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COMMITTEE ON

GOVERNMENT OPERATIONS
HOUSE OF REPRESENTATIVES

ONE HUNDRED THIRD CONGRESS

SECOND SESSION

JULY 28, 1994

Printed for the use of the Committee on Government Operations

85-648 CC

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON: 1994

For sale by the U.S. Government Printing Office

Superintendent of Documents, Congressional Sales Office, Washington, DC 20402

ISBN 0-16-046471-4

COMMITTEE ON GOVERNMENT OPERATIONS

JOHN CONYERS, JR., Michigan, Chairman

JULIAN EPSTEIN, Staff Director

MATTHEW R. FLETCHER, Minority Staff Director

HUMAN RESOURCES AND INTERGOVERNMENTAL RELATIONS SUBCOMMITTEE

EDOLPHUS TOWNS, New York, Chairman

WILLIAM F. CLINGER, JR., Pennsylvania

RONALD A. STROMAN, Staff Director
J. ALLEN HILL, Professional Staff Member
MARTINE M. DICROCE, Clerk
MARTHA MORGAN, Minority Professional Staff

KF27

G663

1994;

CONTENTS

Hearing held on July 28, 1994

Statement of:

Broome, Claire V., M.D., Deputy Director, Centers for Disease Control

and Prevention

Kaplan, Edward L., M.D., professor of pediatrics, University of Minnesota

Medical School, and professor, division of epidemiology, University of

Minnesota School of Public Health, and head, World Health Organiza-

tion Collaborating Center for Reference and Research on Streptococci ...

Morse, Dale L., M.D., M.S., director, division of epidemiology and commu-

nicable diseases, New York State Department of Health

Stevens, Dennis L., M.D., Ph.D, chief, infectious disease section, Veterans
Affairs Medical Center, Boise, ID

Towns, Hon. Edolphus, a Representative in Congress from the State
of New York, and chairman, Human Resources and Intergovernmental
Relations Subcommittee: Opening statement

Letters, statements, etc., submitted for the record by:

Broome, Claire V., M.D., Deputy Director, Centers for Disease Control
and Prevention: Prepared statement

Kaplan, Edward L., M.D., professor of pediatrics, University of Minnesota

Medical School, and professor, division of epidemiology, University of

Minnesota School of Public Health, and head, World Health Organiza-

tion Collaborating Center for Reference and Research on Streptococci:

Prepared statement

Morse, Dale L., M.D., M.S., director, division of epidemiology and commu-

nicable diseases, New York State Department of Health: Prepared

statement

Stevens, Dennis L., M.D., Ph.D, chief, infectious disease section, Veterans

Affairs Medical Center, Boise, ID:

Article from New England Journal of Medicine, July 6, 1989, relating

to severe group A streptococcal infections

Prepared statement