II. METHODOLOGY

• Centers for Disease Control (CDC) provides HIV prevention funding to state and local health departments and education agencies, community-based organizations, minority based organizations, national organizations, universities, and hospitals targeted to HIV prevention among injecting drug users (IDUs). The funding is exclusively directed to IDUs for counseling, testing, referral and partner notification services for IDUs in drug treatment centers and other facilities and health education/risk reduction (HERR) efforts directed to IDUs not in treatment.



• Funding provided for HIV prevention among IDUs is associated with two budget activities: HIV prevention among drug abusers and Health Education/Risk Education-IDU.



• The decision on the amount of this funding awarded to each State was formerly the responsibility of CDC, based upon need documented in each state's grant application. However, with the implementation of CDC's HIV prevention community planning process, the decision on how drug resources are distributed within a particular State or community is now made by the HIV prevention community prevention council located in each State. Community planning groups are responsible for developing comprehensive HIV prevention plans that are directly responsive to the epidemics in their jurisdictions. The identification of high priority needs is shared between the Health Department administering HIV prevention funds and representatives of the communities for whom the services are intended.

III. PROGRAM SUMMARY

Goal 1: Educate and enable America's youth to reject illegal drugs as well as alcohol and tobacco.

• CDC's efforts to build a comprehensive tobacco prevention and control program related to young people rest on its ability to provide the public, health professionals, and policy makers with the most up-to date scientific information on the health effects of tobacco use; counteract the glamorization of tobacco use that occurs in the mass media; and coordinate strategic efforts to prevent and control the use of tobacco.



• CDC's Office on Smoking & Health (OSH) conducts surveillance of tobacco-use behaviors, analyses of the predictors of use and indicators of addiction, and policy-related research to better understand factors that influence tobacco use in young people and to develop appropriate interventions. These findings are published in Morbidity and Mortality Weekly Report, refereed journals, and reports such as the Surgeon General's Reports on the Health Consequences of Smoking.

Goal 3: Reduce health and social costs of illegal drug use to the public.

• The National Center for HIV/AIDS, STD, and TB Prevention within the CDC administers several drug-related HIV prevention activities. Funds exclusively directed to injecting drug users support HIV counseling, testing, referral and partner notification services for injecting drug users in drug treatment centers, and other facilities and health education/risk reduction efforts directed to injecting drug users not in treatment.



• The CDC's programs are in support of Federal drug control priorities through their work to reduce and prevent illicit drug use and its associated medical consequences.

IV. BUDGET SUMMARY

1997 Base Program

• The 1997 base program includes $21.4 million for prevention activities which support Goal 1 activities such as strategic efforts to prevent and control the use of tobacco among youth, and $61.065 million for drug-related HIV prevention activities which support Goal 3 of the National Drug Control Strategy.

1998 Request

• The total FY 1998 drug control budget request is $114.9 million.

Goal 1: Educate and enable America's youth to reject illegal drugs as well as alcohol and tobacco.

• The total drug control request for Goal 1 activities for FY 1998 is $36.4 million for Youth and Tobacco Activities. This increase builds a comprehensive tobacco prevention and control program related to young people.

Goal 3: Reduce health and social costs of illegal drug use to the public.

• The total drug control request for Goal 3 activities for FY 1998 is $78.6 million to support AIDS Drug Counseling and drug-related HIV prevention activities.

V. PROGRAM STATISTICS

VI. PROGRAM ACCOMPLISHMENTS

• CDC also initiated an interagency agreement in 1996 with NIDA that facilitated collaborative research.



• OSH has developed a multifaceted communication approach to reduce the appeal of tobacco products to young people by: reducing the glamorization of tobacco use found in mass media, educating young people and their parents to identify, decipher, and counter pro-tobacco messages and images, and provide positive alternatives to tobacco use. OSH also provides leadership in the development of an active and focused partnership of governmental, professional, and voluntary organizations to build cohesive and consistent tobacco control programs and initiatives related to youth tobacco use. In addition, OSH supports all 50 states and funds 32 states, District of Columbia, and 8 national organizations to build their capacity to sustain broad-based tobacco control programs that focus on young people and other special populations.