Centers for Disease Control and Prevention
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|Centers for Disease Control and Prevention|
|Formed||July 1, 1946|
|Preceding agencies||Office of National Defense Malaria Control Activities (1942)
Office of Malaria Control in War Areas (1942–1946)
Communicable Disease Center (1946–1967)
National Communicable Disease Center (1967–1970)
Center for Disease Control (1970–1980)
Centers for Disease Control (1980–1992)
|Jurisdiction||Federal government of the United States|
|Headquarters||Druid Hills, Georgia|
|Annual budget||US$11.3 billion (2014 FY)|
|Agency executive||Thomas R. Frieden, MD, MPH, Director, Centers for Disease Control and Prevention|
|Parent Agency||United States Department of Health and Human Services|
The Centers for Disease Control and Prevention (CDC) is the national public health institute of the United States. The CDC is a federal agency under the Department of Health and Human Services and is headquartered in Atlanta, Georgia. Its main goal is to protect public health and safety through the control and prevention of disease, injury, and disability. The CDC focuses national attention on developing and applying disease control and prevention. It especially focuses its attention infectious disease, food borne pathogens, environmental health, occupational safety and health, health promotion, injury prevention and educational activities designed to improve the health of United States citizens. In addition, the CDC researches and provides information on non-infectious diseases such as obesity and diabetes and is a founding member of the International Association of National Public Health Institutes. It also featured in the season one finale of The Walking Dead (TV series)
The Communicable Diseases Center was founded July 1, 1946 as the successor to the World War II Malaria Control in War Areas program of Office of National Defense Malaria Control Activities. Preceding its founding, organizations with global influence in malaria control were the Malaria Commission of the League of Nations and the Rockefeller Foundation. The Rockefeller Foundation greatly supported malaria control, sought to have the governments take over some of its efforts, and collaborated with the agency.
The new agency was a branch of the U.S. Public Health Service and Atlanta was chosen as the location because malaria was endemic in the Southern United States. The agency changed names (see infobox on top right) before adopting the name Communicable Disease Center in 1946. Offices were located on the sixth floor of the Volunteer Building on Peachtree Street. With a budget at the time of about $1 million, 59 percent of its personnel were engaged in mosquito abatement and habitat control with the objective of control and eradication of malaria in the United States (see National Malaria Eradication Program). Among its 369 employees, the main jobs at CDC were originally entomology and engineering. In CDC's initial years, more than six and a half million homes were sprayed, mostly with DDT. In 1946, there were only seven medical officers on duty and an early organization chart was drawn, somewhat fancifully, in the shape of a mosquito.
Under Dr. Joseph Mountin the CDC continued to advocate for public health issues and pushed to extend its responsibilities to many other communicable diseases. In 1947, CDC made a token payment of $10 to Emory University for 15 acres (61,000 m2) of land on Clifton Road in DeKalb County, still the home of CDC headquarters today. CDC employees collected the money to make the purchase. The benefactor behind the “gift” was Robert Woodruff, chairman of the board of The Coca-Cola Company. Woodruff had a long-time interest in malaria control, which had been a problem in areas where he went hunting. The same year, the PHS transferred its San Francisco based plague laboratory into the CDC as the Epidemiology Division, and a new Veterinary Diseases Division was established.
The mission of CDC expanded beyond its original focus on malaria to include sexually transmitted diseases when the Venereal Disease Division of the U.S. Public Health Service (PHS) was transferred to the CDC in 1957. Shortly thereafter, Tuberculosis Control was transferred (in 1960) to the CDC from PHS, and then in 1963 the Immunization program was established.
It became the National Communicable Disease Center (NCDC) effective July 1, 1967. The organization was renamed the Center for Disease Control (CDC) on June 24, 1970, and Centers for Disease Control effective October 14, 1980. An act of the United States Congress appended the words "and Prevention" to the name effective October 27, 1992. However, Congress directed that the initialism CDC be retained because of its name recognition. CDC now operates under the Department of Health and Human Services umbrella.
Currently the CDC focus has broadened to include chronic diseases, disabilities, injury control, workplace hazards, environmental health threats, and terrorism preparedness. CDC combats emerging diseases and other health risks, including birth defects, West Nile virus, obesity, avian, swine, and pandemic flu, E. coli, and bioterrorism, to name a few. The organization would also prove to be an important factor in preventing the abuse of penicillin.
The CDC has one of the few Biosafety Level 4 laboratories in the country, as well as one of only two official repositories of smallpox in the world. The second smallpox store resides at the State Research Center of Virology and Biotechnology VECTOR in the Russian Federation.
Budget and workforce 
CDC’s FY2008 budget was $9.2 billion. As of 2008, staff numbered approximately 15,000 (including 6,000 contractors and 840 Commissioned Corps officers) in 170 occupations. Eighty percent have earned bachelor's degrees or higher; almost half have advanced degrees (a master's degree or a doctorate such as a PhD, D.O., or M.D.). CDC job titles also include engineer, entomologist, epidemiologist, biologist, physician, veterinarian, behaviorial scientist, nurse, medical technologist, economist, Public Health Advisor, health communicator, toxicologist, chemist, computer scientist, and statistician.
In addition to its Atlanta headquarters, the CDC has other locations in the United States and Puerto Rico. Those locations include Anchorage; Cleveland; Cincinnati; Fort Collins; Hyattsville; Morgantown; Pittsburgh; Research Triangle Park; San Juan, Puerto Rico; Spokane, Washington; Detroit; and Washington, D.C.
The CDC offers grants that help many organizations each year bring health, safety and awareness to surrounding communities throughout the entire United States. As a government-run department, the Centers for Disease Control and Prevention awards over 85 percent of its annual budget through these grants to accomplish its ultimate goal of disease control and quality health for all.
The CDC also operates the Public Health Associate Program (PHAP), a two-year paid fellowship for recent college graduates to work in public health agencies all over the United States. PHAP was founded in 2007 and currently has 159 associates in 34 states.
The President of the United States appoints the director of the CDC and the appointment does not require Senate confirmation. The director serves at the pleasure of the President and may be fired at any time. Sixteen directors have served CDC or its predecessor agencies.
- Louis L. Williams, Jr., MD (1942–1943)
- Mark D. Hollis, ScD (1944–1946)
- Raymond A. Vonderlehr, MD (1947–1951)
- Justin M. Andrews, ScD (1952–1953)
- Theodore J. Bauer, MD (1953–1956)
- Robert J. Anderson, MD, MPH (1956–1960)
- Clarence A. Smith, MD, MPH (1960–1962)
- James L. Goddard, MD, MPH (1962–1966)
- David J. Sencer, MD, MPH (1966–1977)
- William H. Foege, MD, MPH (1977–1983)
- James O. Mason, MD, MPH (1983–1989)
- William L. Roper, MD, MPH (1990–1993)
- David Satcher, MD, PhD (1993–1998)
- Jeffrey P. Koplan, MD, MPH (1998–2002)
- Julie Gerberding, MD, MPH (2002–2008)
- Thomas R. Frieden, MD, MPH (2009–present)
Organizational restructuring 
On April 21, 2005, the then-director of CDC, Dr. Julie Gerberding, formally announced the reorganization of CDC to "confront the challenges of 21st-century health threats". The four Coordinating Centers—established under the G. W. Bush Administration and Gerberding—"diminished the influence of national centers under [their] umbrella" and were ordered cut under the Obama Administration and Frieden in 2009.
The CDC Foundation operates independently from CDC as a private, nonprofit 501(c)(3) organization incorporated in the State of Georgia. The creation of the Foundation was authorized by section 399F of the Public Health Service Act to support the mission of CDC in partnership with the private sector, including organizations, foundations, businesses, educational groups, and individuals.
Data and survey systems 
- CDC Scientific Data, Surveillance, Health Statistics, and Laboratory Information.
- Behavioral Risk Factor Surveillance System.
- Mortality Medical Data System.
- Abortion statistics in the United States
- CDC publications
- State of CDC report
- CDC Programs in Brief
- Morbidity and Mortality Weekly Report
- Emerging Infectious Diseases, (monthly journal)
Diseases with which the CDC is involved 
Other infectious diseases 
Non-infectious disease 
The CDC also combats non-infectious diseases, including obesity.
Investigations by the Department of Health and Human Services Office of Inspector General (OIG) 
On the June 15, 2011, the OIG published a report critical of the CDC's failure to oversee recipients’ use of President’s Emergency Plan for AIDS Relief (PEPFAR) funds. The report read in part:
On June 5, 2012, the OIG published a report identifying vulnerabilities in vaccine management in the CDC's domestic 'Vaccines for Children' (VFC) program. The report read in part:
On the November 19, 2012, the OIG published a report critical of the CDC Namibia Office's failure to properly monitor recipients' use of PEPFAR funds. The report read in part:
CDC zombie apocalypse video contest 
On May 18, 2011, the Centers for Disease Control and Prevention's blog published an article instructing the public on what to do to prepare for a zombie invasion. While the article did not claim that such a scenario was possible, it did use the popular culture appeal as a means of having individuals prepare for all potential hazards, such as earthquakes, tornadoes, and floods. The recent proliferation of Zombie media provided a medium to contact citizens usually unaccustomed to dealing with the CDC.
Once the article became popular, the CDC announced an open contest for YouTube submissions of the most creative and effective videos covering preparedness for a zombie apocalypse (or apocalypse of any kind), to be judged by the "CDC Zombie Task Force". Submissions were open until October 11, 2011.
See also 
- Similar agencies
- Agência Nacional de Vigilância Sanitária (ANVISA; Brazil)
- Centre for Health Protection (CHP; Hong Kong)
- Chinese Center for Disease Control and Prevention (CCDC; People's Republic of China)
- Centers for Disease Control and Prevention- Central American Region(CDC-CAR; Guatemala, El Salvador, Nicaragua, Costa Rica, Panama, Belize)
- European Centre for Disease Prevention and Control (ECDC; EU)
- Health Protection Agency (HPA; United Kingdom)
- Hellenic Centre for Diseases Control and Prevention ( Greece)
- Institut de veille sanitaire (IVS; France)
- Istituto Superiore di Sanità (ISS; Italy)
- Instituto de Salud Carlos III ( Spain)
- Instituto Nacional de Salud (INS; Peru)
- Korea Centers for Disease Control and Prevention (KCDC; South Korea)
- National Institute of Infectious Diseases (NIID; Japan)
- National Center for Disease Prevention and Control (NCDPC; Philippines)
- Norwegian Institute of Public Health (FHI; Norway)
- Public Health Agency of Canada (PHAC; Canada)
- Robert Koch Institute ( Germany)
- Epidemic Intelligence Service
- World Health Organization (WHO; United Nations)
- Parascandola J (November/December 1996). "From MCWA to CDC—origins of the Centers for Disease Control and Prevention". Public Health Reports. PMID 8955706.
- "Records of the Centers for Disease Control and Prevention (Record Group 442) 1921–2004". Guide to Federal Records. United States: National Archives and Records Administration. November 9, 2010. Archived from the original on November 18, 2010. Retrieved 2009-10-04.
- Nájera JA (June 2001). "Malaria control: achievements, problems and strategies". Parassitologia 43 (1–2): 1–89. PMID 11921521.
- Stapleton DH (2004). "Lessons of history? Anti-malaria strategies of the International Health Board and the Rockefeller Foundation from the 1920s to the era of DDT". Public Health Rep 119 (2): 206–15. PMC 1497608. PMID 15192908.
- Division of Parasitic Diseases (February 8, 2010). "Malaria Control in War Areas (MCWA) (1942–1945)". The History of Malaria, an Ancient Disease (2004). Atlanta, Georgia: Centers for Disease Control and Prevention. Retrieved 2011-03-21.
- Beth E. Meyerson, Fred A. Martich, Gerald P. Naehr (2008). Ready to Go: The History and Contributions of U.S. Public Health Advisors. Research Triangle Park: American Social Health Association.
- CDC (1992). "CDC: the nation's prevention agency". MMWR Morb Mortal Wkly Rep 41 (44): 833. PMID 1331740. Archived from the original on November 18, 2010.
- "The eleventh plague: the politics of biological and chemical warfare" (p. 84-86) by Leonard A. Cole (1993)
- "CDC Special Pathogens Branch". Retrieved 2010-01-19.
- Office of the Associate Director for Communication (May 19, 2010). "State of CDC: Budget and Workforce" (XHTML). CDC Impact Story Topics. Centers for Disease Control and Prevention. Retrieved 2011-03-21. For more data on 2008, click on the "2008" link.
- "Top Jobs at the CDC". Employment Information Homepage. CDC. April 1, 2008. Retrieved 2011-03-21.
- "Behavioral Risk Factor Surveillance System". CDC: National Center for Chronic Disease Prevention and Health Promotion. Retrieved 2006-08-05.
- "CDC Grants at LoveToKnow Charity". Retrieved 2010-01-11.
- Wilgoren, Debbi and Shear, Michael D. "Obama Chooses NYC Health Chief to Head CDC." Washington Post. May 16, 2009.
- Etheridge, Elizabeth W. Sentinel for Health: A History of the Centers for Disease Control. Berkeley, Calif.: University of California Press, 1992. ISBN 978-0-520-07107-0; Patel, Kant; Rushefsky, Mark E.; and McFarlane, Deborah R. The Politics of Public Health in the United States. M.E. Sharpe, 2005. ISBN 978-0-7656-1135-2.
- "Past CDC Directors/Administrators". Office of Enterprise Communication. Centers for Disease Control and Prevention (U.S. Department of Health and Human Services). February 19, 2009. Retrieved 2009-05-19.
- Records of the Centers for Disease Control and Prevention Administrative History. Retrieved 2009-10-04.
- "National Public Health Institute, NPHI Advocacy | IANPHI – International Association of Public Health Institutes". IANPHI. Retrieved 2012-04-16.
- "CDC Office of Director, The Futures Initiative". CDC—National Center for Disease Control and Prevention. Retrieved 2008-12-28.
- Koenig, Robert. "New Chief Orders CDC to Cut Management Layers". Blogs.sciencemag.org. Retrieved 2012-04-16.
- "CDCfoundation.org". CDCfoundation.org. Retrieved 2012-04-16.
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- "Behavioral Risk Factor Surveillance System". CDC – National Center for Chronic Disease Prevention and Health Promotion. Retrieved 2006-08-10.
- "NCHS – Mortality Data – About the Mortality Medical Data System". CDC – National Center for Health Statistics. Retrieved 2007-01-09.
- "CDC – Data and Statistics – Reproductive Health". Cdc.gov. April 4, 2012. Retrieved 2012-04-16.
- "CDC – Publications". CDC – National Center for Disease Control and Prevention. Retrieved 2012-10-10.
- "State of CDC Report". CDC – National Center for Disease Control and Prevention. Retrieved 2012-10-10.
- "Programs in Brief: Home Page". CDC – National Center for Disease Control and Prevention. Archived from the original on July 18, 2006. Retrieved 2006-08-10.
- "Morbidity and Mortality Weekly Report – MMWR". CDC – National Center for Disease Control and Prevention. Retrieved 2012-10-10.
- "Emerging Infectious Diseases". CDC – National Center for Disease Control and Prevention. Retrieved 2012-10-10.
- "Review of the Centers for Disease Control and Prevention’s Oversight of the President’s Emergency Plan for AIDS Relief Funds for Fiscal Years 2007 Through 2009 (A-04-10-04006)". June 2011. Retrieved 2011-06-25.
- "Vaccines for Children Program: Vulnerabilities in Vaccine Management (Report OEI-04-10-00430)". June 2012. Retrieved 2012-06-06.
- "The Centers for Disease Control and Prevention's Namibia Office Did Not Always Properly Monitor Recipients' Use of the President's Emergency Plan for AIDS Relief Funds (A-04-12-04020)". November 2012. Retrieved 2012-12-07.
- Kraven, Vlad. "CDC Zombie Warning". "Earlier today the CDC (Center for Disease Control and Prevention) issued a preparedness guide on their blog, informing citizens on how to be ready for the rise of the undead.". Retrieved May 18, 2011.
- "Are You Prepared? Video Contest". Prepare.challenge.gov. Retrieved 2012-04-16.
- "Chinese center for disease control and prevention". Chinese Centers for Disease Control and Prevention. Retrieved 2008-12-28.
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- The CDC Homepage
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- Proposed and finalized federal regulations from the Centers for Disease Control and Prevention