|
|
 
Agency Budget Summary
Department of Health and Human Services
Centers for Disease Control and Prevention
I. Resource Summary
II. Methodology
- The Centers for Disease Control and Prevention (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 populations at high risk for HIV, including injecting drug users (IDU's). A portion of health department funding supports HIV counseling and testing including partnership notification in drug treatment settings.
- 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 HIV prevention resources (including those targeting drug users) are distributed within a particular state or community is now made by the HIV prevention community 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 department administering HIV prevention funds and representatives of the communities for whom the services are intended.
- CDC provides funding to state health departments and national organizations to conduct tobacco use prevention and reduction programs. These programs address the Healthy People 2000 objectives related to tobacco with a particular focus on preventing tobacco use among youth. State tobacco control programs assist and support local communities to undertake tobacco control activities, conduct media and educational campaigns, support training on tobacco topics, and monitor changes in tobacco use behaviors.
III. Program Summary
Goal 1: Educate and enable America's youth to reject illegal drugs as well as the use of 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 of 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 to the public of illegal drug use.
- The National Center for HIV, 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.
- These 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
1999 Program
- The FY 1999 appropriation totals $143.1 million and 19 FTEs in drug-related resources.
Goal 1: Educate and enable America's youth to reject illegal drugs as well as the use of alcohol and tobacco.
- A total of $73.9 million supports Goal 1 prevention activities, such as strategic efforts to prevent and control the use of tobacco among youth.
Goal 3: Reduce health and social costs to the public of illegal drug use.
- A total of $69.2 million in funding will support drug-related HIV prevention activities within Goal 3.
2000 Request
- The total drug control request is $171.9 million and 26 FTE's. This represents an increase of $28.9 million and 7 FTE's over the FY 1999 enacted level.
Goal 1: Educate and enable America's youth to reject illegal drugs as well as the use of alcohol and tobacco.
- The total drug control request for Goal 1 activities for FY 2000 is $100.9 million for Youth and Tobacco activities, an increase of $27.0 million over FY 1999. This initiative will greatly extend state-based efforts to conduct comprehensive programs to reduce and prevent tobacco use. Expanded resources will provide funding to state health departments in all 50 states and the District of Columbia and several national organizations to conduct comprehensive programs to reduce and prevent tobacco use. This initiative will provide state-of-the-art training and technical assistance will be expanded nationwide to develop effective initiatives and programs.
- Expanded resources will allow for enhancement of national surveillance systems to monitor state-specific tobacco use, especially among youth and special populations and immediately access the impact of federal and state initiatives.
- In addition, this initiative will support and promote public policies that provide a clear and consistent message commensurate with the public health harm caused worldwide by tobacco use, including policy research and diffusion of best practices globally.
Goal 3: Reduce health and social costs to the public of illegal drug use.
- The total drug control request for Goal 3 activities for FY 2000 is $71.0 million to support AIDS drug counseling and drug-related HIV prevention activities.
V. Program Accomplishments
- CDC Office of Smoking & Health (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 the efforts of 32 states, the 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.
|
