budget (Ward, 2008a). In contrast, domestic HIV activities received 69%, sexually transmitted diseases (STDs) received 15%, and tuberculosis received 14% of the NCHHSTP FY 2008 budget. In FY 2009, the amount of NCHHSTP funding received by the DVH was not much greater, at $18.3 million (NASTAD, 2009) (personal communication, J. Efird, CDC, July 9, 2009). That low level of funding for the DVH has been relatively flat for the last 5 years.

HRSA, part of the US Department of Health and Human Services (HHS), is charged with increasing access to health care for people who are medically underserved. Several HRSA programs provide some direct services for viral hepatitis, including the Bureau of Primary Health Care, the

  1. and eliminate transmission of hepatitis B virus infection, the prevention and control of hepatitis C virus infection through counseling and testing and the prevention of transmission of bloodborne virus infections, including hepatitis viruses, through improved medical practices to reduce the frequency of unsafe injections and the improvement of the safety of blood transfusions;

  2. provides the leadership and coordination required to integrate viral hepatitis prevention and control activities into other prevention programs conducted by CDC, other Federal agencies and health care providers;

  3. conducts laboratory, clinical and epidemiologic studies to develop and evaluate methods for the diagnosis of infections with hepatitis viruses;

  4. identifies and characterizes agents and host factors associated with hepatitis and acute and chronic liver disease;

  5. provides epidemic aid, epidemiologic and laboratory consultation, reference diagnostic services and technical assistance to state and local health departments, other Federal agencies, other components of CDC, and national and international health organizations;

  6. disseminates information through health communications materials, tools and programs, scientific publications and presentations;

  7. provides training opportunities for Epidemic Intelligence Service Officers and others in CDC sponsored programs, including post-graduate students, post-doctoral fellows, and other public health and laboratory scientists; and

  8. serves as a WHO Collaborating Center for Reference and Research on Viral Hepatitis.

SOURCE: CDC, 2009a.

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