The role of the Federal Government as a partner in public and private support of cancer research and related programs was strengthened in 1968 when the administration of biomedical science and education for the health professions was combined in an expanded National Institutes of Health.

Reorganization of health services in the Department of Health, Education, and Welfare added to NIH the Public Health Service's Bureau of Health Manpower and National Library of Medicine. Other health activities of the Department were grouped under two new agencies, the Health Services and Mental Health Administration, and the Consumer Protection and Environmental Health Service.

The National Cancer Institute, a component of the National Institutes of Health, administers the major part of the Government's cancer programs. For the Institute's conduct and support of research and training, Congress appropriated $183,356,000 for the fiscal year 1968, a better than three-fold increase in 10 years More than half, or $97,564,000, of this amount was allocated to grants to non-government institutions for research and training. From the remainder of the appropriation, $83,738,000 was used for direct operations, including work done by outside organizations under contract. (In fiscal 1967 the Institute administered 305 research contracts totaling $47,134,000.)

Cancer control activities, by which knowledge gained from research is applied to the prevention, detection, diagnosis, and treatment of malignant diseases, were programmed through divisions of the Public Health Service's Bureau of Disease Prevention and Environmental Control. These included the Cancer Control Program in the National Center for Chronic Disease Control, the National Center for Urban and Industrial Health, the National Center for Air Pollution Control, and the National Center for Radiological Health. Studies and public education activities were conducted by the PHS National Clearinghouse for Smoking and Health.

Cancer research programs were also continued by the Federal Government's Atomic Energy Commission and Veterans' Administration, both of which collaborate with the National Cancer Institute.

The American Cancer Society, the largest national voluntary health agency in the cancer field, received contributions, legacies, and other income totaling $54,369,919 during the year ended August 31,1967 - an all-time high. In its 1967-68 budget of $58,555,079, the Society allocated $22,132,768, or 37.8 percent, to support of research. The remainder was allocated mainly to public and professional education, services to patients, and community services.

"Progress Against Cancer 1969" is the third public report issued by the National Advisory Cancer Council under authority of the legislation by which it was established, the National Cancer Institute Act of 1937. In accordance with its policy, the Council presents the report in two parts. Part I discusses progress against cancer in general, with emphasis on noteworthy developments of the year. Part II is devoted to a review in depth of progress in chemotherapy research—the search for new and more effective drugs and techniques for the medical management of cancer in man. A summary of Part II is provided for the general reader who is not immediately in need of the more technically detailed information. A selected reading list is also provided at the end of Part II.

The Council acknowledges with gratitude the generous assistance provided by the Research Information Branch of the National Cancer Institute in the preparation of this report.