Release Date:  June 1, 2000

RFA:  ES-00-007

National Institute of Environmental Health Sciences  http://www.niehs.nih.gov

Letter of Intent Receipt Date:  June 30, 2000
Application Receipt Date:       August 18, 2000


The purpose of this program is to strengthen the National Institute of 
Environmental Health Sciences= (NIEHS) support of research aimed at achieving 
environmental justice for socioeconomically disadvantaged and medically 
underserved populations in the United States.  One goal of the NIEHS is to 
stimulate investigative efforts that attempt to address questions related to 
the influence of economic and social factors on the health status of 
individuals exposed to environmental toxicants. This component of the research 
program in environmental justice is designed to stimulate community outreach, 
training, research and education efforts that will become the catalyst for 
reducing exposure to environmental pollutants in underserved populations.  The 
main objective of this RFA is to establish methods for linking members of a 
community, who are directly affected by adverse environmental conditions, with 
researchers and health care providers and to enable this partnership to 
develop appropriate research strategies to address environmental health 
problems of concern.  This effort will ensure that:

o  The community is aware of basic environmental health concepts, issues, and 

o  The community has a role in identifying and defining problems and risks 
related to environmental exposures.

o  The community is included in the dialogue shaping research approaches to 
the problem.

o  The community actively participates with researchers and health care 
providers in developing responses and setting priorities for intervention 
strategies.  One aim of this program is to facilitate the process of 
developing the trust needed for establishment of effective partnerships among 
individuals who are adversely impacted by an environmental hazard in a 
socioeconomically disadvantaged community, researchers in environmental 
health, and health care providers.  Once this aim is achieved, the 
collaborative team should then be able to initiate a research program that 
incorporates all parties and seeks to reduce exposure to or health impact from 
an environmental contaminant.


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 Request for Applications (RFA), 
"Environmental Justice: Partnerships for Communication," 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/

Applications may be submitted by domestic non-profit organizations, public and 
private, including predominantly minority institutions, individually or as 
joint efforts of minority institutions and majority institutions.  Usually, 
only one award under this RFA will be funded at an institution or 
organization.  Although a single institution or organization must be the 
applicant, a multi-institutional arrangement (consortium) is possible.  Such 
consortia, entailing active participation by more than one organization, are 
encouraged if there is clear evidence of close interaction and responsible 
partnership among the participants.  Competitive continuation applications 
from existing grantees in the NIEHS Environmental Justice: Partnerships For 
Communication Program in their fourth year of support will be accepted for 
consideration under this RFA.  Such applications must follow PHS 398 
guidelines for competitive renewal, including a progress report.  Such 
applicants are strongly encouraged to contact Program Staff listed under 
INQUIRIES for additional guidance.  It is important to note that, because of 
the wide range of environmental health problems to be addressed and the 
diversity of affected communities, applications must include at least one of 
each of the following:

o  A research scientist in environmental health sciences (such as those at 
NIEHS Environmental Health Sciences Centers or NIEHS Centers for Children=s 
Environmental Health and Disease Prevention Research).

o  A primary health care provider directly involved in a community affected by 
an environmental pollutant.  This individual must have a record of providing 
health care to the participating community.  He/she could, but need not 
necessarily, be affiliated with a county or state public health department.

o  A member of a community organization in an area having an underserved 
population that is adversely affected by an environmental pollutant.  This 
individual must be someone who lives in or works directly and regularly with 
the participating community.  

At least one member of each of these three required personnel groups must have 
an active and meaningful role in both development of the application and 
conduct of the proposed project.  These personnel must be listed on page 2 of 
the PHS 398 application, and a biographical sketch must be provided for each. 
 Applications lacking the required personnel will not be considered.  The role 
of each member of these three personnel groups in developing the application 
and carrying out the project must be clearly identified and fully described.  
There should be an equitable distribution of responsibilities as well as of 
requested financial resources among the three personnel groups.  This goal is 
often accomplished through the inclusion of one or more subcontract 
arrangements, which may be helpful in defining all parties' programmatic and 
budgetary roles.  The NIEHS has a significant commitment to the support of 
programs designed to increase the number of under represented minority and 
female scientists participating in biomedical, environmental, and behavioral 
research.  Therefore, applications from minority individuals and women are 
encouraged.  Because of the community-based nature of this program, well-
established community-based organizations are encouraged to consider their 
capacity to serve as the primary applicant organization.  Due to the complex 
administrative, programmatic, and financial responsibilities associated with 
this role, such groups should contact Program Staff listed below for guidance.


This RFA will use the National Institutes of Health (NIH) Education Project 
(R25) mechanism.   Responsibility for the planning, direction, and execution 
of the proposed project will be solely that of the applicant.  The total 
project period for an application submitted in response to the present RFA may 
not exceed four years.


The estimated total funds available for the first year of support for the 
entire program are anticipated to be $1.5 million.  The maximum award will be 
$200,000 in direct costs, including subcontract total (direct plus F&A) costs, 
per year.  Indirect costs will be paid at the approved indirect cost rate for 
the applicant organization less appropriate exclusions.  It is anticipated 
that seven grants will be awarded depending upon the availability of funds for 
this purpose and the quality of the applications received.  Supplements are 
not allowed.  Although this program is provided for in the financial plans of 
the NIEHS, awards pursuant to this RFA are contingent upon the availability of 
funds for this purpose.  Funding beyond the first and subsequent years of the 
award will be contingent upon satisfactory progress during the preceding year 
and upon availability of funds.



Americans want to live long and healthy lives, and the majority of them 
achieve that goal.  In general, however, people who are economically 
disadvantaged and/or who live or work in areas and occupations where 
conditions impart greater exposure to hazardous substances are less likely to 
do so.  At every stage of life, these persons suffer disproportionate levels 
of morbidity and mortality.  Evidence suggests that certain groups, especially 
minorities and low-income communities, bear an uneven share of hazardous 
environmental exposures.  Socioeconomically disadvantaged people suffer the 
lowest life expectancy and the highest adverse health consequences of 
inadequate access to high quality health care.  Additionally, they most often 
experience the highest degree of exposure to environmental agents and 
frequently have the least information available about the health consequences 
of exposure to these agents.  Environmental justice refers to the need to 
remedy the unequal burden borne by socioeconomically disadvantaged persons in 
terms of residential exposure to greater than acceptable levels of 
environmental pollution, occupational exposure to hazardous substances, and 
fewer civic benefits such as sewage and water treatment.  Geographic location 
plays an important role in environmental exposure of socioeconomically 
disadvantaged persons.  Inner-city poor often live in homes with high lead 
levels.  They may also be exposed to higher levels of air pollution.  Toxic 
waste sites are more frequent in rural, low socioeconomic counties in the 
United States.  Nuclear facilities and chemical plants are often located in 
rural areas.  Exposure to pesticides is another example where rural, 
socioeconomically disadvantaged populations area at a greater than average 
risk.  Disadvantaged neighborhoods may rely on well water which may be 
polluted with toxic chemicals.  In addition, medical care is often inadequate 
or unavailable to a significant proportion of the socioeconomically 
disadvantaged and minority people in America today.  Lead poisoning and the 
cognitive and developmental damage associated with exposure to lead occur 
disproportionately among minorities.  High blood pressure and prostate cancer 
are very common among African Americans.  Low birth weight babies and other 
problems during pregnancy are common among groups of women who do not have 
access to good prenatal care.  Some of these conditions or other diseases may 
have an environmental component in their etiology.  The lack of resources for 
early identification of the effects of toxic agents may lead to an increased 
disease burden in people who are economically least able to cope with it.

Recent Progress and Opportunities

Over the past six years, the NIEHS has supported a variety of environmental 
justice and community-based prevention/intervention research programs.  These 
programs have been very successful in achieving open and honest communication 
between researchers and community members.  Working together, researchers and 
community leaders have been able to identify disproportionate environmental 
health risks in certain communities and have begun to formulate research 
agendas.  A needed step in this process is gaining participation of community 
members in efforts to gather preliminary health and exposure data.  Ongoing 
projects within the Environmental Justice: Partnerships for Communication 
Program are committed to enhancing community participation in research studies 
and to facilitating communication among environmental health researchers, 
community health care providers, and community members.  Methods utilized in 
these projects include:

o  Assessment and/or surveys of environmental hazards.

o  Characterization and evaluation of the distribution and health impact of 
environmental contaminants.

o  Provision of environmental health and toxic exposure training for health 
care providers.

o  Development of culturally appropriate education and communication 

o  Development and implementation of exposure reduction/pollution prevention 

Areas of research that are encouraged and not currently funded by existing 
NIEHS Environmental Justice programs include, but are not limited to: women=s 
health issues (breast cancer, osteoporosis, reproductive health, autoimmune 
diseases), birth defects, hypertension, prostate cancer, and diabetes. 

Objectives and Scope

One component of the mission of the cooperating agencies is to promote 
research aimed at achieving environmental justice by identifying and 
addressing disproportionately high and adverse effects of environmental agents 
on human health in low income and minority populations.  The main objectives 
of this program are to: establish methods for linking members of a community, 
who are directly affected by adverse environmental conditions, with 
researchers and health care providers; and enable this partnership to develop 
appropriate research strategies to address environmental health problems of 
concern.  Development of such community-based strategies to address 
environmental health problems requires approaches that are not typically 
familiar to the research and medical communities.  Customary approaches to 
risk assessment and management often neglect the knowledge and experience of 
at risk populations and the sociocultural context of environmental hazards.  
The distinctive needs of individual communities and their inhabitants are only 
rarely considered in identifying environmental health problems and devising 
appropriate disease and pollution prevention tactics.  Underserved populations 
are often diverse, fragmented, and isolated, making it difficult to obtain 
their input and to integrate their concerns in decision-making processes.  
Assays of the health effects of environmental pollution, as well as 
regulations based on such assays, are often performed with little or no input 
from the affected community.  The purpose of this program is to institute 
mechanisms to bridge this communication gap.  Once communication and 
collaboration have been achieved, researchers and community members should 
then develop a research agenda to identify and assess environmental risks.  
Establishing and maintaining trust among all personnel is important throughout 
the process, as it will enhance the capacity to collect preliminary health and 
exposure data.  The ultimate goal of this program is to reduce health threats 
to these populations.  Therefore, participation of the community is essential 
for both identification of health risks as well as for effective 
implementation of policies to reduce exposure.  Applicants are therefore 
expected to create equitable partnerships among researchers in environmental 
health, health care providers, and representatives of low income or medically 
underserved communities affected by environmental health problems.  Types of 
activities that may be proposed include, but are not limited to:

o  Develop efficacious methods for risk communication in low-income and 
underserved communities unfavorably impacted by environmental hazards.

o  Develop community-based, culturally sensitive educational programs to 
mitigate adverse health effects from environmental toxicants in low-income and 
underserved communities.

o  Carry out community-based training to increase environmental health 
literacy, i.e., increase awareness of the public, in such neighborhoods.

o  Train and educate neighborhood health care professionals in the diagnosis 
and treatment of disorders having an etiology related to exposure to hazardous 
substances, i.e., increase awareness of health care providers.  These 
providers should have a direct role in assisting a community affected by 
exposure to an environmental hazard.

o  Develop a research agenda to measure population exposure and/or quantify 
human health impacts.  We wish to encourage a broad, comprehensive approach to 
this problem that emphasizes both education and research.  Applicants are 
encouraged to consider proposing some combination of the above activities.  
The following factors must be included in applications submitted in response 
to this RFA.  Applications lacking any one of the following factors will be 
considered nonresponsive.  Potential applicants are strongly encouraged to 
consult Program Staff listed under INQUIRIES about their capacity to address 
each of these factors.  The required elements for each application are:

o  Develop a means of establishing effective input from an underserved 
community affected by an environmental toxicant.  For example, applicants may 
consider creating a community-based advisory board or steering committee to 
facilitate outreach, planning, and evaluation efforts.  This input could be 
obtained directly from members of a community affected by an environmental 
toxicant as well as from representatives of such groups as community and 
neighborhood associations, churches, public housing resident councils, 
community health centers, local public health service departments, and 
minority educational institutions.

o  An objective assessment process designed to:

-  Identify priority areas in environmental health as perceived by community 

-  Develop a consensus among community members about plausible approaches.

-  Build upon existing experience and knowledge within the community.

-  Detect any potential constraints in implementing the project.

o  Development of appropriate education/communication modules.  Proposed 
projects must provide for dissemination of relevant information within the 
community as well as a means for the community to have a voice that reaches 
researchers and health care providers.

o  Develop research and intervention approaches.  For example, projects to 
collect and analyze exposure/health data are appropriate and encouraged.

o  Evaluation of the project's effectiveness.  A procedure must be established 
to assess the usefulness of the project's education, communication and 
research activities.  Both process and outcome measures should be addressed.  
The NIEHS requires that 10% of the budget be allocated to the evaluation 
component of the proposal.  It is further required that a social scientist be 
involved in the development of quantitative tools to assess progress and 
programmatic achievements.  Applications that do not contain an evaluation 
component will be considered non-responsive and returned to the applicant 
without review.

o  Recommendations for future activities, beyond the period of NIEHS funding, 
to assure continued participation of community members in research and service 
programs addressing environmental injustices.  Each of the above elements is 
essential to fulfill the education, communication, research and outreach aims 
of this RFA.  Applicants lacking any of the above components will be 
considered nonresponsive.  It is important to note that award of a grant under 
this RFA does not imply a commitment to future funding of any extensions or 
new projects planned with the support of such a grant.  Separate applications 
must be submitted for such programs and such applications will be evaluated on 
the basis of their own merits.  Activities conducted under this RFA should be 
consistent with Federal Executive Order No. 12988 entitled, "Federal Actions 
to Address Environmental Justice in Minority Populations and Low-Income 
Populations."  To the extent practicable and permitted by law, grantees shall 
make achieving environmental justice part of their project's mission by 
identifying and addressing, as appropriate, disproportionately high and 
adverse human health effects of environmental contaminants on minority, low-
income, and medically underserved populations, including African, Hispanic, 
Asian, and Native Americans.


To encourage applicants to share information gained via these grants, a member 
of each of the three types of required personnel on each project (scientist, 
health care provider, and community member) will be asked to attend an annual 
meeting in the Research Triangle Park, NC area.  Applicants should include 
such travel in their budget requests.


It is the policy of the NIH that women and members of minority groups and 
their subpopulations must be included in all NIH supported biomedical and 
behavioral research projects involving human subjects, unless a clear and 
compelling rationale and justification are provided 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 research involving human subjects should read the 
"NIH Guidelines for Inclusion of Women and Minorities as Subjects in Clinical 
Research," which was published in the Federal Register of March 28, 1994 (FR 
59 14508-14513) and in the NIH Guide for Grants and Contracts, Vol. 23, No. 
11, March 18, 1994, and is available on the web at: 

It is the policy of NIH that children (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 was published in the NIH Guide for 
Grants and Contracts, March 6, 1998, and is available at the following URL 
address: https://grants.nih.gov/grants/guide/notice-files/not98-024.html

Investigators also may obtain copies of these policies from the program staff 
listed under INQUIRIES.  Program staff may also provide additional relevant 
information concerning the policy well as with other pertinent federal laws 
and regulations.  Therefore, proposals for research involving human subjects 
must include a description of plans for including children.  If children will 
be excluded from the research, the application or proposal must present an 
acceptable justification for the exclusion.


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.  Reviewers are cautioned that their anonymity may 
be compromised when they directly access an Internet site.  


Prospective applicants are requested to submit a letter of intent that 
includes a descriptive title of the proposed research, the name, address, and 
telephone number of the Principal Investigator, the identities of other key 
personnel and participating institutions, and the number and title of the RFA 
in response to which the application may be submitted.  Although a letter of 
intent is not required, is not binding, and does not enter into review of a 
subsequent application, the information that it contains allows NIEHS staff to 
estimate the potential review workload and plan the review.

The letter of intent is to be sent by June 30, 2000 to:

J. Patrick Mastin, Ph.D.
Scientific Review Administrator
Scientific Review Branch
Office of Program Operations
Division of Extramural Research and Training
National Institute of Environmental Health Sciences
P.O. Box 12233, MD EC-24
111 T.W. Alexander Drive
Research Triangle Park, NC  27709
Telephone:  (919) 541-1446
Fax:  (919) 541-2503
Email: mastin@niehs.nih.gov


The research grant application form PHS 398 (rev. 4/98) is to be used in 
applying for these grants.  These forms are available at most institutional 
offices of sponsored research and may be obtained from the Division of 
Extramural Outreach and Information Resources, National Institutes of Health, 
6701 Rockledge Drive, MSC 7910, Bethesda, MD 20892-7910, telephone 301/710-0267, Email: GrantsInfo@nih.gov.  

The RFA label available in the PHS 398 (rev. 4/98) 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 

The sample RFA label available at: 
https://grants.nih.gov/grants/funding/phs398/label-bk.pdf has been modified to 
allow for this change.  Please note this is in pdf format.  

Submit a signed, typewritten original of the application, including the 
checklist, and three signed, photocopies, in one package to:

BETHESDA, MD  20892-7710
BETHESDA, MD  20817 (for express/courier service)

At the time of submission, two additional copies of the application must be 
sent to:

J. Patrick Mastin, Ph.D.
Scientific Review Administrator
Scientific Review Branch
Office of Program Operations
Division of Extramural Research and Training
National Institute of Environmental Health Sciences
P.O. Box 12233, MD EC-24
111 T.W. Alexander Drive
Research Triangle Park, NC  27709
Telephone:  (919) 541-1446
Fax:  (919) 541-2503
Email: mastin@niehs.nih.gov

Applications must be received by August 18, 2000.  If an application is 
received after that date, it will be returned to the applicant without review. 
 The Center for Scientific Review (CSR) 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 addressing the previous critique.  Applicants who are 
submitting revised applications based on criticisms in summary statements 
received in response to previous announcements of this RFA (ES-95-002 or ES-
98-006) are urged to read the appropriate instructions on page 14 of the PHS 


Upon receipt, applications will be reviewed for completeness by the CSR and 
responsiveness by the NIEHS.  Incomplete and/or nonresponsive applications 
will be returned to the applicant without further consideration.  Applications 
that are complete and responsive to the RFA will be evaluated for scientific 
and technical merit by an appropriate peer review group convened by the NIEHS 
in accordance with review criteria stated below.  As part of the intial merit 
review, all applications will receive a written critique and undergo a process 
in which only those applications deemed to have the highest scientific merit, 
generally the top half of the applications under review, will be discussed, 
assigned a priority score, and receive a second level review by the NIEHS 
National Advisory Council.

The major review factors listed below will be used in evaluation of 
applications for this RFA:

o  Scientific, technical and/or medical significance and merit of the proposed 
project as determined by such factors as its content, originality, and 

o  Evidence of access to, interaction with, and input from a minority, low-
income, or underserved community, whose members' health is adversely impacted 
by an environmental toxicant.  There should be evidence of effective 
involvement of such a community in development of the application as well as 
in conduct of the project.

o  Capacity of the project to:

-  Identify key environmental hazards that affect the health and quality of 
life of people who live in or around communities thought to be at risk.

-  Establish a focus and appropriate strategies and procedures for information 
exchange related to environmental health problems in socioeconomically 
disadvantaged communities.

-  Enhance awareness of environmental health problems among members of the 
public and/or health care providers living or working in low-income or 
underserved communities.

-  Have a direct impact on the health or quality of life of individuals in 
affected communities, e.g., by diminishing exposure to environmental 

o  Appropriateness and adequacy of the approach and methodology proposed to 
accomplish the project's objectives.  Effectiveness of the proposed plan in 
reaching the target audience.  For example, many socioeconomically 
disadvantaged persons tend not to obtain information from the written word.  
Low or no literacy, as well as bilingual, materials may need to be generated.

o  Plans for evaluation of factors contributing to the project's 
effectiveness.  Evaluations should include a measure of the impact of the 
project on community members' knowledge and awareness of issues and resources 
related to environmental health sciences.  Similarly, evaluation of the 
effectiveness of health care provider training should be conducted.  Both 
process and outcome evaluation tools should be incorporated.  Applications 
without evaluation components will be returned without review.

o  Qualifications and experience of the Principal Investigator and staff, 
particularly but not exclusively in areas relevant to the mission of NIEHS.  
Personnel should demonstrate knowledge of the needs of their target audience. 
 There should be evidence of effective cooperation and interaction in 
development of the application as well as in execution of the project among 
the three types of required personnel: a researcher in environmental health 
sciences, a health care provider, and a member of a community organization in 
an area having an underserved population that is adversely affected by an 
environmental pollutant.  There should be an equitable distribution of 
responsibilities among the three types of required personnel.

o  Strength of institutional commitment as evidenced by provision of 
appropriate resources, services, technical support, and allocation of space.

o  Availability of resources necessary to carry out the project.

o  Appropriateness of the proposed budget and duration in relation to the 
project's objectives.  Consistent with an equitable distribution of 
responsibilities, there should likewise be an equitable distribution of 
requested financial support among the three types of required personnel.

o  Adequacy of plans to include both genders, minorities and their subgroups, 
and children as appropriate for the scientific goals of the research when 
human subjects are used.  Plans for the recruitment and retention of subjects 
will also be evaluated.


The anticipated date of award is April 1, 2001.  The following will be 
considered in making funding decisions:

o  Quality of the proposed applications as determined by peer review.

o  Significance with respect to the goals of this RFA and the priorities of 
the NIEHS.

o  Availability of funds.


The following is the schedule planned for this initiative.  It should be noted 
that this schedule might be changed without notification due to factors that 
were unanticipated at the time of the announcement.  Contact the program 
official below regarding any changes in the schedule.  

Letter of Intent Receipt Date:  June 30, 2000
Application Receipt Date:       August 18, 2000
Initial Scientific Review:      November 15, 2000
Advisory Council Review:        February 2001
Anticipated Date of Funding:    April 1, 2001


Written, telephone or Email inquiries concerning this RFA are encouraged.  The 
opportunity to clarify any issues or questions from potential applicants is 

Direct inquiries regarding programmatic issues to:

Frederick L. Tyson, Ph.D.
Program Administrator
Chemical Exposures and Molecular Biology Branch
Office of Program Development
Division of Extramural Research and Training
National Institute of Environmental Health Sciences
P.O. Box 12233, 111 T.W. Alexander Drive, MD EC-21
Research Triangle Park, NC  27709
Telephone:  (919) 541-0176
Fax:  (919) 316-4606
Email:  tyson2@niehs.nih.gov

Direct inquires regarding fiscal matters to:

Ms. Dorothy G. Duke
Chief, Grants Management Branch
Office of Program Operations
Division of Extramural Research and Training
National Institute of Environmental Health Sciences
P.O. Box 12233, 111 T.W. Alexander Drive, MD EC-22
Research Triangle Park, NC  27709-2233
Telephone:  (919) 541-2749
Fax:  (919) 541-2860
Email: duke3@niehs.nih.gov


This program is described in the Catalog of Federal Domestic Assistance Nos. 
93.113, 93.114, and 93.115.  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 and Federal Regulations 42 CFR 52 
and 45 CFR Parts 74 and 92.  The program is not subject to the 
intergovernmental review requirements of Executive Order 12372 or Health 
Systems Agency review.  

The PHS strongly encourages all grant and contract recipients to provide a 
smoke-free workplace and promote the non-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 an 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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