60d FRN - Public Comment/CDC Response

Page 1 of 1

PUBLIC SUBMISSION

As of: 9/19/17 2:53 PM
Received: September 15, 2017
Status: Posted
Posted: September 19, 2017
Tracking No. 1k1-8yol-h1pn
Comments Due: September 15, 2017
Submission Type: Web

Docket: CDC-2017-0055
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054
Comment On: CDC-2017-0055-0001
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054 2017-14915
Document: CDC-2017-0055-0011
Comment from (Pepin Tuma)

Submitter Information
Name: Pepin Tuma
Address: 20036
Email: [email protected]
Organization: Academy of Nutrition and Dietetics

General Comment
Please find attached comments from the Academy of Nutrition and Dietetics.
-Pepin Tuma

Attachments
Academy Comments to CDC re DORI

https://www.fdms.gov/fdms/getcontent?objectId=0900006482b4153e&format=xml&show... 9/19/2017

September 15, 2017
Leroy A. Richardson
Information Collection Review Office
Centers for Disease Control and Prevention
1600 Clifton Road NE., MS-D74
Atlanta, Georgia 30329
Re: Drug Overdose Response Investigation (DORI) Data Collections (Docket No. CDC-20170055)
Dear Sir or Madam:
The Academy of Nutrition and Dietetics (the “Academy”) appreciates the opportunity to
submit comments to the Centers for Disease Control and Prevention (CDC) in response to
the data collection published in the July 17, 2017 Federal Register regarding the Drug
Overdose Response Investigation (DORI) Data Collections (Docket No. CDC-2017-0055).
The Academy is the world’s largest organization of food and nutrition professionals, with
more than 100,000 members comprised of registered dietitian nutritionists (RDNs),a
nutrition and dietetic technicians, registered (NDTRs), and advanced-degree nutritionists.
We are committed to improving the nation’s health through food and nutrition and
providing medical nutrition therapy (MNT)b and other nutrition counseling services to
meet the health needs of all citizens, including those with eating disorders (EDs) or
substance use disorders (SUD).
The Academy supports the proposed data collection as necessary for the proper
performance of the functions of the agency, particularly given the practical utility
resulting from the collections. We respectfully offer recommendations below from
Academy member David A. Wiss, MS, RDN, on behalf of our Behavioral Health Nutrition
Dietetic Practice Group for potential improvements to the data collections and as support
for the claim that nutrition can play a very important role in promoting wellness
during the recovery process, thereby helping to reduce relapse and accidental
overdose or death.

The Academy recently approved the optional use of the credential “registered dietitian nutritionist (RDN)”
by “registered dietitians (RDs)” to more accurately convey who they are and what they do as the nation’s food
and nutrition experts. The RD and RDN credentials have identical meanings and legal trademark definitions.
a

Medical nutrition therapy (MNT) is an evidence-based application of the Nutrition Care Process focused on
prevention, delay or management of diseases and conditions, and involves an in-depth assessment, periodic
re-assessment and intervention. [Academy of Nutrition and Dietetics’ Definition of Terms list,
http://www.eatright.org/scope/, accessed 31 June 2012.] The term MNT is sometimes used interchangeably
with, but is sometimes considered different from, nutrition counseling in health insurance plans.
b

A. Eating Patterns and Substance Use Disorders
There are several studies that document substandard eating patterns during drug use,
including inadequate intake leading to micronutrient deficiencies [1-6] and malnutrition
[7-11]. Abnormal preference for sweetened foods and beverages have been documented in
alcoholics [12-14] and other SUDs [15, 16] particularly opioids [17-25]. While
micronutrient deficiencies and malnutrition are often corrected by abstinence and
recovery, dysfunctional eating patterns such as bingeing and night-eating are often
exacerbated during sobriety. Early recovery should be considered a critical time to get
nutritional support (e.g. dietary counseling) by a qualified professional such as an RDN.
The overlap between SUDs and EDs has received significant attention in the scientific
literature [26-41]. Authors have recently begun to suggest that these disorders be treated
concurrently rather than separately. In members’ personal experience working in both
fields, patients will oscillate between treatments and are seldom treated concurrently.
While it is true that RDNs are a requirement for ED treatment, there is no present
requirement for RDNs in SUD treatment settings. Based on members’ experience working
with SUD treatment centers, the use of RDNs is rare most likely because nutrition services
are not covered by insurance for SUD. We note that the failure to address food and body
image issues in SUD treatment is likely contributing to poor outcomes.
It is predictable that individuals entering treatment for SUD will find other substances to
abuse, including food [42-45], caffeine [46, 47], and nicotine [46, 47]. While some would
argue that it makes sense to allow unlimited access to such substances during early
recovery, others believe that the lack of nutrition and health standards are contributing to
poor treatment outcomes. Evidence suggests that gastrointestinal health is linked to
mental health [48-51] with strong implications for anxiety and depression. Given what is
known about the importance of gut health, it seems that improved health and nutrition
should be considered a prime intervention for SUD recovery. RDNs in treatment settings
are highly qualified to discuss health habits including caffeine and nicotine in the context of
nutrition and gastrointestinal health.
B. Nutrition Education and Interventions During Treatment
Several studies have demonstrated links between nutrition education and positive
outcomes in SUD treatment settings [52-57]. Some of the studies have suggested that
nutrition education has led to reduced rates of relapse, but higher quality research with
greater sample sizes are needed to confirm these findings. Given the opioid epidemic and
alarming number of overdose and deaths, however, it seems unwise to wait for more data
before using nutrition as an intervention strategy.
Nutrition interventions during recovery may promote abstinence and prevent or minimize
the onset of chronic illness, improving resource allocation. A review article from the United
Kingdom on the role of healthy eating advice as part of drug treatment in prisons
concluded that “substance-misuse is a major factor in recidivism and if this could be
reduced through improvement of nutritional status, it could be a cost effective means of
helping to tackle this problem” [58]. Given the opioid epidemic, public health measures
necessitating nutrition standards in treatment settings should be considered critical. There
2

is a timely need for specialized nutrition expertise in SUD treatment centers, and RDNs are
highly qualified for the job.
C. Summary
The Academy appreciates the opportunity to offer comments regarding the data collections
for the Drug Overdose Response Investigations. We are pleased to offer our assistance and
expertise for this and other issues. Please contact either Jeanne Blankenship at 312-8991730 or by email at [email protected] or Pepin Tuma at 202-775-8277 ext. 6001
or by email at [email protected] with any questions or requests for additional
information.
Sincerely,

Jeanne Blankenship, MS RDN
Vice President, Policy Initiatives and Advocacy
Academy of Nutrition and Dietetics

3

Pepin Andrew Tuma, Esq.
Director, Regulatory Affairs
Academy of Nutrition and Dietetics

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7

Page 1 of 2

PUBLIC SUBMISSION

As of: 9/19/17 2:47 PM
Received: August 07, 2017
Status: Posted
Posted: August 07, 2017
Tracking No. 1k1-8xyd-w8ij
Comments Due: September 15, 2017
Submission Type: Web

Docket: CDC-2017-0055
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054
Comment On: CDC-2017-0055-0001
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054 2017-14915
Document: CDC-2017-0055-0006
Comment from (Candi Simonis)

Submitter Information
Name: Candi Simonis
Address: 54467
Email: [email protected]

General Comment
I look at the reports on how the "opioid epidemic", has got to be stopped and addressed. I am,
along with millions of other Americans, are on the other end of opioids.
I am on the end of the chronic pain disease epidemic. As the CDC, DEA and Medicaid and
medicare, and numerous other government associates, are blaming Doctors for the over
prescribing of medication, NOBODY, is looking at or reading the statistics from chronic pain
disease patients. How about not addressing these drugs as dangerous and addictive. Let's look at
them as lifesaving and medically necessary for the million of Americans in chronic pain.
Chronic pain is a disease. It is now becoming an epidemic.
No other disease medication is scrutinized. Chronic pain is a disease. We as patients are being
denied, dismissed and overlooked by our drs due to all the scrutiny associated with treating
chronic pain disease. Our doctors are afraid to treat us adequately. We have a disease that
medication is readily accessible to us and we are being denied. We pain patients are truly being
discriminated against, due to people who use heroin, illegal fentanyl, and placed a blame on
anyone but themselves. This is a witch hunt for drs who prescribe life saving medication and
pain disease patients who benefit from this medication.
We have a chronic disease. We want to be able to take care of our homes, our children, our
selves, as much as possible, but without access to our, potentially, life saving medications, we
are unable to do so. We want to live not just exist in pain 24/7.
We need the government agencies to look at the real statistics, not the hand picked.

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Page 2 of 2

We need help. With all the headlines, topics and stories on how opioids are bad, let's look at
what good they do for our disease of chronic pain and the million of Americans they help.

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Page 1 of 2

PUBLIC SUBMISSION

As of: 9/19/17 2:56 PM
Received: August 07, 2017
Status: Posted
Posted: August 07, 2017
Tracking No. 1k1-8xyd-txbv
Comments Due: September 15, 2017
Submission Type: Web

Docket: CDC-2017-0055
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054
Comment On: CDC-2017-0055-0002
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054 Federal Register,
Volume 82 Issue 135 (Monday, July 17, 2017)
Document: CDC-2017-0055-0005
Comment from (Candi Simonis)

Submitter Information
Name: Candi Simonis
Address: 54467
Email: [email protected]

General Comment
I look at the reports on how the "opioid epidemic", has got to be stopped and addressed. I am,
along with millions of other Americans, are on the other end of opioids.
I am on the end of the chronic pain disease epidemic. As the CDC, DEA and Medicaid and
medicare, and numerous other government associates, are blaming Doctors for the over
prescribing of medication, NOBODY, is looking at or reading the statistics from chronic pain
disease patients. How about not addressing these drugs as dangerous and addictive. Let's look at
them as lifesaving and medically necessary for the million of Americans in chronic pain.
Chronic pain is a disease. It is now becoming an epidemic.
No other disease medication is scrutinized. Chronic pain is a disease. We as patients are being
denied, dismissed and overlooked by our drs due to all the scrutiny associated with treating
chronic pain disease. Our doctors are afraid to treat us adequately. We have a disease that
medication is readily accessible to us and we are being denied. We pain patients are truly being
discriminated against, due to people who use heroin, illegal fentanyl, and placed a blame on
anyone but themselves. This is a witch hunt for drs who prescribe life saving medication and
pain disease patients who benefit from this medication.
We have a chronic disease. We want to be able to take care of our homes, our children, our
selves, as much as possible, but without access to our, potentially, life saving medications, we
are unable to do so. We want to live not just exist in pain 24/7.
We need the government agencies to look at the real statistics, not the hand picked.

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Page 2 of 2

We need help. With all the headlines, topics and stories on how opioids are bad, let's look at
what good they do for our disease of chronic pain and the million of Americans they help.

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Page 1 of 2

PUBLIC SUBMISSION

As of: 9/19/17 2:55 PM
Received: July 20, 2017
Status: Posted
Posted: July 21, 2017
Tracking No. 1k1-8xmo-arlh
Comments Due: September 15, 2017
Submission Type: Web

Docket: CDC-2017-0055
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054
Comment On: CDC-2017-0055-0002
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054 Federal Register,
Volume 82 Issue 135 (Monday, July 17, 2017)
Document: CDC-2017-0055-0004
Comment from (Candi Simonis)

Submitter Information
Name: Candi Simonis
Address: 54467
Email: [email protected]

General Comment
This war on "opioids" is actually a war on chronic incurable diseases. A war on chronic pain
disease patients who benefit from opioid medications. Medications that enable millions of
Americans relief of chronic debilitating pain associated with these diseases.
The fiction, widespread hysteria and distorted truths about this "opioid epidemic", is killing
legitimate chronic pain disease patients who use their medications responsibly. We are patients.
100 million Americans have one or more chronic incurable pain Diseases. As the CDC, DEA,
FDA, Medicaid and Medicare, and numerous other government agencies, are blaming Doctors
for the over prescribing of opioid medication. NOBODY, is looking at or reading the statistics
from chronic pain disease patients. How about NOT addressing these drugs as dangerous and
addictive. When all else fails: physical therapy, exercise, over the counter medications and
numerous injections etc, we chronic pain disease patients, are left with one option to help us
cope, opioid pain medication. Lets address this medication as lifesaving and medically
necessary for the million of Americans with chronic diseases. Chronic pain is a disease. Chronic
pain disease patients are now the epidemic. The addiction rate of chronic pain disease patients
is .02-.6 %. We do not misuse or abuse our medications.
No other disease medication is scrutinized. We, as patients, are being denied, dismissed,
overlooked and discriminated against, by our physicians, due to all the scrutiny associated with
treating chronic pain disease with opioid medications. Our Dr's are afraid to treat us humanely,
ethically and adequately. We have a disease that medication is readily accessible and beneficial

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Page 2 of 2

to us and we are being denied. We, pain patients, are being discriminated against, due to people
who abuse illegal heroin and illegal fentanyl. This is a direct hunt for Doctors who prescribe life
saving medication, for pain disease patients, that benefit from them. We have our privacy
invaded, we no longer are able to have doctor/patient confidentiality. We now have insurance
agencies, pharmacists, and other government agencies in our physicians offices, monitoring,
prosecuting and policing our physicians.
Though the statistics show a reduction in, opioid medications distributed, due to the CDC
guidelines, death rates of overdoses from illegal opioids is rising.
The specific causes of deaths also needs to be closely investigated. The opioid in the person's
system needs to be specified. Was it an illegal opioid, was it opioid medication specifically for
that person, was there other drugs or alcohol involved? These statistics need to come out. These
Government agencies do not want that information out, due to the fact that this "opioid
epidemic", would then be debunked.
Let's put the shoe on the other foot. Restricting or taking away our medications is like
FORCING people who do not want this medication to take it. One day those against these
medications will need them but they will be denied.
We have a chronic disease. We want to be able to take care of our homes, our children, our
selves, as much as possible. Without access to these life saving medications, we are unable to
do so. We want to live, not just exist in pain 24/7.
We need the government agencies to look at the real statistics, not the hand picked. These
agencies are not physicians. They are trying to doctor us, patients, without a medical license.
They are also trying to police our physicians. This is a war on a disease, medications,
physicians and patients.
We, chronic pain disease patients, need help. All the headlines, topics and stories on how
opioids are bad and how people are abusing, misusing, overdosing, becoming addicted or dying
from them. We need to look at the good they do and how they help our disease of chronic pain
and the million of Americans who use them for some relief.
The government needs to put the focus on illegal drugs coming into, being manufactured and
distributed in this country, illegal fentanyl, illegal heroin, methamphetamine, cocaine and all
other ILLEGAL DRUGS. Not the legally prescribed and medically necessary medications we
patients need. We chronic pain disease patients need help, but we are helpless due to the
government and government agencies. There is stigma, scrutiny and discrimination against us
due to a category of medications we desperately need and benefit from, opioid medications.
WE ARE PATIENTS NOT ADDICTS! !

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Page 1 of 2

PUBLIC SUBMISSION

As of: 9/20/17 10:31 AM
Received: August 10, 2017
Status: Posted
Posted: August 17, 2017
Tracking No. 1k1-8y0o-nh1c
Comments Due: September 15, 2017
Submission Type: Web

Docket: CDC-2017-0055
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054
Comment On: CDC-2017-0055-0002
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054 Federal Register,
Volume 82 Issue 135 (Monday, July 17, 2017)
Document: CDC-2017-0055-0007
Comment from (Karol Cloud)

Submitter Information
Name: Karol Cloud
Address: 46304
Email: [email protected]

General Comment
I am a 65 year old grandmother with chronic back pain due to a failed back surgery. I have also
been diagnosed with fibromyalgia and a rare genetic disorder called porphyria. I have been
denied proper pain management because of the government interference with legitimate pain
patients. We have been unfairly vilified and labeled as drug addicts. Before back surgery, to
deal with pain I had PT 8x, aqua therapy 2x, massage therapy, biofeedback, meditation,
acupuncture several times, yoga, pilates, exercise class, stretches, chiropractor, bought an
inversion table, balance ball, weights, and my own tens unit, vitamins, minerals and
supplements, Healing Touch therapy, Reiki therapy, saw a mental health therapist &
psychiatrist to learn how to deal with pain, saunas, hot tubs, heat and ice packs, went to 2
different pain management clinics before surgery and 2 more after looking for ways to alleviate
the pain without pain meds. I even have a nerve stimulator implanted. I have heart issues and
the stimulator has amplified the problem. Pain medication is the only way I have some life. You
tell me what I did wrong? I believe I went to extremes to find a way to avoid being on pain
meds the rest of my life. Have any of you hurt so much you are nauseous and vomiting? Have
any of you been in so much pain you are crying and screaming for help? Have any of you ever
been in so much unbearable pain you finally mercifully pass out? Have any of you felt pain so
intensely excruciating you are begging your elderly mother and your spouse to help you end
your suffering by helping you end your life? I HAVE! This has become a common occurrence
in not only in my home but in the homes of millions of legitimate pain patients. Do you even

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care how many legitimate pain patients have suffered so intensely excruciating pain and have
reached their breaking point? Do you know people are suffering unimaginable pain? Do you
know how many people have already done the unimaginable horror of taking their own lives?
Many of us are forced to consider SUICIDE! It is the one of three options we have left, none of
which should have ever had to be considered. Some legitimate pain patients have turned to
alcohol. The alcohol distilleries are happy. Now, we have a new customer base for them. We
also will have plenty of illnesses, accidents and deaths due to alcohol. We have a new group of
alcoholics. Some legitimate pain patients have turned to alternative or illegal drugs with
devastating consequences. The drug cartels and drug dealers are thanking the American
government for the new customers. How can you expect people to live with excruciating pain?
The last option is the most devastating to families. These are the legitimate pain patients who
have tried to hang on! These are the legitimate pain patients who have committed suicide! How
can anyone tell a child, a mother, a father, sister or brother why the government and majority of
the medical profession have knowingly forced their loved one to live with excruciating pain and
didn't even care? How do you explain to those same loved ones why the government has given
the legitimate pain patients no chance of ever experiencing any joy, any type of life, especially
any HOPE of a life with some controlled pain relief? Hope is the thing that has been deprived
from legitimate pain patients. We acknowledge there is a drug problem and something does
need to be done. We acknowledge there have been some people including some doctors who
have abused medication. We are not the enemy. Doctors are threatened with losing their
licenses and prosecution if they continue to treat their legitimate pain patients. Even pharmacist
are afraid to stock pain meds. Now you are going to try to allow one prescription for 7 days
only with no refills. Have none of you feel pain? Have none of you ever used pain meds? I
know none of you really care! Talk to us! Ask us about the pain meds and how we have been
given a chance to have some type of life with controlled pain relief. We know expecting to be
pain free is totally unrealistic and we don't even ask for it. You have to talk to the families of
legitimate pain patients. You need to hear about the devastation and tragic consequences your
actions have affected them. You need to hear the cries of children who have lost a parent due to
the inhumane cruelty they were forced to endure because facts were biased. Talk to my 85 year
old mother! Ask her about our lives. Talk to my husband. Ask him how he feels when I am in
severe intense pain and begging him to stop my suffering! I am imploring you to stop this cruel
madness. I am fighting for my life! I don't want to be another statistic! I don't want to be the
next suicide! If you continue down this path of total destruction of the legitimate pain patients
and their families, you are going to have the blood of every legitimate pain patient who have
reached their breaking point and commit suicide on your hands.

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PUBLIC SUBMISSION

As of: 9/19/17 2:49 PM
Received: September 01, 2017
Status: Posted
Posted: September 05, 2017
Tracking No. 1k1-8yf9-73xz
Comments Due: September 15, 2017
Submission Type: Web

Docket: CDC-2017-0055
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054
Comment On: CDC-2017-0055-0001
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054 2017-14915
Document: CDC-2017-0055-0010
Comment from (Anonymous Anonymous)

Submitter Information
Name: Anonymous Anonymous

General Comment
Let's start our own petition to stop these people from limiting access to opiates. Millions of
Americans rely on this medication
to relieve chronic pain. If you know how to get a petition started, please get the word out
through social media. Me and many
others will sign it.

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Page 1 of 1

PUBLIC SUBMISSION

As of: 9/19/17 2:54 PM
Received: July 17, 2017
Status: Posted
Posted: July 19, 2017
Tracking No. 1k1-8xki-ovz2
Comments Due: September 15, 2017
Submission Type: Web

Docket: CDC-2017-0055
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054
Comment On: CDC-2017-0055-0002
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054 Federal Register,
Volume 82 Issue 135 (Monday, July 17, 2017)
Document: CDC-2017-0055-0003
Comment from (JEAN PUBLIEEE)

Submitter Information
Name: JEAN PUBLIEEE

General Comment
I AM TOTALLY OPPOSED TO THE CDC BEING ALLOWED TO DO DRUG OVERDOES
INVESTIGATIONS. THIS AGENCY IS EVIL, INEPT, NEGLIGENT AND CANNOT BE
TRUSTED. IT HAS A HISTORY OF TAKING BRIBES FOR THINGS OF MONETAR
VALUE THAT THEY WANT.I THINK SAMSHA SHOULD BE INVOLVED OR LOCAL
POLICE, JUSTICE DEPARTMENTS. I AMIN FAVOR OF A BUDGET OF $0 FOR THIS
AGENCY. I THINK THE CDC NEEDS TO BE INVESTIGATED BECAUSE WE
CERTAINLY DO HAVE AN EPIDEMIC GOING AROUND THIS COUNTRY ON AUTISM
AND WE KNOW WHEN A CHILD TAKES THAT FIND ANOTHER AGENCY FOR THIS
FUNCTION, NOT THE CDC.

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Page 1 of 1

PUBLIC SUBMISSION

As of: 9/19/17 2:58 PM
Received: September 01, 2017
Status: Posted
Posted: September 05, 2017
Tracking No. 1k1-8yf9-wbgq
Comments Due: September 15, 2017
Submission Type: Web

Docket: CDC-2017-0055
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054
Comment On: CDC-2017-0055-0002
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054 Federal Register,
Volume 82 Issue 135 (Monday, July 17, 2017)
Document: CDC-2017-0055-0009
Comment from (Anonymous Anonymous)

Submitter Information
Name: Anonymous Anonymous

General Comment
This so called "Opioid Epidemic" is going to restrict access for those who desperately need it.
People in chronic pain should not
have to suffer because other people abuse or sell their medications. They should take
responsibility for their own actions. We
should start our own petition to fight this. Anyone who knows how to start a petition, please
contact me at 208-546-1975 and I
will help you.

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PUBLIC SUBMISSION

As of: 9/19/17 2:57 PM
Received: September 01, 2017
Status: Posted
Posted: September 05, 2017
Tracking No. 1k1-8yf9-4ptf
Comments Due: September 15, 2017
Submission Type: Web

Docket: CDC-2017-0055
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054
Comment On: CDC-2017-0055-0002
Drug Overdose Response Investigation (DORI) Data Collections 0920-1054 Federal Register,
Volume 82 Issue 135 (Monday, July 17, 2017)
Document: CDC-2017-0055-0008
Comment from (Anonymous Anonymous)

Submitter Information
Name: Anonymous Anonymous
Organization: Anonymous

General Comment
Millions of people in chronic pain rely on opiates to relieve their pain. Do not limit opioid
medications.
People need to take responsibility for their own actions. If they abuse or sell the medications
prescribed by doctors, it is their
own fault. People who need this medication should not have to suffer because family members
of those who abuse the meds
overdosed or died because of their own choices.

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From:
To:
Cc:
Subject:
Date:

NCIPC OMB (CDC)
[email protected]
NCIPC OMB (CDC)
DHHS-Proposed Data Collection Docket No. CDC-2017-0055-0007
Wednesday, September 27, 2017 3:18:00 PM

Dear Ms. Cloud,

Thank you for reaching out and sharing your situation – we are sorry to hear about your
personal experience with chronic pain. CDC appreciates your comments and feedback submitted
and conducts a careful review, sharing with subject matter experts, to take each comment into
consideration to inform the proposed scope of activity as articulated in the Federal Registry Notice.
We appreciate your feedback and we will carefully review each comment submitted.

IRB/OMB Unit
Centers for Disease Control and Prevention Chamblee Campus
National Center for Injury Prevention and Control
4770 Buford Highway, MS F63
Atlanta, GA 30341-3717
email: [email protected]

From:
To:
Cc:
Subject:
Date:

NCIPC OMB (CDC)
[email protected]
NCIPC OMB (CDC)
DHHS-Proposed Data Collection Docket No. CDC-2017-0055-0011
Wednesday, September 27, 2017 3:15:42 PM

Ref: Academy of Nutrition and Dietetics

Dear Mr. Tuma,

CDC appreciates your feedback and welcomes comments regarding CDC’s overall response
to the opioid epidemic. Based on a thorough review of your comments, we are unable to identify
specific recommendations for changes to the proposed scope of activity as articulated in the Federal
Registry Notice focusing on emergency response investigations. We appreciate your well-researched
request that nutritional standards be implemented in substance abuse treatment settings; however,
that request is outside of the scope of the current data collection regarding emergency response
investigations.  We appreciate you taking the time to provide feedback.

IRB/OMB Unit
Centers for Disease Control and Prevention Chamblee Campus
National Center for Injury Prevention and Control
4770 Buford Highway, MS F63
Atlanta, GA 30341-3717
email: [email protected]

From:
To:
Cc:
Subject:
Date:

NCIPC OMB (CDC)
[email protected]
NCIPC OMB (CDC)
DHHS-Proposed Data Collection Docket No.CDC-2017-0055-0004, CDC-2017-0055-0005, and CDC-2017-00550006
Wednesday, September 27, 2017 3:17:16 PM

Dear Ms. Simonis,

Thank you for reaching out and sharing your situation – we are sorry to hear about your
personal experience with chronic pain. CDC appreciates your comments and feedback submitted
and conducts a careful review, sharing with subject matter experts, to take each comment into
consideration to inform the proposed scope of activity as articulated in the Federal Registry Notice.
We appreciate your feedback and we will carefully review each comment submitted.

IRB/OMB Unit
Centers for Disease Control and Prevention Chamblee Campus
National Center for Injury Prevention and Control
4770 Buford Highway, MS F63
Atlanta, GA 30341-3717
email: [email protected]