[Federal Register Volume 88, Number 132 (Wednesday, July 12, 2023)]
[Notices]
[Pages 44359-44363]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-14706]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


Reorganization of the Global Health Center

AGENCY: Centers for Disease Control and Prevention (CDC), the 
Department of Health and Human Services (HHS).

ACTION: Notice.

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SUMMARY:  CDC has modified its structure. This notice announces the 
reorganization of the Global Health Center (GHC). GHC reorganized to 
ensure optimal strategic planning and implementation of CDC's global 
health work to protect the United States and achieve global public 
health impact.

DATES: This reorganization was approved by the Director of CDC on June 
28, 2023.

FOR FURTHER INFORMATION CONTACT: Kimberly Thurmond, Office of the Chief 
Operating Officer, Office of the Director, Centers for Disease Control 
and Prevention, 1600 Clifton Road NE, MS TW-2, Atlanta, GA 30329. 
Telephone 770-488-4401; Email: [email protected].

SUPPLEMENTARY INFORMATION: 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 88 FR 9290-9291, dated 
February 13, 2023) is amended to reflect the reorganization of the 
Global Health Center, Centers for Disease Control and Prevention. 
Specifically, the changes are as follows:
    I. Under Part C, Section C-B, Organization and Functions, insert 
the following:

 Global Health Center (CW)
 Office of the Director (CW1)
 Division of Global HIV and TB (CWB)
 Office of the Director (CWB1)
 International Laboratory Branch (CWBB)
 HIV Prevention Branch (CWBC)
 HIV Care and Treatment Branch (CWBD)

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 Maternal and Child Health Branch (CWBE)
 Epidemiology and Surveillance Branch (CWBG)
 Economics and Health Services Research Branch (CWBH)
 Overseas Strategy and Management Branch (CWBJ)
 Program Budget and Extramural Management Branch (CBK)
 Global Tuberculosis Prevention and Control Branch (CWBL)
 Science Integrity Branch (CWBM)
 Management and Operations Branch (CWBN)
 Strategy, Policy, and Communications Branch (CWBP)
 Special Initiatives Branch (CWBQ)
 Health Informatics, Data Management, and Statistics Branch 
(CWBR)
 Monitoring, Evaluation, and Data Analysis Branch (CWBS)
 Global Immunization Division (CWC)
 Office of the Director (CWC1)
 Polio Eradication Branch (CWCB)
 Accelerated Disease Control and Vaccine Preventable Diseases 
Surveillance Branch (CWCC)
 Immunization Systems Branch (CWCD)
 Strategic Information and Workforce Development Branch (CWCE)
 Division of Global Health Protection (CWD)
 Office of the Director (CWD1)
 Global Public Health Systems Branch (CWDB)
 Global Surveillance, Laboratory, and Data Systems Branch 
(CWDC)
 Global Workforce Development Branch (CWDD)
 Global Program and Extramural Management Branch (CWDE)
 Global Public Health Emergency Branch (CWDG)

    II. Under Part C, Section C-B, Organization and Functions, retitle 
the following organizational units:

 Global Operations and Strategic Management Branch (CWEE) to 
the Global Program and Extramural Management Branch (CWDE)

    III. Under Part C, Section C-B, Organization and Functions, delete 
the mission or functional statements for and replace with the 
following:
    Global Health Center (CW). The Global Health Center (GHC) (1) leads 
the coordination and execution of CDC's global health country and 
regional programs, to achieve maximum public health impact in support 
of the agency mission; (2) works in partnership to assist ministries of 
health to build capacity, maximize public health impact and promote 
country ownership and sustainability; (3) achieves U.S. Government 
(USG) and international organization goals to improve health, including 
disease eradication and elimination targets; (4) strengthens CDC's 
global health programs that focus on the leading causes of mortality, 
morbidity and disability and improves international capabilities 
through Global Health Security commitments to address public health 
emergencies and threats; (5) generates and applies new knowledge to 
achieve health goals; (6) strengthens health systems and their impact; 
and (7) ensures broad and specific investments in global health to 
promote USG commitments to protect health abroad and in the United 
States and meet public health emergency needs and health threats in 
international settings.
    Office of the Director (CW1). (1) serves as the responsible 
authority for regional and country planning and cross-program 
integration, (2) harmonizes CDC global health priorities with host 
country priorities and those of regional entities, and works with 
ministries of health to improve essential public health functions, 
maximize positive health outcomes and promote country ownership and 
sustainability; (3) provides leadership, direction, and oversight, 
regardless of program affiliation, to all CDC country directors and 
regional directors in their role as a senior CDC representative with 
the U.S. Embassy and ministry of health and in implementing CDC's 
global health strategy in countries and across regional platforms; (4) 
provides coordination for CDC's global health security strategy, 
programs, policy and partnerships; (5) leads its divisions in 
implementing public health programs and ensures the impact and 
effectiveness of administration initiatives, congressionally-mandated 
programs and other public health programs; (6) measures the performance 
of CDC's global health programs in terms of public health impact and 
fiscal accountability; (7) provides leadership to promote growth and 
improvement of CDC global health programs; (8) provides scientific 
leadership in developing and implementing evidence-based public health 
interventions and promotes best scientific practice; (9) facilitates 
the conduct and maintenance of ethical and high-quality, scientific 
investigations by implementing regulatory requirements, monitoring 
human subjects compliance, and clearing scientific products; (10) works 
to strengthen surveillance systems to analyze, measure and evaluate the 
global burden and distribution of disease; (11) promotes scientific 
innovation and advances in global health surveillance, epidemiology, 
monitoring and evaluation, and informatics; (12) harmonizes CDC's 
global laboratory activities to strengthen laboratory capacity globally 
and (13) promotes the introduction of innovative technologies and 
approaches to improve the diagnostic and screening capability of 
programs to better detect and respond to emerging pathogens; (14) 
participates in defining, developing, shaping and implementing U.S. 
global health policy and actions; (15) coordinates prioritization and 
planning for visits of high level officials to CDC and other strategic 
engagements; (16) provides leadership on issues management, budget 
formulation and performance integration for country-specific, regional, 
and geographic issues; (17) plans and executes CDC's internal and 
external global health communications strategy and public affairs media 
response/outreach in conjunction with CDC Immediate Office of the 
Director; (18) provides oversight, guidance, and accountability for all 
operations functions, human resources, workforce management, budget 
formulation and distribution, extramural reviews and processing, 
internal and domestic travel and property management responsibilities 
for the Center; (19) provides holistic operations support for all CDC 
workforce assigned overseas; (20) provides leadership and guidance in 
international hiring actions, including temporary assignments and 
liaison roles with international organizations, USG agencies, and 
related global institutes; (21) develops and maintains an effective 
global health workforce for CDC through strategic and innovative 
personnel solutions, policies and training initiatives, while 
demonstrating accountability for personnel resources and results of 
human capital investment; (22) provides leadership and guidance on 
informatics, information technology systems implementation, security, 
governance and planning for the Center and CDC's overseas presence; and 
(23) develops and ensures compliance with standardized management 
processes and solutions for CDC country offices and regional offices.
    Division of Global Health Protection (CWD). The Division of Global 
Health Protection (DGHP) works to strengthen public health capacity 
globally to protect Americans and people around the world from health 
threats. DGHP helps to ensure global health protection and security 
through supporting the implementation of the International Health 
Regulations (IHR); developing and supporting in-country programs

[[Page 44361]]

including Field Epidemiology Training Programs and other public health 
workforce development programs, and the establishment or strengthening 
of national public health institutes (NPHIs); detecting emerging health 
threats; and by providing support to program and Center-led 
international public health emergencies, and agency-wide responses. 
DGHP works with partners to build strong, transparent, sustained public 
health systems through training, consultation, capacity building, and 
technical assistance in applied epidemiology, public health 
surveillance, policy development, informatics and health information 
systems, evaluation, implementation science, and laboratory systems. 
Specifically, DGHP: (1) works collaboratively across CDC and with 
external partners to provide country-based and international 
coordination for public health systems strengthening, disease 
detection, and IHR implementation; (2) provides support to build 
operational readiness and country capacity for robust functional public 
health leadership and coordination; and (3) provides resources and 
assists in developing country-level epidemiology, surveillance and data 
systems, laboratory, public health workforce and other core public 
health capabilities and partners with countries to support NPHIs as 
sustainable homes for public health preparedness and response to ensure 
country emergency preparedness and capacity to respond to outbreaks and 
incidents of local and international importance.
    Office of the Director (OD) (CWD1). The DGHP OD provides 
leadership, management, and oversight for division activities. 
Specifically, the OD: (1) sets the broader strategy and priorities for 
the division in coordination with GHC and other program partners; (2) 
guides the implementation of the division's global health security 
program priorities and ensures activities align with agency goals and 
country priorities to support a ``one-CDC'' strategy; (3) develops and 
promotes partnerships with both national and international 
organizations, including other USG agencies, in support of division 
activities; (4) provides oversight and support to Regional Country 
Managers who provide programmatic leadership and technical supervision, 
and to branches who provide programmatic leadership to technical 
programs; (5) develops and implements risk management frameworks and 
identifies, analyzes, and develops strategies to prevent, manage, and 
respond to financial, legal, political, physical, and security risks 
within the division; (6) ensures scientific quality, ethics, and 
regulatory compliance; (7) develops and coordinates division policy and 
communication strategies; (8) provides coordination of financial 
planning and liaises with GHC and the Office of Financial Resources on 
budget development and execution; (9) manages and coordinates division 
staffing, personnel, and resources; (10) manages monitoring and 
evaluation of division-supported activities to assess the effectiveness 
and impact of investments to support partner governments in building 
sustainable public health programs to address emerging health threats; 
and (11) provides support to program and Center-led international 
public health emergencies, and agency wide responses.
    IV. Under Part C, Section C-B, Organization and Functions, add the 
following functional statements:
    Global Public Health Systems Branch (CWDB). The Global Public 
Health Systems Branch (GPHSB) collaborates with government and key 
partners to establish or strengthen public health systems to ensure 
countries can quickly detect outbreaks and coordinate a national public 
health response. Specifically, GPHSB: (1) partners with countries to 
support the establishment or strengthening of NPHIs as sustainable 
homes for public health preparedness and response; (2) assists with the 
development of legal frameworks for NPHIs and operational plans for 
public health security, supports the operational readiness of NPHIs, 
and builds capacity for robust functional public health systems and 
leadership, including coordination of public health emergency response 
at national and sub-national levels; (3) partners with countries and 
supports regional collaborations to build operational capacity for 
public health response to ensure effective coordination and 
mobilization of resources during public health emergencies; (4) 
supports public health emergency management capacity building and 
systems strengthening of countries to facilitate implementation and 
enhance sustainable local, national and regional capacities, 
coordination and collaboration; (5) supports emergency management and 
response capacity building of CDC field staff and implementing 
partners; (6) measures country capacities to prevent, detect, and 
respond to infectious disease threats through existing evaluation 
frameworks such as joint external evaluations and State Party Self-
assessment Annual Reporting and provide support for operational 
planning to identify gaps within the 7-1-7 global health security 
framework; (7) strengthens public health partnerships to promote 
adherence to international health regulations; (8) identifies 
implementation strategies to support public health systems 
strengthening including primary care systems for health security, 
building on and leveraging strategic investments, and coordinates with 
appropriate subject-matter experts (SMEs) across GHC and other Centers, 
Institute, and Offices (CIOs); (9) promotes scientific innovation and 
advances implementation science to support the implementation of 
evidence-based public health interventions and rapid uptake of best 
practices; and (10) provides support to program and Center-led 
international public health emergencies, and agency-wide responses.
    Global Surveillance, Laboratory, and Data Systems Branch (CWDC). 
The Global Surveillance, Laboratory, and Data Systems Branch (GSLDSB) 
focuses on building country capacity to address gaps in the 
modernization of disease-agnostic surveillance systems and supports 
building robust laboratory systems that are well integrated into public 
health systems and closely link epidemiology, laboratory, and 
surveillance systems to improve early detection of outbreaks. 
Specifically, GSLDSB: (1) provides oversight and accountability towards 
meeting agency global public health surveillance, laboratory and 
applied epidemiology objectives; (2) provides technical support on 
surveillance (event-based, early warning, indicator-based, integrated 
disease surveillance, etc.) to division field staff and supported 
countries; (3) increases health informatics capacities and supports 
data modernization and surveillance systems integration to improve 
early detection and effective use of data for public health action; (4) 
assists in the development and implementation of country national 
laboratory strategies and in close collaboration with other CIOs 
support capacities to strengthen early detection to outbreaks, 
especially of diseases of international public health concern; (5) 
provides technical assistance and scientific guidance to national 
public health entities in mapping laboratories in countries, assessing 
their diagnostic capacity for priority diseases, and supporting the 
establishment or strengthening of robust sample referral networks; (6) 
partners with CIOs and Offices to develop and conduct trainings based 
on international guidelines that facilitate the timely

[[Page 44362]]

transfer of newly emerging laboratory diagnostics and genomic 
applications, especially for public health action; (7) provides 
support, technical assistance, and trainings to promote biosafety, 
biosecurity, and global health laboratory quality standards and best 
practices, including through accreditations; (8) implements the Global 
Laboratory Leadership Program, which works to foster and mentor current 
and emerging leaders to build, strengthen, and sustain national 
laboratory systems; (9) identifies surveillance and laboratory 
implementation strategies building on and leveraging strategic 
investments, and coordinates with technical groups in GHC and global 
programs in other CIOs; (10) provides technical support for assessment, 
laboratory, surveillance, monitoring, applied epidemiology, and 
coordination during agency responses to public health emergencies; (11) 
promotes scientific innovation and advances implementation science to 
support implementation of evidence-based public health interventions 
and rapid uptake of best practices; and (12) provides support to 
program and Center-led international public health emergencies, and 
agency wide responses.
    Global Workforce Development Branch (CWDD). The Global Workforce 
Development Branch (GWDB) plans and implements capacity-building 
competencies, science, and policy to support a robust public health 
workforce needed to strengthen countries' capacity to address public 
health threats at national, sub-national, and local levels. 
Specifically, GWDB: (1) partners with countries to develop and 
implement public health and emergency response workforce strategies 
that lead to sustainable improvements in time to detect, report, and 
respond to outbreaks, with an emphasis on field epidemiology, emergency 
response, health information, and bio-informatics; (2) implements the 
Field Epidemiology Training Program to support the development and 
sustainability of trained field epidemiologists in priority countries, 
with focus on foundational skills needed to collect, analyze, and 
interpret data to support evidence-based decision-making and inform 
timely public health action; (3) partners with other CIOs, 
international and regional organizations, and countries to develop and 
implement health information and bioinformatics workforce strategies 
that lead to sustainable improvements in time to detect, report, and 
respond to outbreaks; (4) supports building capacity of frontline 
health care workforce in countries using standardized approaches to 
improve their skills to identify priority diseases and quickly respond 
to public health emergencies; (5) provides technical support to expand 
global public health workforce needed to stop outbreaks at their source 
in priority countries; (6) promotes scientific innovation and advances 
implementation science to support implementation of evidence-based 
public health interventions and rapid uptake of best practices in 
coordination with appropriate SMEs across GHC and other CIOs; (7) 
provides support to program and Center-led international public health 
emergencies, and agency wide responses; and (8) plans, implements, and 
evaluates training courses and workshops to strengthen in-country 
technical capacity in public health emergency situations in close 
coordination with relevant global programs and other CIOs.
    Global Program and Extramural Management Branch (CWDE). The Global 
Program and Extramural Management Branch (GPEMB) provides cross-cutting 
coordination to support country-specific program planning, 
implementation, management, and oversight for division extramural 
functions, including grants, cooperative agreements, contracts, and 
interagency agreements. Specifically, GPEMB: (1) supports division 
headquarters and country staff to implement management and operations, 
and financial systems to effectively support public health systems that 
strengthen, advance, and protect health security, enhance health 
equity, and respond to public health emergencies; (2) facilitates 
program planning and implementation; fiscal and extramural management; 
personnel management; and administrative support in division country 
offices; (3) serves as a liaison between headquarters and the field to 
identify management and operations challenges, obstacles, and successes 
in implementing division activities in country offices; (4) executes 
effective program hiring, staffing requirements, oversight, and 
accountability for division in country offices in coordination with 
division branches, offices, and the OD; (5) in coordination with CIOs, 
facilitates and manages the development, cross CIO coordination of SME 
review, clearance, award, and close-out of all new and on-going 
division headquarters and country program office grants, cooperative 
agreements, contracts, and interagency agreements; (6) provides 
oversight, monitoring, and facilitates reporting for all division 
grants, cooperative agreements, contracts, and interagency agreements; 
(7) supports agency efforts during public health emergencies by 
coordinating, facilitating, and managing programmatic priorities and 
extramural functions in concert with GHC and other divisions; (8) 
promotes scientific innovation and advances implementation science to 
support implementation of evidence-based public health interventions 
and rapid uptake of best practices. In coordination with CIOs and 
global programs; and (9) provides support to program and Center-led 
international public health emergencies, and agency wide responses.
    Global Public Health Emergency Branch (CWDG). The Global Public 
Health Emergency Preparedness Branch (GPHEPB) builds public health 
emergency management capacities to address global health security 
threats. Specifically, GPHEPB: (1) provides technical assistance and 
resources for public health disease surveillance, monitoring and 
evaluation, and applied epidemiology, in public health emergency 
settings in coordination with appropriate SMEs across GHC and other 
CIOs; (2) develops technical guidelines in collaboration with other 
CIOs on public health issues associated with international humanitarian 
emergencies; (3) plans and implements operational assessments aimed at 
developing the most effective public health interventions for 
populations in emergency settings in close coordination with relevant 
global programs and other CIOs; (4) supports strengthening strategic 
water, sanitation, hygiene monitoring, and intervention in 
collaboration with other CIOs in humanitarian settings; (5) liaises 
with international, bilateral, and non-governmental relief 
organizations involved with humanitarian emergencies; (6) promotes 
scientific innovation and advances implementation science to support 
implementation of evidence-based public health interventions and rapid 
uptake of best practices in coordination with global programs across 
GHC and other CIOs; and (8) provides support to program and Center-led 
international public health emergencies, and agency wide responses.
    V. Under Part C, Section C-B, Organization and Functions, the 
following organizational units are deleted in its entirety:

 Office of the Associate Director for Global Health 
Coordination (CAE)
 Division of Parasitic Diseases and Malaria (CBBC)
 Workforce and Institute Development Branch (CBBEC)
 Global Operations and Strategic Management Branch (CBBED)

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 Global Epidemiology, Laboratory, and Surveillance Branch 
(CWED)
 Global Operations and Strategic Management Branch (CWEE)

Delegations of Authority

    All delegations and redelegations of authority made to officials 
and employees of affected organizational components will continue in 
them or their successors pending further redelegation, provided they 
are consistent with this reorganization.

(Authority: 44 U.S.C. 3101)

Robin D. Bailey, Jr.,
Chief Operating Officer, Centers for Disease Control and Prevention.
[FR Doc. 2023-14706 Filed 7-11-23; 8:45 am]
BILLING CODE 4163-18-P