[Federal Register Volume 69, Number 209 (Friday, October 29, 2004)]
[Notices]
[Pages 63154-63156]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-24213]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

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 69 FR 60400, dated October 8, 2004) is amended 
to reorganize the Division of Global Migration and Quarantine, National 
Center for Infectious Diseases.
    Section C-B, Organization and Functions, is hereby amended as 
follows:

[[Page 63155]]

    Delete in its entirety the functional statement for the Division of 
Global Migration and Quarantine (CR2) and insert the following:
    (1) Administers a national quarantine program to protect the United 
States against the introduction of diseases from foreign countries and 
the transmission of communicable disease between states; (2) 
administers an overseas program for the medical examination of 
immigrants, refugees, and as necessary other migrant populations 
destined for legal entry to the U.S., with inadmissible health 
conditions that would pose a threat to public health and impose a 
burden on public health and hospital facilities; (3) conducts 
surveillance, research, and prevention programs to prevent minimize 
morbidity and mortality among the globally mobile populations entering 
and leaving the United States; (4) maintains liaison with and provides 
information on global migration and quarantine matters to other Federal 
agencies, state and local health departments, and other stake holders; 
(5) provides liaison with international health organizations, such as 
the Pan American Health Organization and the World Health Organization, 
and participates in the development of international agreements 
affecting quarantine; (6) evaluates and provides technical support on 
the development and enforcement of policies necessary for 
implementation of federal quarantine authority; (7) conducts studies to 
provide new information about health hazards abroad, measures for their 
prevention, and the potential threat of disease introduction into the 
United States; and (8) provides logistic support to other programs of 
the Centers for Disease Control and Prevention in the distribution of 
requested biological agents and movement of biological specimens 
through U.S. ports of entry.
    Delete in its entirety the functional statement for the Office of 
the Director, (CR21) and insert the following:
    (1) Manages, directs, and coordinates the activities of the 
Division; (2) provides leadership in development of Division policy, 
program planning, implementation, and evaluation; (3) identifies needs 
and resources for new initiatives and assigns responsibilities for 
their development; (4) coordinates liaison with other Federal agencies, 
State and local health departments, and interested industries; (5) 
coordinates liaison with international health organizations; (6) 
provides administrative services, including procurement, property and 
supply management, travel arrangements, space and facilities 
maintenance, and timekeeper coordination; (7) provides budgeting and 
fiscal management for the Division; (8) provides personnel support to 
the Division, both for Civil Service and Commissioned Corps employees, 
and assures compliance with HRMO regulations for all personnel matters; 
and (9) reviews and evaluates all administrative services for both 
headquarters and Quarantine Stations and provides policy procedures and 
guidance on such matters.
    Delete in its entirety the title and functional statement for the 
Field Operations Branch (CR22) and insert the following:
    Quarantine and Border Health Services Branch (CR22). (1) Develops 
and implements strategies to monitor for diseases of public health 
interest arriving persons, animals, cargo, and conveyances at ports of 
entry to the United States and its possessions; (2) evaluates and 
revises public health preparedness activities at airports, seaports, 
and land crossings in the United States and its possessions; (3) 
reviews operations to assure the effective application of scientific 
data in implementing programs to monitor the importation of 
quarantinable and other specified diseases; (4) develops and initiates 
surveillance and other public health activities at sea, air, and land 
ports of entry to the United States and its possessions; (5) trains and 
supervises field staff in the epidemiologica, technical, management, 
and administrative aspects of quarantine operations; (6) works 
cooperatively with other agencies and organizations in the United 
States and abroad to implement, improve, and enhance division 
activities at ports of entry to the United States and its possessions; 
(7) provides technical consultation and public health training to 
federal inspection services to implement the division's activities, 
apply CDC regulations on quarantine, and ensure appropriate 
occupational safety and health protection for their staff; (8) 
collaborates with State and local health departments to prevent 
transmission and spread of quarantinable diseases and other diseases of 
public health significance associated with travel; (9) monitors 
arriving immigrants and refugees at ports of entry to the United States 
and its possessions and notifies State health departments on identified 
health conditions; (10) provides logistic support to other CDC programs 
and expedites the movement of persons, clinical specimens, lifesaving 
medications, and other materials through federal security; (11) serves 
as CDC's representative at U.S. ports of entry for operational issues 
related to bio security and emerging infections; and (12) administers 
Deratting Certification program.
    Delete the title and functional statement for the Surveillance and 
Epidemiology Branch (CRS23) and insert the following:
    Immigrant Refugee and Migrant Health Branch (CRS23). (1) Develops 
and maintains surveillance systems for infectious diseases among 
immigrant, refugee, and migrant populations entering the United States 
or designated for resettlement in the United States; (2) conducts 
infectious disease surveillance and epidemiological investigations in 
communities along the U.S.-Mexico border; (3) recommends appropriate, 
effective intervention and prevention strategies to decrease morbidity 
and mortality among globally mobile populations and to prevent entry of 
disease into the United States; (4) performs epidemiologic 
investigations and scientific research projects related to health 
issues for immigrant, refugee, and migrant populations; (5) develops, 
reviews, and evaluates operations in the United States and abroad 
involving immigrant and refugee medical examination activities; (6) 
conducts enhanced refugee medical screening examinations; (7) responds 
to refugee resettlement emergencies, including the provision of 
technical assistance regarding clinical management and effective 
interventions to prevent and control infectious diseases in this 
setting; (8) conducts a continuing review of medical screening 
procedures to assure the most effective application of current medical 
practices; administers and monitors activities related to the overseas 
and domestic medical examinations of immigrants and refugees, convening 
boards of medical officers to reexamine immigrants and refugees, when 
necessary, and preparing, publishing, and distributing manuals for 
examining physicians; (9) works cooperatively and in concert with other 
Federal and international agencies, voluntary agencies, and foreign 
governments, both in the United States and abroad, in administering the 
immigrant and refugee medical screening program; (10) establishes, 
maintains, and evaluates medical inspection and notification procedures 
regarding immigrants and refugees, providing coordination and liaison 
with local and state health departments on the follow-up of those with 
serious disease or mental problems, in particular notifiable diseases 
such as tuberculosis; (11) establishes and maintains procedures to 
process requests for waivers of inadmissible medical conditions; (12)

[[Page 63156]]

provides scientific and technical support to the operation and 
regulatory responsibilities of the Division; and (13) provides liaison 
and coordination of efforts with counterparts in other divisions and 
centers of CDC, as well as national and international agencies involved 
in addressing and preventing infectious diseases among globally mobile 
populations.
    Geographic Medicine and Health Promotion Branch (CR24). (1) Through 
the GeoSentinel Network develops geographic-specific infectious disease 
risk profiles among mobile populations; (2) coordinates and provides 
immunization data and recommends appropriate and effective intervention 
and prevention strategies to decrease morbidity and mortality among 
international travelers; (3) develops and issues vaccination documents 
and validation stamps in accordance with the International Health 
Regulations; (4) conducts surveillance for and assists in 
investigations of adverse events following administration of traveler 
vaccines; (5) alerts appropriate disease-specific CDC programs about 
possible imported cases if disease and supports the relevant program to 
investigate these events; (6) monitors and analyzes reports of health 
threats overseas and issues travel notices, alerts and advisors when 
appropriate; (7) notifies the World Health Organization of the 
incidence of quarantinable diseases in the United States, as required 
by the International Health Regulations; (8) inspects shipments of 
nonhuman primates to ensure compliance with CDC regulations regarding 
quarantine, conditions of shipment and occupational safety and health 
of employees exposed to primates; (9) works to decrease the risk of 
importing zoonotic diseases of public health significance to humans via 
animals and cargo; (10) performs epidemiologic investigations and 
scientific research projects among U.S. travelers and imported animals; 
(11) periodically conducts active surveillance for infectious diseases 
among imported animals; (12) provides scientific and technical support 
to the operation and regulatory responsibilities of the Division; and 
(13) provides liaison and coordination of efforts with counterparts in 
other divisions of CDC, state and local health authorities, the travel 
industry, as well as national and international agencies involved in 
addressing and preventing infectious diseases among international 
travelers and translocated animals.

    Dated: October 19, 2004.
William H. Gimson,
Chief Operating Officer, Centers for Disease Control and Prevention 
(CDC).
[FR Doc. 04-24213 Filed 10-28-04; 8:45 am]
BILLING CODE 4160-18-M