[Federal Register Volume 64, Number 22 (Wednesday, February 3, 1999)]
[Notices]
[Pages 5308-5310]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-2473]


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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 C (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 69296, October 20, 1980, as 
amended most recently at 64 FR 2903-2904, dated January 19, 1999) is 
amended to reflect organizational changes within the National Center 
for Chronic Disease Prevention and Health Promotion (NCCDPHP). The 
restructuring will (1) abolish the Office of Surveillance and Analysis 
within the Office of the Director, NCCDPHP; (2) retitle the Division of 
Chronic Disease Control and Community Intervention as the Division of 
Adult and Community Health and restructure the functions of the 
Division; and (3) retitle the Division of Nutrition as the Division of 
Nutrition and Physical Activity and restructure the functions of the 
Division.
    Section C-B, Organization and Functions, is hereby amended as 
follows:
    After the functional statement for the Office of the Director 
(CL1), National Center for Chronic Disease Prevention and Health 
Promotion (CL), delete in their entirety the title and functional 
statement for the Office of Surveillance and Analysis (CL11).
    After the functional statement for the Office of the Director 
(CL21), Division of Adolescent and School Health (CL2), delete the 
title and functional statement for the Division of Chronic Disease 
Control and Community Intervention (CL3) and insert the following:
    Division of Adult and Community Health (CL3). (1) Develops and 
manages nationwide and State-based surveillance systems for chronic 
disease risk factors and health promotion activities; (2) develops and 
promotes community-based interventions and programs; (3) provides 
national and international leadership in health education and health 
promotion; (4) conducts studies to enhance public health activities in 
health services and managed care; (5) manages public health research, 
training, cooperative, and intervention activities and diverse 
settlings such as cities, universities, State health departments, and 
other countries; (6) promotes the understanding and improvements of the 
determinants and issues related to cardiovascular health, aging, and 
epilepsy; (7) in cooperation with other components of NCCDPHP, 
coordinates activities with other Federal, State, and local 
governmental agencies, academia, and nongovernmental organizations.
    Delete the functional statement for Office of the Director (CL31) 
and insert the following:
    (1) Manages, coordinates, and evaluates the activities and programs 
of the Division; (2) ensures that Division activities are coordinated 
with other components of CDC both within and outside the Center, with 
Federal, State, and local health agencies, and with voluntary and 
professional health agencies; (3) provides leadership and coordinates 
Division responses to requests for research, consultation, training, 
collaboration and technical assistance or information on managed care, 
health promotion, behavioral surveys, cardiovascular health, aging, 
epilepsy, and arthritis; (4) provides administrative, logistical, and 
management support for Division field staff; (5) ensures the 
coordination of NCCDPHP internal activities related to Prevention 
Health and Health Services Block Grant (PHHSBG) programs and develops 
and administers, guidelines, uniform reporting procedures, and 
evaluation criteria for programs supported by PHHSBG; (6) provides 
administrative and management support for the Division including 
guidance on the organization of personnel and the use of financial 
resources, and oversight of grants, cooperative agreements, contracts, 
and reimbursement agreements.
    Behavioral Surveillance Branch (CL32). (1) Manages a nationwide 
program for State-specific surveillance of behavioral risk factors and 
other antecedents of health conditions, particularly chronic diseases; 
(2) provides support to build State capacity for telephone survey 
operations and data management, and for the analysis, dissemination, 
and use of the data by State agencies, and universities to set public 
health priorities and monitor public health programs; (3) develops 
guidelines and criteria for the assessment of behavioral risk factors 
in State and local populations; (4) analyzes and disseminates the 
results of analyses to policy and decision makers, public health 
professionals, and other relevant audiences through communication 
channels and formats appropriate to these constituencies; (5) 
coordinates analyses and use of survey methods to enhance behavioral 
risk factor data; (6) develops guidelines and criteria for monitoring 
public health policies directed at affecting behavioral and other risk 
factors leading to chronic diseases and other conditions; (7) promotes 
the broad use and application of Behavioral Risk Factors Surveillance 
Survey (BRFSS) results and findings through current information 
systems; (8) works closely with other Divisions in NCCDPHP and other 
CDC Centers/Institute/Offices (CIO's) to formulate a cross-cutting 
surveillance system for the States and CDC; (9) provides administrative 
and management support for the branch, including oversight of grants, 
cooperative agreements, contracts, and reimbursable agreements.
    Delete the title and functional statement for the Cardiovascular 
Health Studies Branch (CL33) and insert the following:
    Cardiovascular Health Branch (CL33). (1) Develops and evaluates 
effective interventions to be used by State and local health agencies 
and health care organizations to mitigate risk factors for 
cardiovascular disease; (2) conducts evaluation studies to document the 
efficacy and effectiveness of disease prevention and health promotion 
interventions; (3) provides leadership in the development of components 
and guidelines for effective chronic disease prevention and health 
promotion strategies related to cardiovascular disease; (4) provides 
consultation to State and local health agencies and health care 
delivery organizations in planning, establishing, and evaluating 
cardiovascular health activities; (5) carries out epidemiologic 
research related to the prevention of cardiovascular disease and 
improvement of cardiovascular health; (6) disseminates findings from 
research and program evaluations to policy and decision makers, public 
health professionals and other relevant audiences through communication 
channels and formats appropriate to these constituencies; (7) provides 
administrative and management support for the branch, including 
oversight of

[[Page 5309]]

grants, cooperative agreements, contracts, and reimbursable agreements.
    Delete the title and functional statement for the Community Health 
Promotion Branch (CL35) and insert the following:
    Community Health and Program Services Branch (CL35). (1) Provides 
technical assistance to State health agencies and other Federal, 
national, and international organizations to plan, implement, and 
evaluate community-based chronic disease prevention and health 
promotion programs; (2) develops, implements, and evaluates training in 
the area of chronic disease intervention and community health promotion 
for State health departments and other agencies; (3) supports health 
promotion and disease prevention research conducted at university-based 
prevention centers; (4) develops chronic disease epidemiology capacity 
in State health departments through training and support of chronic 
disease field epidemiologists and other capacity building efforts; (5) 
provides statistical and programming support to the Division, including 
assistance in design of data collection instruments, computer 
programming, and statistical analysis; (6) provides administrative and 
management support for the branch, including oversight of grants, 
cooperative agreements, contracts, and reimbursable agreements.
    Delete in their entirety the title and functional statement for the 
Statistics Branch (CL37).
    Delete the title and functional statement for the Aging Studies 
Branch (CL38) and insert the following:
    Health Care and Aging Studies Branch (CL38). (1) Coordinates and 
fosters research and programs in managed care settings for the Center; 
(2) reviews and develops policy for using health care settings as a 
focus for public health activities related to disease prevention and 
health promotion; (3) examines issues related to cost effectiveness in 
the management and care of chronic diseases; (4) assists in setting 
health care standards for prevention of chronic diseases; (5) studies 
potentially modifiable causes of chronic disease and conditions of 
older adults; (6) develops and evaluates measures of public health 
impact concerned with such issues as quality of life and disability 
adjusted life years; (7) assesses the health and economic burden of 
chronic diseases and conditions in older adults through activities such 
as demographic, economic, and behavioral studies; (8) disseminates 
findings from research and program evaluations to policy and decision 
makers, public health professionals, and other relevant audiences 
through communication channels and formats appropriate to these 
constituencies; (9) provides administrative and management support for 
the branch, including oversight of grants, cooperative agreements, 
contracts, and reimbursable agreements.
    Delete in their entirety the title and functional statement for the 
Health Interventions and Translation Branch (CL39).
    After the functional statement for the Office of the Director 
(CL41), Division of Diabetes Translation (CL4), delete the title and 
functional statement for the Division of Nutrition (CL5) and insert the 
following:
    Division of Nutrition and Physical Activity (CL5). (1) Provides 
national leadership to chronic disease prevention and maternal and 
child health in the areas of nutrition and physical activity; (2) 
implements systems to track and analyze nutrition problems, physical 
inactivity, and related risk factors; builds State capacity to collect 
and utilize surveillance data; (3) builds international, national, 
State, and local expertise and capacity in nutrition and physical 
activity through consultation and training; (4) provides technical 
assistance and other support to enable State and local health agencies 
to plan, implement, and evaluate nutrition and physical activity 
programs; (5) contributes to the science base by conducting 
epidemiologic and intervention studies related to nutrition and 
physical activity; (6) ensures that both scientific and programmatic 
efforts span the arenas of policy, environment, communications, social 
and behavioral interventions; (7) develops and disseminates new 
methods, guidelines, and criteria for effective nutrition and physical 
activity programs; (8) collaborates with appropriate Federal and State 
agencies, international/national/community organizations, and other CDC 
partners; (9) provides national leadership in health communications to 
promote nutrition and physical activity and integrate health 
communications efforts with overall program efforts; (10) facilitates 
the translation of nutrition and physical activity research findings 
into public health practice.
    Delete the functional statement for the Office of the Director 
(CL51) and insert the following:
    Office of the Director (CL51). (1) Provides direction in 
establishing Division priorities, strategies, programs, and policies; 
(2) mobilizes and coordinates partnerships and constituencies to build 
a national infrastructure for nutrition and physical activity 
promotion; (3) educates the public and key decision makers about the 
importance of nutrition and physical activity to public health; (4) 
ensures that Division activities are coordinated within NCCDPHP and 
with other CIOs, constituencies, and Federal agencies; (5) monitors 
progress toward achieving Division objectives and assesses the impact 
of programs; (6) provides special training and capacity building 
activities in support of Division programs; (7) provides administrative 
and management support for Division activities including guidance on 
the organization of personnel and the use of financial resources; (8) 
provides leadership to the Division and field staff on health 
communication efforts to promote nutrition and physical activity.
    Physical Activity and Health Branch (CL52). (1) Conducts 
epidemiologic research related to physical activity, health, and the 
prevention of chronic disease; (2) develops and evaluates disease 
prevention and health promotion interventions involving physical 
activity; (3) develops monitoring and tracking systems for physical 
activity behaviors; (4) provides leadership in the development of 
guidelines for effective chronic disease prevention and health 
promotion strategies through physical activity; (5) develops and 
produces communication tools and public affairs strategies related to 
physical activity and health in collaboration with the Division's 
communications team; (6) provides technical assistance to State and 
local health agencies in planning, establishing, and evaluating 
physical activity promotion strategies; (7) translates physical 
activity and exercise research findings into public health practice; 
(8) disseminates findings from epidemiologic research and program 
evaluations through publications in the scientific literature; (9) 
collaborates with appropriate groups internal and external to CDC.
    Delete the title and functional statement for the Chronic Disease 
Prevention Branch (CL56) and insert the following:
    Chronic Disease Nutrition Branch (CL56). (1) Designs, implements, 
and evaluates surveillance activities, epidemiologic studies, and 
intervention projects related to chronic disease nutrition problems and 
risk factors; (2) develops and coordinates State-based dietary 
surveillance relating to chronic disease nutrition problems and risk 
factors, and builds State capacity to collect and utilize surveillance 
data; (3) provides assistance, consultation, and training to State, 
local, and international agencies to prevent and control chronic

[[Page 5310]]

disease and relevant risk factors; (4) analyzes, interprets, and 
disseminates data from surveys, surveillance activities, and 
epidemiologic studies related to chronic disease nutrition problems and 
related risk factors; (5) develops and disseminates guidelines for 
chronic disease nutrition assessment, intervention, and surveillance; 
(6) coordinates and/or collaborates with appropriate Federal agencies 
and national organizations to strengthen and extend chronic disease 
nutrition surveillance, epidemiology, and intervention activities; (7) 
develops new methods, techniques, and criteria for the assessment of 
chronic disease nutrition problems and related risk factors in the 
United States and other countries; (8) coordinates and/or collaborates 
with other divisions in NCCDPHP to develop and strengthen the chronic 
disease nutrition components of their programs, as appropriate.
    Delete the title and functional statement for the Maternal and 
Child Health Branch (CL57) and insert the following:
    Maternal and Child Nutrition Branch (CL57). (1) Designs, 
implements, and evaluates epidemiological studies and intervention 
projects related to nutritional and behavioral risks in maternal and 
child populations; (2) designs, implements, and evaluates epidemiologic 
studies and intervention projects related to micronutrient nutrition, 
especially iron; (3) develops and coordinates State-based maternal and 
child nutrition surveillance and surveys, and builds State capacity to 
carry out surveillance activities; (4) provides assistance, 
consultation, and training to local, State, and international agencies 
to prevent and control adverse maternal and child health outcomes 
related to nutritional and behavioral risk factors; (5) analyzes, 
interprets, and disseminates data from surveys, surveillance 
activities, and epidemiologic studies related to health and nutrition 
in domestic and international maternal and child populations; (6) 
develops and disseminates new methods, techniques, guidelines, and 
criteria for nutrition assessment, surveillance, and intervention in 
domestic and international maternal and child populations; (7) 
coordinates and/or collaborates with appropriate Federal agencies and 
national/international organizations to develop and strengthen maternal 
and child nutrition programs; (8) coordinates and collaborates with 
other divisions in NCCDPHP and other CDC CIOs to develop and strengthen 
the maternal and child nutrition components of their programs, as 
appropriate.

    Dated: January 22, 1999.
Jeffrey P. Koplan,
Director.
[FR Doc. 99-2473 Filed 2-2-99; 8:45 am]
BILLING CODE 4160-18-M