RESEARCH AND DEVELOPMENT OF SYSTEMS AND METHODS FOR MOLECULAR IMAGING
RELEASE DATE: February 12, 2002
RFA: RFA-EB-02-001
PARTICIPATING INSTITUTES AND CENTERS (ICs):
National Institute of Biomedical Imaging and Bioengineering (NIBIB)
(http://www.nibib.nih.gov)
National Human Genome Research Institute (NHGRI)
(http://www.nhgri.nih.gov/)
LETTER OF INTENT RECEIPT DATE: March 29, 2002
APPLICATION RECEIPT DATE: April 24, 2002
THIS RFA CONTAINS THE FOLLOWING INFORMATION:
o Purpose of this RFA
o Research Objectives
o Funds Available
o Eligible Institutions
o Individuals Eligible to Become Principal Investigators
o Where to Send Inquiries
o Letter of Intent
o Submitting an Application
o Peer Review Process
o Review Criteria
o Receipt and Review Schedule
o Award Criteria
o Required Federal Citations
PURPOSE OF THIS RFA
The National Institute of Biomedical Imaging and Bioengineering (NIBIB)
and the National Human Genome Research Institute (NHGRI) invite
applications for NIH Research Project Grant (R01) awards to support
interdisciplinary basic research or Phased Innovation (R21/R33) awards
to support novel investigations for molecular imaging and spectroscopy
development that can be broadly applied to research on biological or
disease processes.
The primary focus of this Request for Applications (RFA) is in vivo
molecular imaging and/or spectroscopy including devices, methods, and
contrast agents for biomedical research and human investigations. The
integration of these systems and methods with other
imaging/spectroscopy modalities is also included as appropriate to
support clinical investigations. Consistent with the mission of the
NIBIB, this initiative supports discovery or development of cross-
cutting technologies for molecular imaging and/or spectroscopy systems
and methods that can be broadly applied to research on biological or
disease processes.
The motivation for this Request for Applications is that discoveries in
molecular and cellular biology present extraordinary opportunities for
biomedical imaging to play an important role in the early detection,
diagnosis, and treatment of disease. Since current molecular-level
technologies primarily focus on in vitro methods, there is a need to
support new technologies that allow high spatial and temporal
resolution in vivo imaging and/or spectroscopy methods close to the
cellular or molecular scales for clinical or research investigations.
Another need is for new technologies that can improve the sensitivity
and specificity for the measurement of molecular signatures associated
with different disease processes.
The NIBIB seeks to improve health by promoting fundamental discoveries,
design and development, and translation and assessment of technological
capabilities in biomedical imaging and bioengineering enabled by
relevant areas of physics, chemistry, mathematics, engineering,
materials science, and computer science.
RESEARCH OBJECTIVES
The need to support discovery and development of biomedical imaging
methods has been identified at several NIH workshops and conferences on
biomedical imaging including a June 25-26, 1999, symposium titled
"Biomedical Imaging Symposium: Visualizing the Future of Biology and
Medicine" which was coordinated by the NIH Bioengineering Consortium
(BECON). Three scientific areas were addressed (1) imaging at the
cellular- and molecular-levels such as required for the early detection
of disease, (2) imaging for the clinical diagnosis, staging, and
recurrence of disease, and (3) imaging applied to therapeutic
applications and monitoring for various disease processes. The
development of novel molecular imaging/spectroscopy methods that
improve the spatial and temporal resolution, measurement sensitivity,
and specificity for all three areas was identified as a critical need
for this field.
Molecular information was recognized as having a profound impact on our
approach for diagnosing and treating diseases that have the potential
of being redefined in terms of their characteristic genetic or
molecular abnormalities. New forms of therapy are possible to target
the abnormal gene or phenotypic pathway, and methods are needed for
image guidance to track response to these new therapeutic strategies.
These advances are critically related to the development of molecular
probes and contrast agents that can provide the associations to
specific biological processes and thus improve the sensitivity and
specificity of imaging methods for early disease detection and
monitoring of therapeutic response. Optimization of imaging systems
and methods is required to realize the full potential of new
contrast agents.
This BECON symposium also emphasized the need to support fundamental
discovery and technical development of imaging technologies before
specific disease- or organ-oriented applications are determined. These
challenges can effectively be accomplished by multi-disciplinary teams
from academia, national laboratories, and industry, with expertise in
the quantitative, computational, and biomedical sciences. In addition,
the needs for appropriate research support mechanisms and NIH study
section reviews that emphasize technology development with less
emphasis on organ- or disease-specific clinical applications
were identified.
Consistent with the recommendations of the BECON symposium and the
mission of the NIBIB, the goals of this RFA are directed at basic
research and/or development of in vivo molecular imaging/spectroscopy
systems. Research areas of interest include methods and contrast
agents that enhance spatial or temporal resolution, measurement
sensitivity, and specificity as required for the detection, diagnosis,
or measurement of treatment efficacy for different disease processes.
The scope of the RFA includes the integration of these systems and
methods with anatomical or other functional imaging/spectroscopy
methods to provide more effective tools for clinical use, the
development of imaging or spectroscopy systems that have the
flexibility to accommodate a variety of protocols for investigations of
different diseases, and the development of platform-independent imaging
methods for multi-center research.
These systems, methods, and applications must be designed for eventual
clinical use. Development of in vitro imaging/spectroscopy systems and
methods will only be considered responsive to this RFA if they are
required to validate in vivo imaging/spectroscopy systems and methods.
Feasibility studies or proof-of-principal studies are appropriate to
demonstrate the potential of the proposed systems and methods.
The following research areas are examples of appropriate topics for
applications in response to this RFA. This list is meant to be
representative and not all inclusive:
o Discovery and development of the next generation of in vivo molecular
imaging and/or molecular spectroscopy systems and methods. The research
scope may include high-risk, high-gain research objectives such as new
in vivo imaging and/or spectroscopy paradigms using tomographic,
stationary, image-guided, or implanted systems and methods.
Mathematical modeling of such systems and their performance is included
as required for system optimization. System optimization for contrast
agents and molecular probes can also be addressed where appropriate.
The use of endogenous and other contrast mechanisms may be included
provided these methods complement molecular imaging/spectroscopy
methods. Areas of interest also include image and data processing
provided the objective of this research complements molecular methods.
o Development and system integration of molecular imaging and/or
molecular spectroscopy systems with other imaging or spectroscopy
systems and methods, namely multi-modality imaging (e.g., to include
tomographic and other localized stationary, image guided, or implanted
sensors). Development of sensors or multiple sensors that take
advantage of Micro Electrical and Mechanical Systems (MEMS) and Nano
Electrical and Mechanical Systems (NEMS) technologies are included.
Possible research examples include image and data processing, image
display, and image archiving provided the objectives of this research
complement molecular methods. Applications of these systems may include
early detection, diagnosis, computer-assisted or image-guided
intervention or therapy, and measurement of response to therapy for
different organ systems and diseases.
o Discovery and development of the next generation of contrast agents
for in vivo molecular imaging and/or spectroscopy methods. These may
include the development of molecular probes for biological processes
such as gene expression at the level of transcription or translation,
signal transduction for cell surface receptors, enzyme action or other
metabolic processes, or blood flow or drug action that may impact the
study of several disease processes. Single or multiple contrast agents
or contrast agents suitable for multi-modality imaging/spectroscopy are
included. Combinatorial chemistry for contrast agent development or
nanoparticles for contrast agent delivery systems or therapeutic
applications are also included.
MECHANISM OF SUPPORT
This RFA will use the NIH Research Project Grant (R01) and Phased
Innovation Award (R21/R33) mechanisms. As an applicant, you are solely
responsible for planning, directing, and executing the proposed
project. This RFA is a one-time solicitation. Future unsolicited,
competing-continuation applications based on this project will compete
with all investigator-initiated applications and will be reviewed
according to the customary peer-review procedures. The anticipated
award date is September 30, 2002.
This RFA uses just-in-time concepts. Applications for R01 grants use
the modular as well as the non-modular budgeting formats (see
http://grants.nih.gov/grants/funding/modular/modular.htm).
Specifically, if you are submitting a R01 application with direct costs
in each year of $250,000 or less, the modular format should be used.
Otherwise, follow the instructions for non-modular research grant
applications. For this RFA, applications for R21/R33 grants should use
the detailed budget (non-modular) format only.
The R01 mechanism is recommended for applications that emphasize basic
discovery or cross-cutting research that addresses specific aspects of
imaging systems, methods, or contrast agents. Research periods
associated with the R01 proposals are limited to five years.
The R21/R33 Phased Innovation Award is recommended for system
engineering approaches such as the development and integration of
imaging tools or agents, or partnerships with industry for technology
development and dissemination. The combined R21/R33 application offers
two advantages over the regular application process (1) single
submission and evaluation of both the R21 and R33 phases as one
application and (2) minimal or no funding gap between the R21 and R33
phases. A single application for the combined R21 and R33 phases with
a total period of up to five years is required for this initiative.
The R21 phase supports exploratory or developmental research aimed at
proof-of-principle for high-risk projects where preliminary data is not
available. An R21 application can be for one to two years with a
maximum budget request of $150,000 direct costs per year. The R33
mechanism supports the second phase of the innovative exploratory or
developmental research initiated under the R21 mechanism. A R33
application can be for one to four years. Transition from the R21 to
the R33 phase is dependent on successful completion of milestones
specified in the R21 application as determined by program staff.
Applicable recommendations from the peer review of the R21/R33
application will be followed in this determination.
The R21 application must include milestones that will be used to judge
the success of the proposed exploratory research. The Phased
Innovation Award application must have a section titled "Milestones" at
the end of the Research Plan for the R21 application. This section
must propose well-defined, quantifiable milestones for the completion
of the R21 phase, a discussion of the suitability of the proposed
milestones for assessing the success of the R21 research, and a
discussion of the implications of successful completion of these
milestones for the R33 phase.
FUNDS AVAILABLE
The NIBIB and the NHGRI intend to commit approximately $5.2 million in
FY 2002 to fund 10 to 20 new grants in response to this RFA. Because
the nature and scope of the proposed research will vary from
application to application, it is anticipated that the size and
duration of each award will also vary. Although the FY 2002 financial
plans of the NIBIB and the NHGRI provide support for this program,
awards pursuant to the RFA are contingent upon the availability of
funds and the receipt of a sufficient number of meritorious
applications. At this time, it is not known if this RFA will be reissued.
ELIGIBLE INSTITUTIONS
You may submit an application if your institution has any of the
following characteristics:
o For-profit or non-profit organization
o Public or private institutions such as universities, colleges,
hospitals, and laboratories
o National laboratories
o Units of State and local governments
o Eligible agencies of the Federal government
o Domestic or foreign
INDIVIDUALS ELIGIBLE TO BECOME PRINCIPAL INVESTIGATORS
Any individual with the skills, knowledge, and resources necessary to
carry out the proposed research is invited to work with their
institution to develop an application for support. Individuals from
under-represented racial and ethnic groups as well as individuals with
disabilities are always encouraged to apply for NIH programs.
WHERE TO SEND INQUIRIES
We encourage inquiries concerning this RFA and welcome the opportunity
to answer questions from potential applicants. Inquiries may fall into
three areas: scientific/research, peer review, and financial/grants
management issues.
o Direct questions regarding programmatic issues to:
Dr. Richard E. Swaja
Acting Director of the Division of Biomedical Imaging
National Institute of Biomedical Imaging and Bioengineering
Building 31, Room 1B37
Bethesda, MD 20892-2077
Telephone: 301-451-6768
Fax: 301-480-4515
Email: swajar@nibib.nih.gov
Dr. Jeffery A. Schloss
Division of Extramural Research
National Human Genome Institute
Building 31, Room B2B07
Bethesda, MD 20892-2033
Telephone: 301-496-7531
Fax: 301-480-2770
Email: jeff_schloss@nih.gov
o Direct questions about peer review issues to:
Dr. Lee Rosen
Scientific Review Administrator
Center for Scientific Review
6701 Rockledge Drive, Room 5116
Bethesda, MD 20892
Telephone: 301-435-1171
Fax: 301-480-2644
Email: rosenl@drg.nih.gov
o Direct questions regarding fiscal matters to:
Ms. Annette Hanopole
Grants Management Officer
National Institute of Biomedical Imaging and Bioengineering
Building 31, Room 1B37
Bethesda, MD 20892-2077
Telephone: 301-451-6768
Fax: 301-480-4515
Email: hanopola@nibib.nih.gov
Ms. Jean Cahill
Grants Administration Branch
National Human Genome Research Institute
Building 31, Room B2B34
Bethesda, MD 20892-2031
Telephone: 301-402-0733
Fax: 301-402-1951
Email: jc166o@nih.gov
LETTER OF INTENT
Prospective applicants are asked to submit a letter of intent that
includes the following information:
o Number and title of this RFA
o Descriptive title of proposed research
o Name, address, phone number, and e-mail address of the principal
investigator
o Names of other key personnel
o Participating institutions
Although a letter of intent is not required, is not binding, and does
not enter into the review of the subsequent application, the
information that it contains allows NIBIB and CSR staff to estimate the
potential review workload and to plan the review.
The letter of intent is to be sent by the date listed at the beginning
of this document. It is preferred that the letter of intent be sent
electronically to noi@nibib.nih.gov. If necessary, the letter of
intent can be sent by regular mail to the scientific/research contact
listed in the WHERE TO SEND INQUIRIES section of this announcement.
SUBMITTING AN APPLICATION
Applications must be prepared using the PHS 398 research grant
application instructions and forms (rev. 5/2001, updated 5/2002). The
PHS 398 is available at
http://grants.nih.gov/grants/funding/phs398/phs398.html in an
interactive format. For further assistance, contact GrantsInfo at
(301-710-0267 or GrantsInfo@nih.gov.
SPECIFIC INSTRUCTIONS FOR MODULAR GRANT APPLICATIONS: Applications
requesting up to $250,000 per year in direct costs must be submitted in
a modular grant format. The modular grant format simplifies the
preparation of the budget in these applications by limiting the level
of budgetary detail. Applicants request direct costs in $25,000
modules. Section C of the research grant application instructions for
the PHS 398 (rev. 5/2001, updated 1/2002) at
http://grants.nih.gov/grants/funding/phs398/phs398.html includes step-
by-step guidance for preparing modular grants. Additional information
on modular grants is available at
http://grants.nih.gov/grants/funding/modular/modular.htm.
USING THE RFA LABEL: The RFA label available in the PHS 398
(rev.5/2001, updated 5/2002) application form must be affixed to the
bottom of the face page of the application. Type the RFA number on the
label. Failure to use this label could result in delayed processing of
the application such that it may not reach the review committee in time
for review. In addition, the RFA title and number must be typed on
line 2 of the face page of the application form and the "YES" box must
be marked. The RFA label is also available at
http://grants.nih.gov/grants/funding/phs398/label-bk.pdf.
SENIDNG AN APPLICATION TO THE NIH: Submit a signed, typewritten
original of the application including the "Checklist" and five signed
photocopies to:
Center for Scientific Review
National Institutes of Health
6701 Rockledge Drive, Room 1040, MSC 77l0
Bethesda, MD 20892-7710 or
Bethesda, MD 20817 (for express/courier service)
APPLICATION PROCESSING: Applications must be received at the NIH by
the application receipt date listed in the heading of this RFA. If an
application is received after that date, it will be returned to the
applicant without review.
The Center for Scientific Review will not accept any application in
response to this RFA that is essentially the same as one currently
pending initial review unless the applicant withdraws the pending
application. The CSR will not accept any application that is
essentially the same as one already reviewed. This does not preclude
the submission of substantial revisions of applications already
reviewed, but such applications must include an "Introduction" that
addresses the how comments from the previous critique have been addressed.
PEER REVIEW PROCESS
Upon receipt, applications will be reviewed for completeness by the CSR
and for responsiveness by the NIBIB. Incomplete and/or non-responsive
applications will be returned to the applicant without further
consideration. Applications submitted in response to this RFA will be
reviewed by special emphasis panels of the CSR in accordance with
criteria specified in the following section.
REVIEW CRITERIA
The goals of NIH-supported research are to advance our understanding of
biological systems, improve the control of disease, and enhance health.
In the written comments, reviewers will be asked to discuss the
following aspects of your application to judge the likelihood that the
proposed research will have a substantial impact on the pursuit of
these goals:
o Significance
o Approach
o Innovation
o Investigator
o Environment
The Scientific Review Group will address and consider each of these
criteria in assigning your application"s overall priority score,
weighting them as appropriate for each application. Your application
does not need to be strong in all categories to be judged likely to
have major scientific impact and thus deserve a high priority score.
For example, you may choose to carry out important work that by its
nature is not innovative but is essential to move a field forward.
(1) SIGNIFICANCE: Does the proposed study address an important cross-
cutting discovery or technology/tool development with broad application
to biological or medical processes? If the aims of your application are
achieved, how will scientific knowledge be advanced? What will be the
effects of these studies on the concepts and methods that drive the
field? To what degree does the technology support the needs for
research on biological or disease processes?
(2) APPROACH: Are the conceptual framework, design, and methods
adequately developed, well-integrated, and appropriate for (l) cross-
cutting fundamental discovery (R01) or (2) technology and tool
development (R21/R33)? Does the applicant acknowledge potential
problem areas and consider alternative tactics? If appropriate, what
is the time frame for developing the proposed technologies or tools,
and what is the suitability of this time frame for meeting the
community"s needs? How easy will it be to use the proposed technology
or tools? Are the plans adequate for integrating the proposed
technology as an effective solution for implementation and
dissemination? If industrial partnerships are proposed, how will they
facilitate and complement the technology and tool development?
(3) INNOVATION: Does the project address discovery or technology/tool
development that represents innovation for the field? Does the project
challenge existing paradigms or employ novel concepts, approaches, or
methods? What are the cross-cutting applications of the proposed
fundamental discovery, technology, or tools?
(4) INVESTIGATOR: Does the principal investigator possess appropriate
experience and capabilities to direct and carry out this work? Is the
experience level of the principal investigator, other researchers, or
collaborators appropriate for the proposed effort?
(5) ENVIRONMENT: Does the technical and scientific environment in
which the work will be performed contribute to the probability of
success? Are the resources adequate to support the proposed
experimental program? Does the proposed work take advantage of unique
features of the technical and scientific environment or employ useful
collaborative arrangements? Is there evidence of institutional support
or collaborative agreements?
ADDITIONAL REVIEW CRITERIA: In addition to the above criteria your
application will also be reviewed with respect to the following:
o MILESTONES FOR COMBINED R21/R33 APPLICATIONS: For the R21/R33
applications, how appropriate are the proposed milestones for
evaluating the demonstration of feasibility for the R21 effort and
transition to the R33 development phase?
For R21/R33 Phased Innovation Award applications, the Initial Review
Group will evaluate the specific goals of each phase and the
feasibility milestones that would justify progression to the R33 phase.
A single priority score will be assigned to each scored application.
As with any grant application, the IRG has the option of recommending
support for a shorter duration than that requested by the applicant,
and basing the final merit rating on the recommended portion of the
application. This may result in a recommendation that only the R21
phase of the combined R21/R33 application be supported based on the
relative merit of the two research plans, adequacy of the milestones
for determining success of the R21 feasibility studies, and capacity to
provide easily assessed justification for progression to the R33 phase
without further review. The IRG may recommend modifications to or the
addition of milestones. Deletion of the R33 phase by the review panel
or inadequate milestones may affect the rating of the application.
o PROTECTIONS: The adequacy of the proposed protection for humans,
animals, or the environment to the extent that they may be adversely
affected by the project proposed in the application.
o BUDGET: The reasonableness of the budget and the requested period of
support in relation to the proposed research.
RECEIPT AND REVIEW SCHEDULE
Letter of Intent Receipt Date: March 29, 2002
Application Receipt Date: April 24, 2002
Peer Review Date: June/July 2002
Council Review: September 2002
Earliest Anticipated Start Date: September 30, 2002
AWARD CRITERIA
Award criteria that will be used to make award decisions include:
o Scientific merit as determined by peer review
o Availability of funds
o Programmatic priorities
REQUIRED FEDERAL CITATIONS
INCLUSION OF WOMEN AND MINORITIES IN CLINICAL RESEARCH: It is the
policy of the NIH that women and members of minority groups and their
sub-populations must be included in all NIH-supported clinical research
projects unless a clear and compelling justification is provided
indicating that inclusion is inappropriate with respect to the health
of the subjects or the purpose of the research. This policy results
from the NIH Revitalization Act of 1993 (Section 492B of Public Law 103-43).
All investigators proposing clinical research should read the AMENDMENT
"NIH Guidelines for Inclusion of Women and Minorities as Subjects in
Clinical Research - Amended, October, 2001," published in the NIH Guide
for Grants and Contracts on October 9, 2001
(http://grants.nih.gov/grants/guide/notice-files/NOT-OD-02-001.html),
a complete copy of the updated Guidelines are available at
http://grants.nih.gov/grants/funding/women_min/guidelines_amended_10_2001.htm.
The amended policy incorporates: the use of an NIH
definition of clinical research, updated racial and ethnic categories
in compliance with the new OMB standards, clarification of language
governing NIH-defined Phase III clinical trials consistent with the new
PHS Form 398, and updated roles and responsibilities of NIH staff and
the extramural community. The policy continues to require for all NIH-
defined Phase III clinical trials that: a) all applications or
proposals and/or protocols must provide a description of plans to
conduct analyses, as appropriate, to address differences by sex/gender
and/or racial/ethnic groups, including subgroups if applicable, and b)
investigators must report annual accrual and progress in conducting
analyses, as appropriate, by sex/gender and/or racial/ethnic
group differences.
INCLUSION OF CHILDREN AS PARTICIPANTS IN RESEARCH INVOLVING HUMAN
SUBJECTS: The NIH maintains a policy that children (i.e., individuals
under the age of 21) must be included in all human subjects research,
conducted or supported by the NIH, unless there are scientific and
ethical reasons not to include them. This policy applies to all initial
(Type 1) applications submitted for receipt dates after October 1, 1998.
All investigators proposing research involving human subjects should
read the "NIH Policy and Guidelines" on the inclusion of children as
participants in research involving human subjects that is available at
http://grants.nih.gov/grants/funding/children/children.htm.
REQUIRED EDUCATION ON THE PROTECTION OF HUMAN SUBJECT PARTICIPANTS: NIH
policy requires education on the protection of human subject
participants for all investigators submitting NIH proposals for
research involving human subjects. You will find this policy
announcement in the NIH Guide for Grants and Contracts Announcement,
dated June 5, 2000, at
http://grants.nih.gov/grants/guide/notice-files/NOT-OD-00-039.html.
PUBLIC ACCESS TO RESEARCH DATA THROUGH THE FREEDOM OF INFORMATION ACT:
The Office of Management and Budget (OMB) Circular A-110 has been
revised to provide public access to research data through the Freedom
of Information Act (FOIA) under some circumstances. Data that are (1)
first produced in a project that is supported in whole or in part with
Federal funds and (2) cited publicly and officially by a Federal agency
in support of an action that has the force and effect of law (i.e., a
regulation) may be accessed through FOIA. It is important for
applicants to understand the basic scope of this amendment. NIH has
provided guidance at
http://grants.nih.gov/grants/policy/a110/a110_guidance_dec1999.htm.
Applicants may wish to place data collected under this RFA in a public
archive, which can provide protections for the data and manage the
distribution for an indefinite period of time. If so, the application
should include a description of the archiving plan in the study design
and include information about this in the budget justification section
of the application. In addition, applicants should think about how to
structure informed consent statements and other human subjects
procedures given the potential for wider use of data collected under
this award.
URLs IN NIH GRANT APPLICATIONS OR APPENDICES: All applications and
proposals for NIH funding must be self-contained within specified page
limitations. Unless otherwise specified in an NIH solicitation,
Internet addresses (URLs) should not be used to provide information
necessary to the review because reviewers are under no obligation to
view the Internet sites. Furthermore, we caution reviewers that their
anonymity may be compromised when they directly access an Internet site.
HEALTHY PEOPLE 2010: The Public Health Service (PHS) is committed to
achieving the health promotion and disease prevention objectives of
"Healthy People 2010," a PHS-led national activity for setting priority
areas. This RFA is related to one or more of the priority areas.
Potential applicants may obtain a copy of "Healthy People 2010" at
http://www.health.gov/healthypeople.
AUTHORITY AND REGULATIONS: These programs are described in the Catalog
of Federal Domestic Assistance No. 93.286 (NIBIB) and No. 93.172 (NHGRI)
and are not subject to the intergovernmental review requirements of
Executive Order 12372 or Health Systems Agency review. Awards are made
under authorization of Sections 301 and 405 of the Public Health
Service Act as amended (42 USC 241 and 284) and administered under NIH
grants policies described at http://grants.nih.gov/grants/policy/policy.htm
and under Federal Regulations 42 CFR 52 and 45 CFR Parts 74 and 92.
The PHS strongly encourages all grant recipients to provide a smoke-
free workplace and discourage the use of all tobacco products. In
addition, Public Law 103-227, the Pro-Children Act of 1994, prohibits
smoking in certain facilities (or in some cases, any portion of a
facility) in which regular or routine education, library, day care,
health care, or early childhood development services are provided to
children. This is consistent with the PHS mission to protect and
advance the physical and mental health of the American people.
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