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HRD-78-150 1 (1978-09-05)

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DOCUMENT RESUME


07142 - [B2547571]

[Review of Venereal Disease Preienti-  and Control PrLyra].
HRD-78-150; B-164031(5). September ., 1978. 7 pp.

Report to Secretary, Department of Hfith, Education, and
elfare; by Gregory J. Ahart, Director, Human RBsources Div.

Issue Area: Health Programs: Surveillance, control and Screening
    Activities to Reduce the Incidence of Disease (1211).
Contact: Human Resources Div.
Budget Function: Health: Prevention and Control of Health
    Prcblems (553).
Organizaticn Concerned: Center for Disease Control.
Congressional Relevance: House Committee on Interstate and
    Foreign Commerce; Seuate Committee on Human Sesources.
Authority: Public Health Service Act (42 U.S.C. 247c).

         The Center foz Disease Control (CDC) has the primary
responsibility for the Federal role in the venereal disease
prevention and control program and has expended an average of
about $32 million annually since 1972. With these funds, CDC
conducts research, develops program guidelines and performance
standards, provides technical assistauce to State and local
governments, and supports educational activities. The CDC uses
reported syphilis and gonorrhea cases as its primary indicator
of actual disease trends and program effect. Monitoring reported
cases and cases identified through casefinding provides CDC with
insufficient information to demonstrate: the effectiveness of
current control strategies; the relative benefits of each
control program corponent: and the optical level of Yederal,
State, and local support for venereal dibease control. Reported
c.ase trends are susceptible to influence by factcrs other than
Pctual disease trends, such as changes in private physician
reporting habits, khe extent of public casefirding, public
clinic availability, and disease diagnostic pract-ices.
Regardless of the accuracy of reported case trends as indicators
of actual disease trends, actual disease incidence is the
proluct of various interacting factors; consequertly, even
declines in actual jisease trends cannot be solely attributed to
CDC-supported activities. CDC should conduct a study to develop
a metbcdcloqy for improving the reliability of reported data on
identified and treated cases and to determine the numbers of
people uho comprise the venereal disease problem. CDC should use
the resultant data to assess the impact of its efforts in
controlling the incidence of venereal disease. (RRS)

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