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IV. Agency Budget Summaries

CENTERS FOR DISEASE CONTROL AND PREVENTION


  1. RESOURCE SUMMARY

  2. 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 HIV prevention among injecting drug users (IDUs). The funding is available 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.

  3. PROGRAM SUMMARY

    • 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 and reports such as the Surgeon General's Reports on the Health Consequences of Smoking.

    • 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.

  4. BUDGET SUMMARY

    1998 Program

    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 1998 is $28.414 million. The 1998 request includes the following enhancements:

      • Youth Tobacco Initiative - CDC has begun a program to: conduct surveillance of tobacco-use behaviors, analyze the predictors of use and indicators of addiction, and continue work on policy-related research to better understand factors that influence tobacco use in young people and to develop appropriate interventions.

    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 1998 is $78.541 million. The 1998 request includes the following enhancements:

      • HIV/AIDS Initiative: CDC has continued support for HIV counseling, testing, referral and partner notification services for injecting drug users in drug treatment centers, and other facilities

    1999 Request

    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 1999 is $74.414 million, a net increase of $46 million over FY 1998. The 1999 request includes the following enhancements:

    • Youth Tobacco Initiative: this $46 million increase is for the expansion of the initiative begun in FY 1998, to conduct surveillance of tobacco-use behaviors, analyze the predictors of use and indicators of addiction, and expand work on policy-related research to better understand factors that influence tobacco use in young people and develop appropriate interventions.

    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 1999 is $78.541 million, this represents no change over FY 1998. The 1999 request includes the following enhancements:

    • HIV/AIDS Initiative: CDC will continue support for HIV counseling, testing, referral and partner notification services for injecting drug users in drug treatment centers, and other facilities.

  5. PROGRAM ACCOMPLISHMENTS

    • CDC 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, 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.