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99-706: The U.S. Centers for Disease Control and Prevention (CDC) regulates the laboratories which may possess, use, or transfer select agents within the United States in its Select Agent Program ( SAP )—also called the Federal Select Agent Program ( FSAP )—since 2001. The SAP was established to satisfy requirements of the USA PATRIOT Act of 2001 and the Public Health Security and Bioterrorism Preparedness and Response Act of 2002 , which were enacted in

198-607: A career employee, or as a political appointment that does not require Senate confirmation , with the latter method typically being used. The director serves at the pleasure of the President and may be fired at any time. On January 20, 2025, the CDC Director position will change to require Senate confirmation, due to a provision in the Consolidated Appropriations Act, 2023 . The CDC Director concurrently serves as

297-422: A combination of multiple factors. Disabilities can be present from birth or can be acquired during a person's lifetime. Historically, disabilities have only been recognized based on a narrow set of criteria—however, disabilities are not binary and can be present in unique characteristics depending on the individual. A disability may be readily visible, or invisible in nature. The United Nations Convention on

396-419: A comprehensive book, CDC Health Information for International Travel , which is commonly known as the "yellow book." The book is available online and in print as a new edition every other year and includes current travel health guidelines, vaccine recommendations, and information on specific travel destinations . The CDC also issues travel health notices on its website, consisting of three levels: The CDC uses

495-429: A disability can impact people's identities. Which style of language used varies between different countries, groups and individuals. Identity-first language describes the person as "disabled". Some people prefer this and argue that this fits the social model of disability better than people-first language, as it emphasizes that the person is disabled not by their body, but by a world that does not accommodate them. This

594-543: A disability community—such as with art, social media, and sports. Contemporary understandings of disability derive from concepts that arose during the scientific Enlightenment in the west; prior to the Enlightenment, physical differences were viewed through a different lens. There is evidence of humans during prehistory that looked after people with disabilities. At the Windover Archeological Site , one of

693-606: A disability". This style is reflected in major legislation on disability rights, including the Americans with Disabilities Act and the UN Convention on the Rights of Persons with Disabilities . "Cerebral Palsy: A Guide for Care" at the University of Delaware describes people-first language: The American Psychological Association style guide states that, when identifying a person with

792-426: A disability, the person's name or pronoun should come first, and descriptions of the disability should be used so that the disability is identified, but is not modifying the person. Acceptable examples included "a woman with Down syndrome " or "a man who has schizophrenia ". It also states that a person's adaptive equipment should be described functionally as something that assists a person, not as something that limits

891-405: A feature that creates an impairment, restriction, or limitation from reaching the social definition of health, the individual is labeled as disabled. Under this idea, disability is not defined by the physical features of the body but by a deviance from the social convention of health. The social construction of disability would argue that the medical model of disability 's view that a disability

990-553: A few. The organization would also prove to be an important factor in preventing the abuse of penicillin . In May 1994 the CDC admitted having sent samples of communicable diseases to the Iraqi government from 1984 through 1989 which were subsequently repurposed for biological warfare, including Botulinum toxin , West Nile virus , Yersinia pestis and Dengue fever virus. On April 21, 2005, then–CDC Director Julie Gerberding formally announced

1089-405: A list of the latest safety information, side effects, and answers to common questions about CDC recommended vaccines. The Vaccine Safety Datalink (VSD) works with a network of healthcare organizations to share data on vaccine safety and adverse events. The Clinical Immunization Safety Assessment (CISA) project is a network of vaccine experts and health centers that research and assist the CDC in

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1188-400: A matter of the full integration of individuals into society . In this model, disability is not an attribute of an individual, but rather a complex collection of conditions, created by the social environment. The management of the problem requires social action and it is the collective responsibility of society to create a society in which limitations for disabled people are minimal. Disability

1287-623: A measure against the spread of antibiotic resistance in the United States. This initiative has a budget of $ 161   million and includes the development of the Antibiotic Resistance Lab Network . Globally, the CDC works with other organizations to address global health challenges and contain disease threats at their source. They work with many international organizations such as the World Health Organization (WHO) as well as ministries of health and other groups on

1386-506: A negative connotation that they are considered to be slurs. A current point of contention is whether it is appropriate to use person-first language (i.e. a person who is disabled) or identity-first language (i.e. a disabled person) when referring to disability and an individual. Due to the marginalization of disabled people, there have been several activist causes that push for equitable treatment and access in society. Disability activists have fought to receive equal and equitable rights under

1485-488: A number of notable training and fellowship programs, including those indicated below. The Epidemic Intelligence Service (EIS) is composed of "boots-on-the-ground disease detectives" who investigate public health problems domestically and globally. When called upon by a governmental body, EIS officers may embark on short-term epidemiological assistance assignments, or "Epi-Aids", to provide technical expertise in containing and investigating disease outbreaks. The EIS program

1584-445: A number of tools to monitor the safety of vaccines. The Vaccine Adverse Event Reporting System (VAERS), a national vaccine safety surveillance program run by CDC and the FDA. "VAERS detects possible safety issues with U.S. vaccines by collecting information about adverse events (possible side effects or health problems) after vaccination." The CDC's Safety Information by Vaccine page provides

1683-652: A period of 65 years; the Atlanta City Council had voted to do so the prior December. The CDC and Emory University had requested that the Atlanta city government annex the area, paving the way for a MARTA expansion through the Emory campus, funded by city tax dollars. The headquarters were located in an unincorporated area , statistically in the Druid Hills census-designated place . On August 17, 2022, Dr. Walensky said

1782-433: A person's capability to perform the activities of daily life. As Marta Russell and Ravi Malhotra argue, "The ' medicalization ' of disablement and the tools of classification clearly played an important role in establishing divisions between the 'disabled' and the 'able-bodied. ' " This positions disability as a problem to be solved via medical intervention, which hinders our understanding about what disability can mean. For

1881-413: A person's efforts to go to school, work, socialize, and more. Some examples of invisible disabilities include intellectual disabilities , autism spectrum disorder , attention deficit hyperactivity disorder , fibromyalgia , mental disorders , asthma , epilepsy , allergies , migraines , arthritis , and chronic fatigue syndrome . Employment discrimination is reported to play a significant part in

1980-611: A person, for example, "a woman who uses a wheelchair" rather than "a woman in/confined to a wheelchair". People-first terminology is used in the UK in the form "people with impairments" (such as "people with visual impairments"). However, in the UK, identity-first language is generally preferred over people-first language. The use of people-first terminology has given rise to the use of the acronym PWD to refer to person(s) (or people) with disabilities (or disability). However other individuals and groups prefer identity-first language to emphasize how

2079-492: A political construction is also widely used by international organizations of disabled people, such as Disabled Peoples' International . Using the identity-first language also parallels how people talk about other aspects of identity and diversity. For example: In the autism community, many self-advocates and their allies prefer terminology such as 'Autistic,' 'Autistic person,' or 'Autistic individual' because we understand autism as an inherent part of an individual's identity –

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2178-451: A problem of the person, directly caused by disease, trauma, or other health conditions which therefore requires sustained medical care in the form of individual treatment by professionals. In the medical model, management of the disability is aimed at a "cure", or the individual's adjustment and behavioral change that would lead to an "almost-cure" or effective cure. The individual, in this case, must overcome their disability by medical care. In

2277-468: A severe threat to both human and animal health, to plant health, or to animal and plant products". Select agent regulations were revised in October 2012 to remove 19 BSATs from the list (7 Human and Overlap Agents and 12 Animal Agents). Centers for Disease Control and Prevention The Centers for Disease Control and Prevention ( CDC ) is the national public health agency of the United States. It

2376-552: A society) that help overcome or remove a disability. The first recorded example of the use of a prosthesis dates to at least 1800 BC. The wheelchair dates from the 17th century. The curb cut is a related structural innovation. Other examples are standing frames , text telephones , accessible keyboards , large print , braille , and speech recognition software . Disabled people often develop adaptations which can be personal (e.g. strategies to suppress tics in public) or community (e.g. sign language in d/Deaf communities). As

2475-401: A wheelchair, multiple sclerosis , muscular dystrophy , obsessive–compulsive disorder (OCD), post-traumatic stress disorder (PTSD), spina bifida , and schizophrenia . This is not an exhaustive list and many injuries and medical problems cause disability. Some causes of disability, such as injuries, may resolve over time and are considered temporary disabilities . An acquired disability

2574-776: Is a United States federal agency under the Department of Health and Human Services , and is headquartered in Atlanta, Georgia . The agency's main goal is the protection of public health and safety through the control and prevention of disease, injury, and disability in the US and worldwide. The CDC focuses national attention on developing and applying disease control and prevention. It especially focuses its attention on infectious disease , food borne pathogens , environmental health , occupational safety and health , health promotion , injury prevention , and educational activities designed to improve

2673-498: Is a model for the international Field Epidemiology Training Program . The CDC also operates the Public Health Associate Program (PHAP), a two-year paid fellowship for recent college graduates to work in public health agencies all over the United States. PHAP was founded in 2007 and currently has 159 associates in 34 states. The Director of CDC is a Senior Executive Service position that may be filled either by

2772-432: Is an impairment, restriction, or limitation is wrong. Instead what is seen as a disability is just a difference in the individual from what is considered "normal" in society. People-first language is one way to talk about disability which some people prefer. Using people-first language is said to put the person before the disability. Those individuals who prefer people-first language would prefer to be called, "a person with

2871-407: Is both cultural and ideological in creation. According to the social model, equal access for someone with an impairment/disability is a human rights concern. The social model of disability has come under criticism. While recognizing the importance played by the social model in stressing the responsibility of society, scholars, including Tom Shakespeare , point out the limits of the model and urge

2970-455: Is defined as the execution of a task or action. The ICF lists nine broad domains of functioning which can be affected: In concert with disability scholars, the introduction to the ICF states that a variety of conceptual models have been proposed to understand and explain disability and functioning, which it seeks to integrate. These models include the following: The medical model views disability as

3069-439: Is especially true in the UK, where it is argued under the social model that while someone's impairment (for example, having a spinal cord injury ) is an individual property, "disability" is something created by external societal factors such as a lack of accessibility. This distinction between the individual property of impairment and the social property of disability is central to the social model . The term "disabled people" as

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3168-417: Is experienced differently based on the other multi-faceted identities of the individual is one often pointed out by disabled self-advocates. The ostracization of disability from mainstream society has created the opportunity for a disability culture to emerge. While disabled activists still promote the integration of disabled people into mainstream society, several disabled-only spaces have been created to foster

3267-492: Is the idea that disability is constructed by social expectations and institutions rather than biological differences. Highlighting the ways society and institutions construct disability is one of the main focuses of this idea. In the same way that race and gender are not biologically fixed, neither is disability. Around the early 1970s, sociologists, notably Eliot Friedson, began to argue that labeling theory and social deviance could be applied to disability studies. This led to

3366-403: Is the result of impairments that occur suddenly or chronically during the lifespan, as opposed to being born with the impairment. Invisible disabilities may not be obviously noticeable. The medical model focuses heavily on finding treatments, cures, or rehabilitative practices for disabled people. Assistive technology is a generic term for devices and modifications (for a person or within

3465-581: The Ebola virus . The program, called the Federal Select Agent Program, calls for inspections of labs in the U.S. that work with dangerous pathogens. During the 2014 Ebola outbreak in West Africa , the CDC helped coordinate the return of two infected American aid workers for treatment at Emory University Hospital , the home of a special unit to handle highly infectious diseases. As a response to

3564-615: The Korean War spurred the creation of the Epidemic Intelligence Service (EIS) as a two-year postgraduate training program in epidemiology. The success of the EIS program led to the launch of Field Epidemiology Training Programs (FETP) in 1980, training more than 18,000 disease detectives in over 80 countries. In 2020, FETP celebrated the 40th anniversary of the CDC's support for Thailand's Field Epidemiology Training Program. Thailand

3663-500: The Middle Ages , disabled people were still able to play significant roles in the rural production based economy, allowing them to make genuine contributions to daily economic life. The Industrial Revolution and the advent of capitalism made it so that people were no longer tied to the land and were then forced to find work that would pay a wage in order to survive. The wage system, in combination with industrialized production, transformed

3762-916: The Public Health Service Act to support the mission of CDC in partnership with the private sector, including organizations, foundations, businesses, educational groups, and individuals. From 1995 to 2022, the Foundation raised over $ 1.6 billion and launched more than 1,200 health programs. Bill Cosby formerly served as a member of the Foundation's Board of Directors, continuing as an honorary member after completing his term. The Foundation engages in research projects and health programs in more than 160 countries every year, including in focus areas such as cardiovascular disease , cancer , emergency response , and infectious diseases , particularly HIV/AIDS , Ebola , rotavirus , and COVID-19 . In 2015, BMJ associate editor Jeanne Lenzer raised concerns that

3861-552: The Public Health Service reorganizations of 1966–1973 , it was promoted to being a principal operating agency of PHS. It was renamed to the plural Centers for Disease Control effective October 14, 1980, as the modern organization of having multiple constituent centers was established. By 1990, it had four centers formed in the 1980s: the Center for Infectious Diseases, Center for Chronic Disease Prevention and Health Promotion,

3960-415: The World Health Organization , distinguishes between body functions (physiological or psychological, such as vision) and body structures (anatomical parts, such as the eye and related structures). Impairment in bodily structure or function is defined as involving an anomaly, defect, loss or other significant deviation from certain generally accepted population standards, which may fluctuate over time. Activity

4059-445: The medical model and the social model . The medical model serves as a theoretical framework that considers disability as an undesirable medical condition that requires specialized treatment. Those who ascribe to the medical model tend to focus on finding the root causes of disabilities, as well as any cures—such as assistive technology. The social model centers disability as a societally-created limitation on individuals who do not have

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4158-612: The personal computer has become more ubiquitous, various organizations have formed to develop software and hardware to make computers more accessible for disabled people. Some software and hardware, such as Voice Finger , Freedom Scientific 's JAWS , the Free and Open Source alternative Orca etc. have been specifically designed for disabled people while other software and hardware, such as Nuance 's Dragon NaturallySpeaking , were not developed specifically for disabled people, but can be used to increase accessibility. The LOMAK keyboard

4257-593: The "gift" was Robert W. Woodruff , chairman of the board of The Coca-Cola Company . Woodruff had a long-time interest in malaria control, which had been a problem in areas where he went hunting. The same year, the PHS transferred its San Francisco based plague laboratory into the CDC as the Epidemiology Division, and a new Veterinary Diseases Division was established. In 1951, Chief Epidemiologist Alexander Langmuir's warnings of potential biological warfare during

4356-421: The 1830s of l'homme moyen – the average man. Quetelet postulated that one could take the sum of all people's attributes in a given population (such as their height or weight) and find their average and that this figure should serve as a statistical norm toward which all should aspire. This idea of the statistical norm threads through the rapid take-up of statistics gathering by Britain, the United States, and

4455-559: The 2014 Ebola outbreak, Congress passed a Continuing Appropriations Resolution allocating $ 30,000,000 towards CDC's efforts to fight the virus. The CDC also works on non-communicable diseases, including chronic diseases caused by obesity , physical inactivity and tobacco-use. The work of the Division for Cancer Prevention and Control, led from 2010 by Lisa C. Richardson , is also within this remit. The CDC implemented their National Action Plan for Combating Antibiotic Resistant Bacteria as

4554-633: The Administrator of the Agency for Toxic Substances and Disease Registry . Twenty directors have served the CDC or its predecessor agencies, including three who have served during the Trump administration (including Anne Schuchat who twice served as acting director) and three who have served during the Carter administration (including one acting director not shown here). Two served under Bill Clinton, but only one under

4653-538: The Ancient Greeks may not have viewed persons with disability all that differently from more able-bodied individuals as terms describing them in their records appear to be very vague. As long as the disabled person in question could still contribute to society, the Greeks appeared to tolerate them. During the Middle Ages , madness and other conditions were thought to be caused by demons. They were also thought to be part of

4752-464: The CDC continued to be an advocate for public health issues and pushed to extend its responsibilities to many other communicable diseases . In 1947, the CDC made a token payment of $ 10 to Emory University for 15 acres (61,000 m ) of land on Clifton Road in DeKalb County, still the home of CDC headquarters as of 2019. CDC employees collected the money to make the purchase. The benefactor behind

4851-401: The CDC for possible Select Agent enforcement and found violations in 30 of those cases. Notices of violation were sent to 5 federal entities, 3 universities, and 2 other private organizations, all unnamed in his testimony. Demske remarked that no federal agencies had been fined for SAP violations. As of April 2021 these biological agents and toxins are considered to "have the potential to pose

4950-480: The CDC would make drastic changes in the wake of mistakes during the COVID-19 pandemic. She outlined an overhaul of how the CDC would analyze and share data and how they would communicate information to the general public. In her statement to all CDC employees, she said: "For 75 years, CDC and public health have been preparing for COVID-19, and in our big moment, our performance did not reliably meet expectations." Based on

5049-564: The CDC's Division of Select Agents and Toxins detects possible SAP misconduct by an HHS worker, it coordinates with the OIG to gather facts. If it concludes that a civil violation might have occurred, it turns the case over to the OIG for possible enforcement. But if it suspects a crime, it pursues the matter with the FBI. Since passage of the Bioterrorism Act of 2002, the OIG had received 68 referrals from

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5148-440: The CDC's recommendations and publications may be influenced by donations received through the Foundation, which includes pharmaceutical companies. Disability Disability is the experience of any condition that makes it more difficult for a person to do certain activities or have equitable access within a given society. Disabilities may be cognitive , developmental , intellectual , mental , physical , sensory , or

5247-619: The Center for Environmental Health and Injury Control, and the Center for Prevention Services; as well as two centers that had been absorbed by CDC from outside: the National Institute for Occupational Safety and Health in 1973, and the National Center for Health Statistics in 1987. An act of the United States Congress appended the words "and Prevention" to the name effective October 27, 1992. However, Congress directed that

5346-538: The Nixon to Ford terms. The CDC's programs address more than 400 diseases, health threats, and conditions that are major causes of death, disease, and disability. The CDC's website has information on various infectious (and noninfectious) diseases, including smallpox , measles , and others. The CDC targets the transmission of influenza , including the H1N1 swine flu, and launched websites to educate people about hygiene. Within

5445-476: The Rights of Persons with Disabilities defines disability as including: long-term physical, mental, intellectual or sensory impairments which in interaction with various barriers may hinder [a person's] full and effective participation in society on an equal basis with others. Disabilities have been perceived differently throughout history, through a variety of different theoretical lenses. There are two main models that attempt to explain disability in our society:

5544-731: The U.S. The CDC budget for fiscal year 2024 is $ 11.581   billion. As of 2021, CDC staff numbered approximately 15,000 personnel (including 6,000 contractors and 840 United States Public Health Service Commissioned Corps officers) in 170 occupations. Eighty percent held bachelor's degrees or higher; almost half had advanced degrees (a master's degree or a doctorate such as a PhD, D.O. , or M.D. ). Common CDC job titles include engineer, entomologist , epidemiologist , biologist, physician, veterinarian , behavioral scientist , nurse , medical technologist , economist, public health advisor, health communicator, toxicologist , chemist, computer scientist , and statistician. The CDC also operates

5643-651: The Venereal Disease Division of the U.S. Public Health Service (PHS) was transferred to the CDC in 1957. Shortly thereafter, Tuberculosis Control was transferred (in 1960) to the CDC from PHS, and then in 1963 the Immunization program was established. It became the National Communicable Disease Center effective July 1, 1967, and the Center for Disease Control on June 24, 1970. At the end of

5742-690: The WHO to implement the International Health Regulations (IHR) , an agreement between 196 countries to prevent, control, and report on the international spread of disease, through initiatives including the Global Disease Detection Program (GDD). The CDC has also been involved in implementing the U.S. global health initiatives President's Emergency Plan for AIDS Relief (PEPFAR) and President's Malaria Initiative . The CDC collects and publishes health information for travelers in

5841-458: The Western European states during this time period, and it is tied to the rise of eugenics . Disability, as well as the concepts of abnormal, non-normal, and normalcy, came from this. The circulation of these concepts is evident in the popularity of the freak show , where showmen profited from exhibiting people who deviated from those norms. With the rise of eugenics in the latter part of

5940-503: The agency's activities in a particular area of expertise while also providing intra-agency support and resource-sharing for cross-cutting issues and specific health threats. As of the most recent reorganization in February 2023, the CIOs are: The Office of Public Health Preparedness was created during the 2001 anthrax attacks shortly after the terrorist attacks of September 11, 2001. Its purpose

6039-649: The agency. The new agency was a branch of the U.S. Public Health Service and Atlanta was chosen as the location because malaria was endemic in the Southern United States. The agency changed names (see infobox on top) before adopting the name Communicable Disease Center in 1946. Offices were located on the sixth floor of the Volunteer Building on Peachtree Street. With a budget at the time of about $ 1   million, 59 percent of its personnel were engaged in mosquito abatement and habitat control with

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6138-471: The area of vaccine safety. CDC also runs a program called V-safe, a smartphone web application that allows COVID-19 vaccine recipients to be surveyed in detail about their health in response to getting the shot. The CDC Foundation operates independently from CDC as a private, nonprofit 501(c)(3) organization incorporated in the State of Georgia . The creation of the Foundation was authorized by section 399F of

6237-430: The creation of the social construction of disability theory. The social construction of disability is the idea that disability is constructed as the social response to a deviance from the norm. The medical industry is the creator of the ill and disabled social role. Medical professionals and institutions, who wield expertise over health, have the ability to define health and physical and mental norms. When an individual has

6336-589: The division are two programs: the Federal Select Agent Program (FSAP) and the Import Permit Program. The FSAP is run jointly with an office within the U.S. Department of Agriculture, regulating agents that can cause disease in humans, animals, and plants. The Import Permit Program regulates the importation of "infectious biological materials." The CDC runs a program that protects the public from rare and dangerous substances such as anthrax and

6435-412: The field include Marta Russell , Robert McRuer , Johanna Hedva , Laura Hershey , Irving Zola , and many more. Prominent disability scholar Lennard J. Davis notes that disability studies should not be considered a niche or specialized discipline, but instead is applicable to a wide range of fields and topics. The International Classification of Functioning, Disability and Health (ICF), produced by

6534-508: The findings of an internal report, Walensky concluded that "The CDC must refocus itself on public health needs, respond much faster to emergencies and outbreaks of disease, and provide information in a way that ordinary people and state and local health authorities can understand and put to use" (as summarized by the New York Times). The CDC is organized into "Centers, Institutes, and Offices" (CIOs), with each organizational unit implementing

6633-496: The front lines of outbreaks. The agency maintains staff in more than 60 countries, including some from the U.S. but more from the countries in which they operate. The agency's global divisions include the Division of Global HIV and TB (DGHT), the Division of Parasitic Diseases and Malaria (DPDM), the Division of Global Health Protection (DGHP), and the Global Immunization Division (GID). The CDC has been working with

6732-715: The gods. In Ancient Egypt , staffs were frequently used in society. A common usage for them was for older persons with disabilities to help them walk. Provisions that enabled individuals with impaired mobility to access temples and healing sanctuaries were made in ancient Greece. Specifically, by 370 B.C., at the most important healing sanctuary in the wider area, the Sanctuary of Asclepius at Epidaurus , there were at least 11 permanent stone ramps that provided access to mobility-impaired visitors to nine different structures; evidence that people with disabilities were acknowledged and cared for, at least partly, in ancient Greece. In fact,

6831-668: The groups targeted by the Nazi regime in Germany, resulting in approximately 250,000 disabled people being killed during the Holocaust . At the end of the Second World War , with the example of Nazi eugenics , eugenics faded from public discourse , and increasingly disability cohered into a set of attributes to which medicine could attend – whether through augmentation, rehabilitation, or treatment. In both contemporary and modern history, disability

6930-474: The health of United States citizens . The CDC also conducts research and provides information on non-infectious diseases , such as obesity and diabetes , and is a founding member of the International Association of National Public Health Institutes . The CDC's current Director is Mandy Cohen who assumed office on July 10, 2023. The Communicable Disease Center was founded July 1, 1946, as

7029-442: The initialism CDC be retained because of its name recognition. Since the 1990s, the CDC focus has broadened to include chronic diseases , disabilities , injury control, workplace hazards , environmental health threats, and terrorism preparedness. CDC combats emerging diseases and other health risks, including birth defects , West Nile virus , obesity , avian , swine , and pandemic flu , E. coli , and bioterrorism , to name

7128-508: The law—though there are still political issues that enable or advance the oppression of disabled people. Although disability activism serves to dismantle ableist systems, social norms relating to the perception of disabilities are often reinforced by tropes used by the media. Since negative perceptions of disability are pervasive in modern society, disabled people have turned to self-advocacy in an attempt to push back against their marginalization. The recognition of disability as an identity that

7227-408: The medical approach to disability. Due to this work, physical barriers to access were identified. These conditions functionally disabled them, and what is now known as the social model of disability emerged. Coined by Mike Oliver in 1983, this phrase distinguishes between the medical model of disability – under which an impairment needs to be fixed – and the social model of disability – under which

7326-562: The medical model, medical care is viewed as the main issue, and at the political level, the principal response is that of modifying or reforming healthcare policy. The medical model focuses on finding causes and cures for disabilities. There are many causes of disability that often affect basic activities of daily living , such as eating, dressing, transferring, and maintaining personal hygiene ; or advanced activities of daily living such as shopping, food preparation, driving, or working. However, causes of disability are usually determined by

7425-550: The natural order, especially during and in the fallout of the Black Death , which wrought impairments throughout the general population. In the early modern period there was a shift to seeking biological causes for physical and mental differences, as well as heightened interest in demarcating categories: for example, Ambroise Pare, in the sixteenth century, wrote of "monsters", "prodigies", and "the maimed". The European Enlightenment 's emphases on knowledge derived from reason and on

7524-457: The need for a new model that will overcome the "medical vs. social" dichotomy. The limitations of this model mean that often the vital services and information persons with disabilities face are simply not available, often due to limited economic returns in supporting them. Some say medical humanities is a fruitful field where the gap between the medical and the social model of disability might be bridged. The social construction of disability

7623-493: The nineteenth century, such deviations were viewed as dangerous to the health of entire populations. With disability viewed as part of a person's biological make-up and thus their genetic inheritance, scientists turned their attention to notions of weeding such as "deviations" out of the gene pool. Various metrics for assessing a person's genetic fitness were determined and were then used to deport , sterilize, or institutionalize those deemed unfit. People with disabilities were one of

7722-439: The objective of control and eradication of malaria in the United States (see National Malaria Eradication Program ). Among its 369 employees, the main jobs at CDC were originally entomology and engineering. In CDC's initial years, more than six and a half million homes were sprayed, mostly with DDT . In 1946, there were only seven medical officers on duty and an early organization chart was drawn. Under Joseph Walter Mountin ,

7821-541: The possibility that knowledge and technologies emanating from biological research will be misused to threaten public health or national security. In July 2015, Gregory E. Demske, chief counsel to the inspector general in the HHS Office of Inspector General ( OIG ), testified that 30 civil violations of the SAP rules had been identified in the past 13 years, and that violators had paid about $ 2.4 million in fines. He explained that when

7920-480: The possibility that knowledge and technologies emanating from biological research will be misused to threaten public health or national security. The CDC has regulated the laboratories which may possess, use, or transfer select agents within the United States under the SAP since 2001. The SAP was established to satisfy requirements of the USA PATRIOT Act of 2001 and the Public Health Security and Bioterrorism Preparedness and Response Act of 2002 , which were enacted in

8019-562: The purposes of the Americans with Disabilities Act of 1990 , the US Equal Employment Opportunity Commission regulations provide a list of conditions that should easily be concluded to be disabilities: amputation , attention deficit hyperactivity disorder (ADHD), autism , bipolar disorder , blindness , cancer , cerebral palsy , deafness , diabetes , epilepsy , HIV/AIDS , intellectual disability , major depressive disorder , mobility impairments requiring

8118-467: The reorganization of CDC to "confront the challenges of 21st-century health threats". She established four Coordinating Centers. In 2009 the Obama administration re-evaluated this change and ordered them cut as an unnecessary management layer. As of 2013, the CDC's Biosafety Level 4 laboratories were among the few that exist in the world. They included one of only two official repositories of smallpox in

8217-447: The same ability as the majority of the population. Although the medical model and social model are the most common frames for disability, there are a multitude of other models that theorize disability. There are many terms that explain aspects of disability. While some terms solely exist to describe phenomena pertaining to disability, others have been centered around stigmatizing and ostracizing those with disabilities. Some terms have such

8316-600: The same way one refers to 'Muslims,' 'African-Americans,' 'Lesbian/Gay/Bisexual/Transgender/Queer,' 'Chinese,' 'gifted,' 'athletic,' or 'Jewish.' Similarly, Deaf communities in the US reject people-first language in favor of identity-first language. In 2021, the US Association on Higher Education and Disability (AHEAD) announced their decision to use identity-first language in their materials, explaining: "Identity-first language challenges negative connotations by claiming disability directly. Identity-first language references

8415-486: The skeletons was a male about 15 years old who had spina bifida . The condition meant that the boy, probably paralyzed below the waist, was taken care of in a hunter-gatherer community. Disability was not viewed as a means of divine punishment and therefore disabled individuals were neither exterminated nor discriminated against for their impairments. Many were instead employed in different levels of Mesopotamian society including working in religious temples as servants of

8514-461: The society that limits a person needs to be fixed. Like many social categories, the concept of "disability" is under heavy discussion amongst academia, the medical and legal worlds, and the disability community. The academic discipline focused on theorizing disability is disability studies , which has been expanding since the late twentieth century. The field investigates the past, present, and future constructions of disability, along with advancing

8613-802: The successor to the World War II Malaria Control in War Areas program of the Office of National Defense Malaria Control Activities. Preceding its founding, organizations with global influence in malaria control were the Malaria Commission of the League of Nations and the Rockefeller Foundation . The Rockefeller Foundation greatly supported malaria control, sought to have the governments take over some of its efforts, and collaborated with

8712-416: The value of natural science to human progress helped spawn the birth of institutions and associated knowledge systems that observed and categorized human beings; among these, the ones significant to the development of today's concepts of disability were asylums , clinics , and prisons . Contemporary concepts of disability are rooted in eighteenth- and nineteenth-century developments. Foremost among these

8811-511: The variety that exists in how our bodies and brains work with a myriad of conditions that exist, and the role of inaccessible or oppressive systems, structures, or environments in making someone disabled." Invisible disabilities, also known as Hidden Disabilities or Non-visible Disabilities (NVD), are disabilities that are not immediately apparent, or seeable. They are often chronic illnesses and conditions that significantly impair normal activities of daily living. Invisible disabilities can hinder

8910-439: The viewpoint that disability is a complex social identity from which we can all gain insight. As disabilities scholar Claire Mullaney puts it, "At its broadest, disability studies encourages scholars to value disability as a form of cultural difference". Scholars of the field focus on a range of disability-related topics, such as ethics, policy and legislation, history, art of the disability community, and more. Notable scholars from

9009-539: The wake of the September 11, 2001 attacks and the subsequent 2001 anthrax attacks . Using BSATs in biomedical research prompts concerns about dual use . The federal government created the National Science Advisory Board for Biosecurity which promotes biosecurity in life science research. It is composed of government, education and industry experts who provide policy recommendations on ways to minimize

9108-420: The wake of the September 11, 2001 attacks and the subsequent 2001 anthrax attacks . Using select agents in biomedical research prompts concerns about dual use . The federal government created the National Science Advisory Board for Biosecurity to promote biosecurity in life science research. It is composed of government, education and industry experts who provide policy recommendations on ways to minimize

9207-528: The way bodies were viewed as people were increasingly valued for their ability to produce like machines. Capitalism and the industrial revolution effectively solidified this class of "disabled" people who could not conform to the standard worker 's body or level of work power. As a result, disabled people came to be regarded as a problem, to be solved or erased. In the early 1970s, the disability rights movement became established, when disability activists began to challenge how society treated disabled people and

9306-550: The world, with the other one located at the State Research Center of Virology and Biotechnology VECTOR in the Russian Federation. In 2014, the CDC revealed they had discovered several misplaced smallpox samples while their lab workers were "potentially infected" with anthrax . The city of Atlanta annexed the property of the CDC headquarters effective January 1, 2018, as a part of the city's largest annexation within

9405-552: Was designed in New Zealand specifically for persons with disabilities. The World Wide Web consortium recognized a need for International Standards for Web Accessibility for persons with disabilities and created the Web Accessibility Initiative (WAI). As at Dec 2012 the standard is WCAG 2.0 (WCAG = Web Content Accessibility Guidelines). The social model of disability sees "disability" as a socially created problem and

9504-467: Was often viewed as a by-product of incest between first-degree relatives or second-degree relatives . Disability scholars have also pointed to the Industrial Revolution , along with the economic shift from feudalism to capitalism , as prominent historical moments in the understanding of disability. Although there was a certain amount of religious superstition surrounding disability during

9603-533: Was the development of clinical medical discourse, which made the human body visible as a thing to be manipulated, studied, and transformed. These worked in tandem with scientific discourses that sought to classify and categorize and, in so doing, became methods of normalization . The concept of the "norm" developed in this time period, and is signaled in the work of the Belgian statistician , sociologist , mathematician , and astronomer Adolphe Quetelet , who wrote in

9702-455: Was the first FETP site created outside of North America and is found in numerous countries, reflecting CDC's influence in promoting this model internationally. The Training Programs in Epidemiology and Public Health Interventions Network ( TEPHINET ) has graduated 950 students. The mission of the CDC expanded beyond its original focus on malaria to include sexually transmitted diseases when

9801-525: Was to coordinate among the government the response to a range of biological terrorism threats. Most CDC centers are located in Atlanta . Building 18, which opened in 2005 at the CDC's main Roybal campus (named in honor of the late Representative Edward R. Roybal ), contains the premier BSL4 laboratory in the United States. A few of the centers are based in or operate other domestic locations: In addition, CDC operates quarantine facilities in 20 cities in

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