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93.269 COMPLEX HUMANITARIAN EMERGENCY AND WAR-RELATED INJURY PUBLIC HEALTH ACTIVITIES

FEDERAL AGENCY
CENTERS FOR DISEASE CONTROL AND PREVENTION, DEPARTMENT OF HEALTH AND HUMAN SERVICES

AUTHORIZATION
Public Health Service Act Sections 301, 307, 311, 317, and 319, Public Law 108-111, Public Law 109-417, U.S.C. 247d-3.

OBJECTIVES
To bring public health and epidemiologic principles to the aid of populations affected by complex humanitarian emergencies. Work will focus on the following main program areas: (1) Providing technical assistance including rapid health and nutrition assessments, public health surveillance, epidemic investigations, disease prevention and control, program evaluation and emergency preparedness; (2) Developing, implementing and disseminating findings from operational research projects aimed at developing more effective public health interventions; (3) Designing, implementing, and evaluating training activities to strengthen the capacity of CDC, other U.S. government agencies, international and private voluntary organizations, other governments, and public health students; (4) Developing and disseminating guidelines on public health issues and technical areas; and (5) Planning and maintaining partnerships with strategic international, bilateral, and non-governmental relief organizations.

TYPES OF ASSISTANCE
Project Grants (Cooperative Agreements).

USES AND USE RESTRICTIONS
Grants and cooperative agreements may be made to eligible institutions for the support of projects related to domestic and international complex humanitarian emergencies and war-related injuries. The grants and cooperative agreements may be used for personnel, salaries, consultant costs, survey costs, training, equipment, supplies, travel, patient costs, miscellaneous items, and indirect costs.

Applicant Eligibility
The general public will benefit from the objectives of this program.

Beneficiary Eligibility
The general public will benefit from the objectives of this program.

Credentials/Documentation
Applicants should review the individual CDC Guidance documents issued under this CFDA program for any required proof or certifications which must be submitted prior to or simultaneous with submission of an application package.

Preapplication Coordination
This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office of official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.

Application Procedure
Grant applications and required forms for this program can be obtained from Grants.gov. Please visit the Grants.gov Web site at www.grants.gov to both find and apply for all Federal grant opportunities.

Award Procedure
After review and approval of an application, a notice of award is made in writing and issued by the Grants Management Officer, Procurement and Grants Office, CDC. Appropriate notification is also made to the public.

Deadlines
Contact Headquarters Office listed below for application deadlines.

Range of Approval/Disapproval Time
From 2 to 3 months.

Appeals
None.

Renewals
Support is recommended for a specified project period, not to exceed 5 years.

Formula and Matching Requirements
None.

Length and Time Phasing of Assistance
Support is recommended for a specified project period, not to exceed 5 years.

Reports
Semiannual and year end progress reports are required. Financial status reports are required no later than 90 days after the end of each budget period. Final financial status and performance reports are required 90 days after the end of a project period.

Audits
In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.

Records
Grantees are required to maintain grant accounting records for a minimum of three years after the end of a grant period. If any litigation, claim, negotiation, audit or other act ion involving the record has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later. More detailed information regarding retention requirements is provided in 45 CFR Parts 74 and 92.

Account Identification
75-0943-0-1-550.

Obligations
FY 07 $0; FY 08 $0; and FY 09 est $250,000.

Range and Average of Financial Assistance
FY 09 (est) $50,000 to $250,000.

PROGRAM ACCOMPLISHMENTS
In FY 2007, CDC provided a technical advisor to UNICEF to oversee and complete the measles vaccination campaign in Southern Sudan. As a result, more than 2 million children were vaccinated against measles as a direct result of CDC intervention. CDC, in partnership with the United Nations Children's Fund, the Vietnam Veterans of America Foundation, the International Rescue Committee, and the Mine Clearance Planning Agency of Afghanistan, implemented a nationwide war-related mortality, injury, disability, and mental health survey in Afghanistan. Data collected from over 6,000 persons was used to establish national estimates of mortality, injury, disability, and mental health status. This project was the largest war-related injury survey in a post-conflict setting. Results from this study were published in the Journal of the American Medical Association. From FY 2004 - FY 2008, CDC provided technical assistance to UNICEF, WFP and the UN Food and Agriculture Organization for the annual emergency food security and nutrition assessment in Darfur. The survey covered 4.1 million conflicted affected persons and found increasing rates of malnutrition among children under five. Surveillance data on injury in post-conflict settings is being collected through the work of CDC and partners in 11 countries. These data will be used to identify risk factors for injury and to develop prevention programs.

REGULATIONS, GUIDELINES, AND LITERATURE
This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations.

Regional or Local Office
None.

Headquarters Office
Program Contact: Ben Sklaver, International Emergency and Refugee Health Branch, Centers for Disease Control and Prevention, 1600 Clifton Road, N.E., Mailstop F60, Atlanta GA 30341-3717, USA. Telephone: (770) 488-0683. Grants Management Contact: Randolph B. Williams, Grants Management Specialist, Branch VII, Procurement and Grants Office, Centers for Disease Control and Prevention, 2920 Brandywine Road, MS K75, Atlanta, GA 30341. Telephone: (770) 488-8382.

Web Site Address
http://www.cdc.gov

RELATED PROGRAMS
None.

EXAMPLES OF FUNDED PROJECTS
See http://www.cdc.gov/nceh/ierh/default.htm.

CRITERIA FOR SELECTING PROPOSALS
Proposal selection criteria can be found in the program guidance.


General Services Administration
Office of Chief Acquisition Officer
Regulatory and Federal Assistance Division (VIR)