs and conducts epidemiologic
and behavioral studies in the United States to determine risk factors,
co-factors, and modes of transmission for HIV infection and AIDS; (2)
conducts studies of the natural history of HIV infection, including
manifestations of HIV disease in adults, adolescents, and children; (3)
designs and conducts research on the psychosocial, cultural and
contextual determinants of risk behaviors related to HIV risk
behaviors; (4) describes psychosocial impact of HIV on infected
individuals, their families, and close contacts and identifies
psychosocial and cultural determinants of disease outcomes of HIV-
infected individuals; (5) conducts both epidemiologic and behavioral
studies to evaluate appropriate biomedical interventions for preventing
HIV infection (primary prevention) and for preventing manifestations of
AIDS (secondary prevention); (6) conducts applied research, including
effectiveness trials, to assist in evaluation of strategies, major
activities, and policies; (7) conducts epidemic aid investigations of
HIV infection and associated infectious diseases, as well as other
illnesses related to HIV/AIDS; (8) develops policy related to both
primary prevention of HIV infection and secondary prevention of its
severe manifestations based on scientific investigations and clinical
trials; (9) provides epidemiologic consultation to State and local
health departments, other Public Health Service agencies, universities,
and other groups and individuals investigating HIV/AIDS; (10) responds
to inquiries from physicians and other health providers for information
on the medical and epidemiologic aspects of HIV/AIDS; (11) collaborates
internationally with HIV/AIDS researchers and the International
Activities Branch in the conduct of epidemiologic studies; and (12)
works closely with NCID to determine virologic and immunologic factors
related to transmission and natural history of HIV infection.
Internatioal Activities Branch (CK53). (1) Designs and executes
epidemiologic and interventional studies of HIV infection and its
associated illnesses in other Nations; (2) develops and conducts
epidemiologic studies of risk factors for AIDS and HIV transmission in
other Nations; (3) assists in the design, implementation, and
evaluation of AIDS prevention and control activities; (4) manages
international field sites and staff assigned to those sites; (5) in
collaboration with NCID, conducts international surveillance and
studies of HIV genotypic variants and their epidemiologic and
diagnostic implications; (6) provides technical assistance to other
Nations to develop AIDS case surveillance systems; (7) assists foreign
governments in carrying out seroprevalance studies and surveys; (8)
collaborates with other branches in assisting developing countries in
the design, implementation, and evaluation of strategies to protect
their blood supplies; (9) coordinates with other CIOs in CDC that have
similar international responsibilities; (10) provides consultation to
WHO, USAID, and other organizations whose mission is to prevent and
control HIV infection and related outcomes; (11) collaborates with
national and international organizations to strengthen public health
infrastructures at national levels, contributing to technical and
managerial sustainability of national HIV prevention and control
programs; (12) assist national and international organizations in
identifying, developing, and promoting HIV interventions an
technologies that are feasible, effective, and culturally appropriate
for use in developing countries.
Prevention Services Research Branch (CK54). (1) Plans, develops,
and conducts research to develop and improve HIV preventions strategies
and service provision; (2) plans, develops, and coordinates local and
regional studies of the determinants of risk for HIV infection in
specific populations; (3) plans, develops, and coordinates local and
regional studies to identify and evaluate specific at-risk populations,
and examines and evaluates prevention service application in these
populations; (4) collaborates closely with other NCHSTP and CDC
organizations in applying research methods to target, evaluate, and
monitor HIV prevention programs in specific geographic settings and at-
risk populations; (5) develops and utilizes specific research
evaluation and monitoring methodologies including prevalence and
incidence studies of HIV and related infections in selected geographic
areas and at-risk populations; (6) collects data on the extent of HIV
prevalence and incidence in the United States; (7) collaborates with
division staff to evaluate HIV/AIDS trends in incidence and prevalence;
(8) serves as a focus for national and international activities related
to transfusion-related HIV transmission; (9) develops, plans, and
conducts studies of HIV counseling and testing activities in a variety
of prevention service settings, including but not limited to publicly
funded managed care settings; (10) collects and analyzes HIV prevalence
and incidence date from publicly funded HIV counseling and
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testing sites; (11) assists NCID with the evaluation of new HIV-related
tests; (12) conducts local and regional studies of HIV genotypic
variations and antiretroviral drug resistance; (13) collaborates with
NCID laboratories to develop a repository of stored sera and cells for
studies of HIV and related infections.
Statistics and Data Management Branch (CK55). (1) Manages, directs,
and coordinates the statistics and data management activities and
services for the division and the Division of HIV/AIDS Prevention--
Intervention Research and Support (DHAP/IRS); (2) provided leadership
in the development of statistical and data management planning, policy,
implementation, and evaluation; (3) provides data management and
statistical support for HIV/AIDS surveillance, HIV serosuryveys,
epidemiologic studies and other studies conducted within the division
and DHAP/IRS; (4) creates mathematical models to project the incidence
of AIDS and HIV infection; (5) develops, monitors, and evaluate
projects to construct mathematical models of the spread of AIDS and HIV
infection and other HIV and AIDS studies; (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 person
infected with HIV; (8) coordinates contracted programming services for
the division.
Surveillance Branch (CK56). (1) Conducts surveillance of HIV
infection and AIDS in coordination with State and local health
departments to provide population-based data for public health policy
development and evaluation; (2) maintains, analyzes, and disseminates
information from the national confidential registry of HIV/AIDS cases;
(3) monitors HIV-related morbidity and mortality and the use of
recommendations for prevention and treatment of HIV infection and AIDS;
(4) promotes uses of surveillance data for prevention and evaluation;
(5) conducts surveillance of special populations of epidemiologic
importance, e.g., persons with HIV-2 infection, health care workers for
occupationally related HIV transmission, and person reported with
unrecognized modes of transmission; (6) in coordination with State and
local health departments, conducts population-based surveillance of
HIV-related risk behaviors; (7) assesses socioeconomic, educational,
and other factors of use in targeting and evaluating prevention and
care programs; (8) evaluates surveillance systems for HIV infection and
AIDS and modifies surveillance methodologies as needed to meet changing
needs of HIV/AIDS programs; (9) manages extramural funding of
surveillance activities and provides consultations and technical
assistance on surveillance activities and methodologies to State and
local health departments and national and international organizations
and agencies.
Dated: August 24, 1998.
Stephen B. Thacker,
Acting Deputy Director, Centers for Disease Control and Prevention.
[FR Doc. 98-23476 Filed 8-31-98; 8:45am]
BILLING CODE 4160-18-M
