center were assigned to AIDS research (although at first it was only possible to staff 14 of the beds; U.S. Congress, 1988a:268).

Congress appropriated $4.9 million in 1989 and $14.9 million in 1990 for AIDS facilities at NIH. In its budget request for fiscal year 1991, NIH reported that the addition to the clinical center was under construction, as were a new building at the Frederick Cancer Research Facility and renovations of NIAID lab space in the Twinbrook II facility. NIH's 1991 request of $16.5 million would allow completion of the renovations of lab space in Twinbrook II, construction of a new primate facility, and renovation and expansion of NCI AIDS labs at the Frederick facility (PHS, 1989:244,246). If the 1991 request is approved, appropriations since 1988 for AIDS buildings and facilities will total $55.3 million.

As a result of the major effort begun in 1988 to accommodate the space needs of the NIH AIDS research program, space occupied by NIH AIDS activities has doubled between July 1988 and March 1990, from 109,000 to 226,000 square feet, although it is still short of the 309,000 square feet planned. Additional funding will be needed, however, to complete planned renovations, expansions, and new construction of AIDS space at NIH (for example, an on-campus retrovirus lab and full renovation and expansion of one of the buildings at the Frederick facility). NIH's original request for AIDS facilities at NIH was $85.5 million, which was reduced at the PHS and DHHS levels to the $16.5 million included in the President's budget request (see the 1991 AIDS budget chronology in U.S. Congress, 1990a:170).11

Conclusion

As with personnel compensation and problems with the personnel system, NIH-wide space limitations and inadequacies have affected the AIDS research program disproportionately because it is a new and fast-growing set of activities. Similarly, efforts to address the overall problem –in this case by providing adequate amounts and types of modern, safe space and equipment for NIH as a whole–would go far toward solving the problems of inadequate facilities for AIDS research and research administration at NIH. In the meantime, Congress has appropriated funds specifically for AIDS research and office space that have greatly reduced the backlog of needs in the last several years. The next step is to consolidate AIDS activities on campus to promote joint research efforts, the exchange of research information, and program coordination.

Recommendation 4.6: As part of its long-range building and facilities program, NIH should consolidate AIDS research and research administration on the NIH campus. This consolidation will facilitate communication between the intramural and extramural programs and coordination of the multiple institutes, centers, and divisions involved in AIDS research activities. The committee endorses NIH's effort to take a systematic, sustained approach to upgrading and maintaining the campus infrastructure, which will benefit the AIDS program as well as non-AIDS research.

11  

The final 1991 budget, enacted in October 1990, included $9.5 million for AIDS buildings and facilities.



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