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HRD-77-3 1 (1976-11-04)

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                    RESTRICTED - Not to be released outside the General
                    ACCount'ng OfT*ce except on the bass of spe;   appruvcl
                    by the CfHce of Gongressional Relation&.

       The Honorable James G. Abourezk
       United States Senate

       Dear Senator Abourezk:
            In our March 15, 1976, letter report (sRD-76-108) we
       responded to your April 30, 1975, and subsequent requests
       for information concerning activities of the Indian Health
       Service.

            After our March letter report, we obtained a copy of
       the draft Urban Associates report and sent it to you. As
       discussed with your office, an analysis of the Urban Asso-
       ciates report and a review-of the Indian Health Service's
       research, development, and training programs will be in-
       cluded in our continuing reviews of the Indian Health Serv-
       ice. As Chairman of the Subcommittee on Indian Affairs,
       Senate Committee n Interior and Insular Affairs0 you will
       be provided copie. of our future repcrts.

            This letter presents our findings on the remaining
       topics on which you requested information:

            --Medical research involving American Indian subjects.

            --Research on the control of trachoma.

            --Permanent sterilization of Indians at Indian Health
              Service facilities and contract facilities.

            We discussed the results of our review with officials
       of the Indian Health Service, Department of Health, Educa-
       tion, and Welfare (HEW). Their comments have been recognized
       in preparing this report--Th.ty-did not review the report nor
       provide written comments on its contents. However, during a
       briefing on August 3, 1976, with Indian Health Service offi-
       cials and also in their letter of August 11, 1976, they agreed
       with our observations and recommendations. Our observations
       are summarized below; more detailed information is contained
       in the enclosure.


HRD-77-3

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