[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