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NIDR

PARTI

in NATIONAL INSTITUTE OF OENTAl RESEARCH DRN fni ANNUAL REPORT HID

OFFICE OF THE DIRECTOR

R

Ni Nin

I OCTOBER 1, 1977 to September 30, 1978 1 1 III

DRNIDRNIDRNIDRNIDRNIDRNID RNIDRNIDRNIDRNIDRNIDRNIDRI iHRNIDRNIDRNIDRNIDRNIDRNID RNIDRNIDRNIDRNIDRNIDRNIDRN

Compiled by:

Dental Research Data Officer National Institute of Dental Researcfi National Institutes of Health

PART I

(J^^ NATIONAL INSTITUTE OF DENTAL RESEARCH

ANNUAL REPORT

OFFICE OF THE DIRECTOR

October 1, 1977 - September 30, 1978

This document was prepared for administrative use at NIH . The comments and declarations of its contributors are their own and do not necessarily represent an official statement of the Institute .

Compiled By Dental Research Data Officer National Institute of Dental Research National Institutes of Health Bethesda, Maryland

CONTENTS

PART I - OFFICE OF THE DIRECTOR PAGE

Report of the Director 1-1

Special Assistant to the Director 1-2

Planning Officer 1-5

Office of Scientific and Health Reports 1-5

Financial Management Office 1-12

Personnel Office 1-13

EEO Program 1-15

Dental Research Data Officer 1-17

Office of Collaborative Research 1-19

Data Processing Office 1-20

Intramural Research Projects 1-22

PART II - NATIONAL CARIES PROGRAM PART III - EXTRAMURAL PROGRAMS PART IV - INTRAMURAL RESEARCH PART V - CONTRACTS

iii

REPORT OF THE DIRECTOR THE NATIONAL INSTITUTE OF DENTAL RESEARCH October 1, 1977 - September 30, 1978

The NIDR, the primary source of support for dental research in the country, also serves as an international focal point. As a consequence of the Institute's unique role, the Director is called upon in advisory or representational roles and to address various U.S. Governmental and international organizations. For example, this year the Director Dr. Scott was asked to make formal presentations to the Environmental Protection Agency's National Water Fluoridation meeting in Dallas and to their advisory council in Washington; both presentations dealt with dental fluorosis its cause and characteristics. The Director also serves on the World Health Organization's Oral Research Advisory Group and, therefore, attends the Group's annual meeting and carries out functions for it throughout the year. He also cooperates with the American Dental Association's Council on Dental Research, the Inter- national and the American Associations for Dental Research and others.

This year the NIDR Director was the recipient of three awards:

International Award for the Advancement of Dental Research,

of the Massachusetts Dental Society Fred Birnberg Research Medal, of the Association of Dental

Alumni of Columbia University, New York. Honorary Membership in the Royal Society of Medicine (England).

At these awards' ceremonies, he presented formal speeches. Among other major speeches given by the NIDR Director was one on the "Impact of Government-Sponsored Research on Dental Education" given in Jerusalem at the 25th Anniversary Celebration of the Hebrew University School of Dental Medicine; and another at Harvard University's Symposium on Oral Health Aspects of Aging. Speeches were also presented at meetings of the American Cleft Palate Association, the American College of Dentists' Washington Section, and the Public Health Service Professional Association.

In addition to formal presentations made to professional groups, the Director also appeared on two television programs a 30 minute interview on NBC's Health Field program, and as a panel member on Metromedia T.V.'s David Susskind Show. His interview with U.S. News and World Report was published in the magazine's "From an Expert" column in June, 1978.

The NIDR this year established an intra-Institute committee on fluoride research initiatives to identiy areas requiring additional study. The committee has set priorities in the field, identified mechanisms to accomplish the research and has assigned responsibilities within NIDR for implementing specific efforts.

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A aajor personnel change In the Office of the Director was the retirement of Mrs. Frances H. Pettlnato. Executive Officer, and the selection of her successor Mr. John P. Patterson who Is returning to the post after being Deputy Associate Coonlssloner for Administration, Food and Drug Administration, for the last three years. Also this year the NIDR appointed Ms. Lucille Strickland as its first Assistant Personnel Officer, a position created because the Personnel Officer has dual responsibility for the NIDR and the NINCDS. In June 1978, the planning officer, Mrs. Helen M. Riches also retired.

SPECIAL ASSISTANT TO THE DIRECTOR

Among the duties of the Special Assistant Is the responsibility for advising the Director in matters relating to support of the social and behavioral sciences. In that capacity, the Special Assistant prepared and delivered the paper, "Behavioral Research in Dentistry: A Federal Strategy" which was highlighted to keynote the first National Conference on Behavioral Dentistry (University of West Virginia). That document tras published In the proceedings of the conference and has been circu- lated to NIDR staff, the National Advisory Dental Research Council and to interested Investigators wishing to pursue NIDR support in this area. Program guidance for the Pain and Behavioral Studies Program Area of the Extramural Programs was further provided on a regular basis including the drafting of a Request for Applications, providing referrals of potential grantees and generating expanded contacts for programming purposes. Specific programming assistance in the substantive content areas of the social and behavioral sciences was provided during this fiscal year to a variety of organizations and institutions.

In addition to providing regular staff support to the Director, the Special Assistant handled special projects including the preparation of NIDR contributions on the subject of prevention for the Department and the preparation of NIDR and the DHEV international dental health initiatives.

The Special Assistant chaired and organised several syaposia:

"Meeting the Challenge of the Non-Patient,"

American Dental Association, Miami, Florida, October 1977; "Prlaary Dental Care; A New Movement?"

AiMrlcan Dental Association, Miami, Florida, October 1977; "Quality of Life of Dental Professionals"

Federation Dentalre Internationale, Toronto, Canacia, October 1977; "Developing New Technologies: Opportunities for Assessment

and Diffusion". Organized for International and American

Associations for Dental Research, Washington. D.C. March 1978; "Health Occupations: Socialization and Delivery of Health Care."

Organized for International Sociological Association,

Upsalla, Sweden, August 1978; "International Collaboration for Better Dental Health".

Organized for Federation Dentalre Internationale,

Madrid, Spain, September 1978.

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The following seminar and lecture presentations were delivered:

"USPHS/WHO International Collaborative Study of Dental Manpower Systems in Relation to Oral Health Status", annual Scientific Session, Faculty of Dentistry, Royal College of Surgeons, Dublin, Ireland, November 1977.

"Can Oral Health Behaviors Be Changed?" Meeting of Scottish Health Education and Dental Officers, National Health Service, Edinburgh, Scotland, November, 1977;

Discussant for symposium, "Becoming and Being a Dentist," session of the American Association of Dental Schools, Washington, D.C., March 1977;

"The Federal Role in Social and Behavioral Research in Dentistry," Walter Reed Institute for Dental Research, Washington, D.C., April 1978;

"Social Class, Dental Disease and Tooth Loss," (reactor

to panel presentations) Australia and New Zealand Division of the International Association for Dental Research, Wellington, New Zealand, August 1978;

"Social Sciences and Dentistry," New Zealand Dental Association, Christchurch, New Zealand, August 1978;

"A Sociologist's View of the New Zealand Results of the International Collaborative Study of Dental Manpower Systems in Relation to Oral Health Status," New Zealand Dental Association, Christchurch, New Zealand, August 1978;

"Characteristics of Dentists in Australia, Federal Republic of Germany, Japan, New Zealand, Norway and the U.S.", Federation Dentaire Internationale, Madrid, Spain, September, 1978.

Additional public information was provided through a TV news interview (Channel 6 - Miami, Florida, October 10, 1977) on the subject of why people do not go to the dentists. Information was provided to Glamour Magazine on the same subject.

Information was prepared and transmitted to the Committee on International Health, Institute of Medicine, National Academy of Sciences and was published in the report of that committee, "Strengthening U.S. Programs to Improve Health in Developing Countries," (April 1978).

Program data were transmitted to staff of the Institute of Medicine's Committee on Health Services Research and that material served as reference background material for their consideration of dental health services research.

The Special Assistant serves as a member of the Institute of Medicine's Committee on Dental Options for National Health Insurance which met several times during this fiscal year.

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A subscantlal porcion of cine was devoted to monitoring the research contract (HRA), %'SPHS/WHO International Collaborative Study of Dental Hanpower Sysceau in Relations to Oral Health Status," as well as the replication project of that study In Poland. Duties associated with those projects now active in nine countries included previously mentioned activities, contract activities, site visits to WHO headquarters In Geneva in January and September 1978, and data transfer and analysis facilitation to U.S. Federal facilities.

Organizational commitments were honored during the year and are listed below:

Program Committee, 8th International Congress on Oral

Biology (1979): Planning Committee for 6th International Conference on

Social Sciences and Medicine (1979); Coordinator, DC-Baltimore Area members of Behavioral

Scientists in Dental Research (monthly); Chairperson, Dental Public Health, Council on Scientific

Session, American Dental Association, (1977-78); Consultant to Commission on Classification and Statistics

for Oral (Conditions and Commission on Public Dental Health

Services, and Scientific Assembly Committee, Federation

Dentaire Internationale, (1977-78); Program Committee for Behavioral Scientists in Dental

Research, (FDI-1979 and IADR-1980); Councillor, Behavioral Science Group. American Association

for Dental Research, 1977-78; Chairperson, Coomittee on Health Promotion, International

Association for Dental Research, 1978; Chairperson, Membership Committee, American Association for

Dental Research, 1978; Chairperson, Honorary Membership Coomittee, Behavioral

Science Group, American Association for Dental Research,

1977-78; Nominating Coanittee, Medical Section, American Sociological

Association, 1977-78; Local Arrangements Committee, International and American

Associations for Dental Research. 1977-78.

Reviews of submitted articles were provided to the Journnl of Prevent ive Dentistry and the journal. Sociology of Work and Occup.Tt Ions /is were proposals submitted to WHO and to the Social Science Research Council (London, U.K.).

The Special Assistant served on the Director's 'ad-hoc' coanittee for the evaluation of the NIDR training investment. Because of the retirement of the Planning Officer in June, 1978, the Special Assistant assumed the duties associated with Planning and Evaluation functions of that office, a major activity being the evaluation of the National Carles Program. A contract was awarded at th** end of the year for the support of this evaluation.

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The following articles were published during the current fiscal year:

"Social Sciences Research: Ethical and Policy Implications,"

Community Dentistry and Oral Epidemiology, 1977, 5:257-272.

"The International Collaborative Study", International Dental Care Delivery Systems: Proceedings of a Colloquium, John Ingle and Patricia Blair, editors, National Academy of Sciences: Ballinger Books, August 1978.

PLANNING OFFICER

The Planning Officer devoted a major effort to the development of an evaluation strategy for the NIDR National Caries Program. The strategy was critiqued by outside consultants including experts in dental caries research and specialists in evaluation design.

During the year, the Planning Officer prepared the following major reports:

The NIDR Forward Plan, FY 1980-84

Narrative for the Zero Base Budget, FY 1980

Design of an Evaluation Strategy for the National Caries

Program Request for Proposals (RFP) for the Evaluation of the NIDR

National Caries Program NIDR Evaluation Plan, FY 1979

Responses were prepared to ad^ hoc requests from NIH/OD, emanating from Congress, 0MB, HEW, and others.

A briefing on Program Planning was presented to an NIH Grants Associate Seminar and another briefing on Evaluation was presented to an NIDR Workshop on Craniofacial Anomalies Objectives.

In June, 1978, Mrs. Helen M. Riches, the Planning Officer, retired.

OFFICE OF SCIENTIFIC AND HEALTH REPORTS

In addition to administering the information program of the NIDR, the Information Officer spent April 1978 on detail at the White House to provide public affairs help to the President's Commission on Mental Health. She also served on several NIH Information committees including a new work-output liaison committee, which is devising ways to measure productivity of NIH Information Offices; the Publications Study Group, composed of seven Information Officers (elected by peers) who will develop guidelines on NIH publications; the NIH Printing Liaison Committee, which is updating the guidelines for NIH printing activities; and the Information Training Committee, which organizes workshops and seminars for mid- and senior-level public information specialists.

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Nutrldon

This year the NIDR Information staff has paid special attention to activities in nutrition and nutrition education. Both the scientific and general press expressed great interest in the subject, and the staff provided a great deal of inforoation to reporters throughout the year. Resulting stories were carried in newspapers such as the Los Angeles Times and news and women's nagazines. As an example, the Washington Post carried a feature on the controversy over sugary cereals and tooth decay; the story quoted t%K> scientists from the National Caries Program.

The Information staff promoted the publication of two proceedings in the field: Taste " lopment; The Genesis of Sweet Preference and Sweeteners ai. ■__. _ Caries.

As interest in nutrition increased, the Information office began efforts to produce a television public service announcement directed at children Co let Chem know about the dangers of snacking on sweet foods. We hope to complete the first spot in a few months and plan 2 to 3 others to follow up. A leaflet for children and parents will be available to provide more information. Plans for pretesting and some evaluation of the TV efforts are also being made, as are other elements of a broad campaign.

Through cur.t.i. ts m.ide to distribute publications, the statf learned of a nutrition <'a<i .iiion project planned by the NHLBI high blood pressure education progam and Giant Foods. Both were eager to have NIDR partici- pation in the program, especially with respect to sugary foods. Further discussions are needed to work out details.

The Information office has also prepared reports for the NIH Nutrition Coordinating Committee and the Diabetes National Commission on nutrition education.

Press Activities

This year NTDR was involved with two press briefings, for which the Office either assisted in planning or with press contacts. In November 1977 the National Caries Program announced the postponement of clinical trials of a xylitol-sweetened chewing gum because English testing suggested that the sugar alcohol produced tumors in laboratory animals. The press conference held at the State University of New York in Stony Brook resulted In articles in most of the major newspapers throughout the country. Press interest went beyond the xylitol story and extended into the search for noncarlogenic artificial sweeteners and other aatl- cariogenic approaches. Papers reporting the xylitol study Included the New York Times, the Washington Post . and the Wall Street Journal.

The second press briefing was held at MH in July 1978 to report that fluoride aouthrinsing programs were ready for implementation nation- wide in schools in areas without fluoridated water. The briefing,

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called at short notice, attracted key science writers from wire services and newspapers. Coverage on the story was extensive and included the Washington Post, the Evening Star, the New York Daily News, and the Chicago Tribune. In addition, the AP and UPI stories received wide coverage. The New York Times used the news as a basis for a story on progress being made toward dental health for all Americans.

This Office arranged for articles concerning dental research in both professional journals and lay magazines. The Journal of the American Medical Association carried two NIDR items in their "From the NIH" column - one on NIDR research showing that interferon may be responsible for asthma attacks that follow viral infections and the other on the adverse effects antacids have on bone.

The Pharmacy Times carried an article, written by Dr. Philip Swango of the National Caries Program, about topical fluorides. The American Dental Association publications, their journal, newspaper, and leader- ship bulletin carried numerous NIDR stories. The Journal of the American Osteopathic Association also carried several NIDR articles.

The U.S. News and World Report carried an article on their interview of Dr. Scott, NIDR Director. The question and answer session touched on nearly all fields of dental research.

Lay magazines requesting our assistance on dental articles include Current Health, Apartment Life, Glamour , and Vogue . The Better Homes & Garden Family Medical Guide asked our advice for re-writing and updating their lengthy section on dentistry. We went over the old version and suggested deletions and additions needed to make the section current and correct. The Office also assisted World Book/Child Craft, Prevention and other magazines by providing photographs on various aspects of dental research.

For several international meetings, the Office prepared press summaries of NIDR papers. Meetings included those of the International Association for Dental Research, the Second World Congress on Pain, and the Federation Dentaire Internationale.

Audio-Visual Activities

This year extensive efforts were undertaken to produce audio-visuals in addition to traditional press-oriented activities. Arrangements were made for two television and two radio broadcasts. The NIDR Director was on a panel discussing dentistry on the David Susskind show, and also a one-half hour interview on the Health Field show which was carried on NBC network TV throughout the country. The Field show covered many aspects of dental research as well as oral hygiene and dentistry.

The Office developed for distribution a 30-second TV spot "Sealants for Us Kids," which informs children and parents of the protection against tooth decay that adhesive sealants offer to children's most vulnerable

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Cooch surfaces. The spoc was dlscrlbuced co over 700 television stations. Response cards from over 30Z of the progran directors of the T\' stations Indicated that the spot was well received and was used on a rotation basis In children's prime-time viewing hours. Program directors coooented that the announcement was informative, interesting, and that additional announcements on dental subjects and for children would be welcomed.

The director of the American Chemical Society's radio program "Man and Molecules" also came to the NIDR to tape record 30-minute interviews with the Director, Dr. Scott, and with a National Caries Program invest- igator and administrator. Dr. William Bowen.

TWO 30-8econd spot announcements, one on canker sores and fever blisters and another on dental sealants, were aired on radio stations throughout Che country. As a result, many requests for our pamphlets on the subject were received.

The Office worked with the NCP to contract out the production of four films on self-applied fluoride programs in schools. The films will be used to train parents, teachers, school administrators, and dental and medical professionals and students, and others on various aspects of the programs.

Three existing NIDR films on dental sealants, vaccine against caries, and topical fluorides continued to be distributed widely this year by the National Medical Audiovisual Center in Atlanta and by the American Dental Association.

The Institute's Exhibit program was active again this year, with five exhibits shown at 20 different meetings and conventions. One exhibit on early detection of oral cancer received an award from the America Medical Association at its annual meeting.

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Two new exhibits were designed, built, and shown this year. One describes new research on the microbiology of periodontal diseases and the other is a fold-up exhibit which describes school-based fluoride programs. Slides were prepared for a variety of uses including some on the organization of HEW, PHS and the NIDR that were prepared for Dr. Frazier, Chief, Soft Tissue Stomatology and Nutrition Program Branch, NIUR. The slides prepared will serve as a base for an NIDR slide show being planned.

The Information Office assisted the NIH Project REACH staff in securing proper speakers for an educational satellite TV program on oral cancer conducted at the U. of Colorado, and another on pain carried out by the U. of South Carolina. Dr. Duboer participated in the latter.

Publications

To give our information materials new Identity and a family resemblance, we worked with Che NIH's medical arcs scaff and wich their contractor Co

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design new formats, designs, and a logo. Publications redesigned this year include "NIDR Research News," "NIDR Abstracts," "Key Scientific and Administrative Staff," "Canker Sores and Fever Blisters," "Grant and Contract Research Programs of the NIDR," "NIDR Research Programs," and a hanging mailer used throughout the Institute when publications are sent and when individual letters are not required.

One of the Office's periodicals also has a modified content. "NIDR Research News" is our new periodical which is issued at the time of newsworthy events, instead of the monthly or quarterly basis of its predecessor periodicals "Research News for NIDR" and "Research Capsules." The new Periodical has sections on research progress, conferences, new publications and films. It is sent to newspaper and magazine science writers, editors of dental journals and others who have expressed an interest in dental research items.

This year we extensively revised .the extramural flyer, now entitled, "Grant and Contract Research Programs of the National Institute of Dental Research" in time for distribution at the 1978 meeting of the International Association for Dental Research.

A popular leaflet, "Rx for Sound Teeth," also was redesigned to provide appealing illustrations. The leaflet has been distrubuted widely in supermarkets, through the Consumer Information Exchange in Pueblo, Colorado, and through other outlets.

"Good Teeth For You and Your Baby," a booklet developed as a joint publication with the National Association of Community Health Centers, will be distributed through approximately 200 neighborhood health centers and through supermarket racks in specified neighborhoods during the coming year. The leaflet, which offers practical suggestions for self-help toward the attainment of dental health for children and expectant mothers, will be available in English and in Spanish versions.

Another popular pamphlet "Canker Sores and Fever Blisters" has been updated and redesigned this year. It, too, will receive wide distri- bution next year.

This Office assisted scientific staff in obtaining concept clearance and in readying the following manuscripts for printing: Taste and Development : The Genesis of Sweet Preference, Alternatives to Gold Alloys, and Rod Anode X-Ray Sources in Dentistry.

The Office has continued to issue its regular publications and contributes to those of the NIH. "NIDR Abstracts" which contains summaries of scientific papers published by NIDR investigators is prepared and distributed each quarter to scientists all over the world who have asked to receive the publication. Each year this Office puts together the NIDR's directory entitled "Key Scientific and Administra- tive Staff."

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NIH publications to which we contribute include the booklet Guide to WIH Programa and Awards, and NIH S> ' ' *" Ic Directory/Annual Bibliography, the NIH Almanac , and H Publications List. Also, we prepared material for the PHS Dental Recruitment Manual and other PHS and Department reports. In addition, we contributed NIDR brochures to the NIH Visitor's Center and for use at the DHEV 25th Anniversary celebration.

The Office also has prepared a leaflet on tetracycllne-stalned teeth to be used In answering public Inquiries and, more generally, to Inform the public of the danger of permanent staining from the antibiotics.

In addition, this Office has begun developing several new publications. One "Your Teeth and Your Health" explains to Clinical Center patients the importance of dental care to their medical treatment and offers practical suggestions for dally oral hygiene.

Other new publications irlll outline opportunities for careers in dental research especially for minorities and women. The Scientific Director and the Office of Personnel and the Equal Employment Opportunity Office have advised us on this endeavor.

Our Office is r< another new publication that will coniain abstracts and lists of pu! ;ons from recent studies in dent.il behavior and sociological research. This project is being done in close collabor- ation with and under the direction of Dr. Lois Cohen, Special Assistant to the NIDR Director.

Special efforts were made in editing a 1,000-page book. Fluorine in Stomatology and Hygiene, in readying the manuscript for printing, and in developing an appropriate mailing list for distributing this English translation of a Russian manuscript. The book represents a 20-year study of the subject. The compendium contains information not avail- able in other sources and, therefore, should prove useful to health professionals In promoting research and other activities needed in this field.

Editorial and Public Inquires Activities

The Office handled clearance for some 165 manuscripts and 190 abstracts during the year. Approximately 80 percent of the manuscripts were edited by science writers in this office. On request, we also provided editorial advice to various scientific staff in the preparation of major manuscripts and speeches.

Staff participated in the preparation of various NIDR budget statements throughout the year, as well as reports on various subjects.

The Office of Scientific and Health Reports received more than 3,000 letters and 1,000 telephone rails from the general public. Most could be handled by sending out some 119,000 publications but 425 required individual letter responses.

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During several months of 1977 and 1978, the fluoride specialist collected published and unpublished information relevant to a highly publicized controversy about cancer rates in fluoridated and non- fluoridated communities. Study reports, technical correspondence, interim research summaries, hearings testimony, and other information pertinent to the issue were provided to a number of organizations with whom information exchanges had been arranged or who had expressed a need for the documentation service, such as:

USEPA Criteria and Standards Division (Water)

The Center for Disease Control

The Congressional Research Service

The House Committee on Government Operations

The American Dental Association

The Canadian Dental Association

The British Dental Association

The World Health Organization

Swedish Government Committee on Fluorides and Dental Caries

Hadassah Medical School

As Chairman and member of an interagency panel, Mr. Small reviewed several proposals made to the HRA Division of Dentistry. The proposals were for the development of a methodology for research into the effects of long-term community water fluoridation on the dental care demands of older adults. He also reviewed and provided critiques of a number of draft or interim manuscripts on subjects concerning fluorides and health, in response to requests made by other Federal agencies.

A proposal submitted to the Environmental Protection Agency for the development and interpretation of additional epidemiological data on dental fluorosis in humans as related to water-borne fluorides.

Drafts of two papers, prepared by consultants to the Chief Dental Officer, on dental fluorosis and the fluoride concentration limits for drinking water prescribed by the National Interim Drinking Water Regulations.

An editoral, prepared by a committee on NIAMDD advisors and staff for publication in the Journal of the American Medical Association, to inform physicians on use of fluoride compounds in treating bone diseases in which demineralization occurs.

To give assistance to the GAO in the preparation of their NIDR report, specialist assisted in collection of reference material and provided technical and editorial comments on a draft on information about the toxicity and safety of fluorides as used in dentistry and dental public health measures.

Specialist worked with the dental staff of the Office of the Assistant Secretary for Health and other consultants in the preparation of a

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legisladve proposal and suppordng documentation for Federal promotion and funding of preventive dental health measures. Including community and school water fluoridation, for consideration and action by the Secretary. The Secretary requested the proposal for inclusion in a grouping of preventive health initiatives to be advocated by the Adalnistratlon.

Specialist provided background and current information on the effective- ness and safety of community water fluoridation to a Swedish government- appointed committee on caries prevention. Relevant documentation and answers to specific questions were transmitted through the office of the Secretary of the Embassy of Sweden over a period of several months following an initial meeting at the Embassy.

In J.inuary 1978, the fluoridation specialist ottered assistance to the program chairman of a scheduled international symposium on the biologi- cal and medical uses of fluoride compounds. The two-day symposium will be part of the national meeting of the American Chemical Society in Honolulu in April 1979. The specialist provided a listing of researchers and clinicians involved with the health aspects of fluorine compounds, assisted the chairman in making contacts, and provided consultation concerning the relative importance of subjects suggested for the symposium. In Hay, the chairman met at NIH with staff members from Institutes with an interest in fluorides and health (NIDR, NIAMDD, NIA) to develop the program. The chairman has invited the Director of NIAMDD to chair the symposium session on clinical uses of fluorides. An NIDR r< 'lor (Dr. Edward Eanes) will be one of the fourteen speakers . i from several countries to present research findings.

The fluoridation specialist established a resource file on fluorides and health by consolidating existing files in OSHR, expanding the Indexing to cover a broader range of finely specified subjects, obtaining additional literature items from several sources, and establishing individual and institutional contacts to help to keep the inforaation current and complete.

Fluoridation specialist is a aenbar of NIDR fluoride studies conmittee,

which has responsibility for developing, recoonending, and seeing to

it that research proposals concerning fluorides and health are performed.

FINANCIAL MANAGEMENT OFFICE

The Financial Hanageaent Office has the responsibility for the Institute's total budget program. Serving as the Institute's center for budget data and related infomation, this Office's major activities include the formulation of budget estiaates including the planning, development and review of funds required to support operating programs and future plans; the preparation and presentation of budget estimates; the deteraination of funds required within authorized limits; the adr ition of apportionments, allocations and allotments; and the aan^^^.--. ..L controls over obligations and the expenditure of funds.

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Although budget administration is cyclic, the activities and work operations are continuous. The Financial Management Office provides responses to requests for program data from Congress, 0MB, and other federal and non-federal agencies and engages in such diverse activities as budget execution; maintenance of payroll records, including correc- tions and additions; preparation of routine and special reports, such as reports on special management projects; provision of grant forecasts; and preparation of special reports concerning the NIDR's research relating to that of other Institutes; and on utilization of funds by the intramural program. Monthly status reports on personnel and the rate of expenditures for program activities issued by this office provide administrative program directors with a reliable guide which can assist them in the management of personnel and financial resources.

During this year, the NIDR Financial Management Office experienced its second encounter with Zero Base Budgeting with a new and extensive format named SATT (Science Base, Application, Transfer and Training) to be used for the 1980 budget formulations. Zero Base Budgeting, introduced to the United States Government by President Carter, is designed to encourage collaboration among program managers and administrators, at all levels, in the resource allocation decision- making process. The process is a lengthy one, requiring a great deal of planning and cooperation. In addition to preparation of the fiscal portion of the submission, the Financial Management Office coordinated other materials needed for submission.

The NIDR Office of Financial Management has continued to contribute to the overall programs of NIH by actively participating in the training programs for budget personnel. This Office has worked with three trainees during FY 1978. Experience gained at NIDR should prove beneficial in preparing them for positions in budget offices.

PERSONNEL OFFICE

The Personnel Office serves as the focal point within the Institute for personnel management services. Its activities encompass several major areas including: staffing and placement, position classification, employee relations, employee training and development, and organiza- tional change. During the past year, Personnel Office efforts focused on position classification, communication with Institute personnel, and improved internal operation.

In March 1978, an Assistant Personnel Officer, NIDR, was appointed to serve on a full-time basis since the Personnel Officer's time is divided between two Institutes. Shortly thereafter, a part-time clerk-typist transferred to another agency and her position was filled by a full time Personnel Clerk. In addition to these changes, a senior Personnel Management Specialist from NIAID filled the vacancy created by a staff member who transferred to one of the DPM branches. Staff assignments were also realigned into "teams" consisiting of a

Per ' v_in.u,c-t:u s.i-. lallst and a Personnel Clerk, who provide dav .. si-rvi.i- t Uslpnated program areas of the Institute.

In a continuing effort to improve the operation of the office, the senior Personnel Assistant developed a "Standard Operating Procedures Manual" covering all personnel actions processed for the Institute. Also, staff began to update and correct the data base of the Automated Retrieval Management System (ARMS) and, through training sessions conducted by the NIDR Data Processing Systems and the DPM Analysis Section, increased its capability to query the system. These accom- plishments have resulted in increased efficiency, a better record of personnel activity, a more timely Biweekly Status Report on Personnel Actions and more useful and reliable information for Institute ■anagenent officials.

Early in the year a Public Health Service team conducted audits of several positions throughout the Institute. Their final report concurred in the classification of these positions with one exception; decision on a secreterial position was deferred until the Factor Evaluation Svstcn (FES) standard for these positions is issued.

Other FES activity Included a test application of draft FES standards for the CS-160 EEC series. This test was carried out jointly by the Personnel Office and the NIDR EEC Coordinator and submitted through channels to the CSC. Final CS-681, Dental Assistant FES standards wcro recclvod and will be implemented during the coming vear.

In support of Dr. Nylen's commitment to EEC In the Intramural program, this office along with the EEO Office is advising the Information Office in developing a recruitment brochure to be used to attract and hire minorities, women and the handicapped Into Institute intra- mural positions. The brochure will cover various access routes to careers in dental research being carried out and/or supported by the NIDR. Intensive recruitment efforts will be launched during the coming year.

Due to initintivcs from DHEW, exemplified by the Three-Year Position Classification Review, intensive effort was directed to the area of position classification. One-third of the positions in the Institute were audited with emphasis on verification and correction of position descriptions and on position management. Personnel office staff worked closely with the staff of the NIH Division of Personnel Manage- ment to identify and to solve classification problems. Between 60 and 70 per cent of the staff's time was spent in position classification and related matters.

Factors both internal and external to the Institute will necessitate continued emphasis by the Personnel Office in the areas of position classification, comounicat ions, and internal operating procedures. In the coming year, special attention will need to be directed to FES training; to the integration of the DHEW payroll and personnel systems;

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and finally, to the Federal Executive Agency Guidelines on employee selection procedures an activity which has potential for absorbing considerable staff resources.

EEO PROGRAM

An assessment report of equal employment opportunity in NIDR was prepared for the period ending 12/31/77. It covers organization and resources, discrimination complaints, recruitment, utilization of skills and training, upward mobility, supervisory and management commitment, community outreach, program evaluation, NIDR employee profiles by race and sex and a separate report on Hispanic employment. The report is available for review in the NIDR EEO Coordinator's Office. An updated assessment and an accomplishment report of the 1977-1978 NIDR Affirmative Action Plan, completed in September 1978, will be used to identify problem areas, set objectives and develop action items for a new multiyear plan which is consistent with the NIH Plan. A report on age requirements in NIDR-supported programs was prepared by the EEO Coordinator's Office to be used for HEW regula- tions on implementation of the Age Discrimination Act of 1975.

The NIDR EEO Coordinator was appointed to serve as the Institute's Contracts Compliance Coordinator to work with the NIH Contract Compliance Coordinator and the NIDR Contract Officer on responsi- bilities under the NIH Civil Rights Program.

A new NIH EEO Counselor from NIDR will be appointed by the Director, NIH, on 10/1/78. Suggested nominations were requested from all employees. Nominations, endorsed by the NIDR EEO Advisory Committee, were submitted by the Director of NIDR to the NIH Division of Equal Opportunity. One c complaint of dicsrimination was made by an NIDR employee during the year and was resolved at the informal stage.

The NIDR EEO Advisory Committee set priorities on issues of concern, worked on internal reorganization and concentrated on communication to and from employees. High priority issues were communication, super- visory training, recruitment mechanisms, evaluation of affirmative action progress, classification reviews, employee training and career development. The Committee established a new subcommittee on women's concerns which is chaired by the NIDR delegate to the NIH Women's Advisory Committee. Committee officers met with a consultant to the NIH Women's Advisory Committee to discuss Committee and Subcomittee operations. The Committee's revised election procedures by building were adopted to provide full employee participation. Following elections, a bylaws provision is used to appoint members who balance the representation of Institute employees by race and sex. The Committee encouraged the establishment of EEO information boards in different buildings for posting of EEO Committee and other announcements which we distribute.

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Internal Cotnaunlcation

The NIDR EEO Coordinator and EEO Counselor were contacted by an average of 20 employees and potential applicants each month who sought information on such issues as job applications, classification or training, supervisory-employee relations, and child care.

In October 1977, the NIDR EEO Office distributed a Civil Service CooDission questionnaire on equal employment opportunity to all Institute employees. Completed questionnaires from 132 employees wero sent to the CSC for tabulation and analysis. The results are avail- able In the NIDR EEO Coordinator's Office.

A neeting on equal employment opportunity was held for all NIDR employees on May 1, 1978. Presentations, based on suggestions soli- cited from employees, included efforts to Increase minority and female intramural scientists, promotion of research support personnel, status of the 3-year classification review, training for employees and supervisors, awards, procedures for grievance and discrimination complaints, the role of the EEO Advisory Conmittee and affirmative action. Four NIDR employees received EEO achievement awards. Results of a questionnaire sent to Institute employees following this meeting are available in the NIDR EEO Coordinator's Office and will be used t. plan future meetings with Institute employees.

The NIDR Secretarial Training Activities Croup recommended and ' coordinated a meeting open to all Institute employees on "Sexual Assault Prevention." Members of the Montgomery County Police Defurtment made the presentation. During National Secretaries Week, the group also planned and coordinated a workshop on "Assert iveness Training" for NIDR secretarial and clerical employees.

An announcement of new and revised procedures for filing discrimination complaints based on age or on physical or mental handicap, and for filing class action complaints was sent to all NIDR employees in September 1978.

The NIDR EEO Coordinator's Office prepared EEO reference notebooks for EEO Advisory Committee members, the Director, Executive Officer, Personnel Officer and Associate Directors. These notebooks include Information on EEO laws and regulations, affirmative action, the NIDR EEO Cooalttee, relevant NIH Manual Issuances and employee information pamphlets.

Recruitiaent and Outside Contacts

The NIH ••tabllshed minority employaent goals of lOZ for the under- graduate and 5% for the graduate sunner programs. The NIDR employed students in each program: 1 student In each program was a minority. The Institute employed a total of 28 employees in 7 summer programs: 14 ware feaale and 3 were minorities.

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Among activities engaged in to meet the goals, (1) Representatives of the Minority Biomedical Support Program and the Minority and Women's Staffing Section, DPM, met with the Intramural Laboratory and Branch Chiefs to discuss mechanisms for increasing the numbers of minority and female scientists in NIDR programs. (2) The EEO Coordinator together with the Personnel Office advised the Scientific and Health Reports Office in developing a publication about opportunities in NIDR programs. (3) The NIDR EEO Coordinator's Office prepared a list of minority colleges and universities and contacts at those schools to be used for distribution of information about NIDR programs and for planning NIDR staff visits to those schools.

Also, the EEO Coordinator attended the 1978 Incorporated Mexican American Government Employees (IMAGE) Convention and the 1978 National Dental Association Meeting to establish contacts and gain information fr(5m these minority organizations. The NIDR delegate to the NIH Women's Advisory Committee (WAC) , the Executive Officer and the Assistant Personnel Officer attended the 1978 Federally Employed Women (FEW) Convention. The Coordinator and the Counselor attended a training session for the NIH EEO Council and a CSC Course on advanced counseling. The WAC delegate attended a WAC training program and the Coordinator attended part of that program.

DENTAL RESEARCH DATA OFFICER

This office is a specialized information center for dental research. It collects, analyzes, processes and reports on the substantive and statistical facts related to dental research. This function of the office is recognized by a variety of information seekers; and while its primary responsibility is to the Director of the Institute and NIDR staff, over half of the queries handled by the office come from outside of the Institute. Its existence as a resource for dental research information has appeared in several directories and most recently in the first edition of the Medical and Health Information Directory (Kruzas, A. T., Detroit, Gale, 1977).

The Dental Research Data Officer is also the Privacy Act and Freedom of Information Act Coordinator for the Institute. Both Acts have