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UNITED STATES GENERAL ACCOUNTING OFFICE
WASHINGTON, D.C. 20548
HUMAN RESOURCES
DIVISION
MARCH 13, 1979
B-164031(5)
108824
/ _i
The Honorable Joseph A. Califano, Jr.
The Secretary of Health, Education,
ana welrare
Dear Mr. Secretary: 00
During our ongoin study of the epidemiological activi-
ties of the Center for/Disease Control (CDC), we have noted
opportunities for CDC to improve its management of certain
Disease Investigation, Surveillance, and Control (DISC)
activities. More specifically,fC-C should improve the plan-
ning, administration, and evaluation of DISC activities and
the management of its Epidemic Intelligence Service (EIS)
Corps.] CDC has begun some administrative actions which
could result in improvement in these areas. We are report-
ing to you now on the need for additional improvements.
These additional improvements could make DISC activities
more responsive to changing disease threats and to varying
State disease control capabilities. rWe ,j1ecommend that you
direct the CDC Director to initiate or, where applicable,
intensify and expand efforts to :
--set priorities for funding and carrying out all DISC
activities based on the relative threat posed by dis-
ease conditions, the potential for control or reduc-
tion of disease, the economic feasibility, and the
States' needs for assistance in dealing with disease
problems;
(%)--budget and account for DISC activities by specific
disease or disease group;
p\ --establish information systems and processes that
) will assess the quality of CDC's surveillance data
and changes in the States' abilities to handle oOk
changing disease problems;
HRD-79-54
...... O iO(102029)
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