; or (B) a junior or community college. (5) Contract health service The term contract health service means any health service that is— (A) delivered based on a referral by, or at the expense of, an Indian health program; and (B) provided by a public or private medical provider or hospital that is not a provider or hospital of the Indian health program. (6) Department The term Department , unless otherwise designated, means the Department of Health and Human Services. ; (7) by striking paragraph (7) (as redesignated by paragraph (3)) and inserting the following: (7) Disease prevention (A) In general The term disease prevention means any activity for— (i) the reduction, limitation, and prevention of— (I) disease; and (II) complications of disease; and (ii) the reduction of consequences of disease. (B) Inclusions The term disease prevention includes an activity for— (i) controlling— (I) the development of diabetes; (II) high blood pressure; (III) infectious agents; (IV) injuries; (V) occupational hazards and disabilities; (VI) sexually transmittable diseases; or (VII) toxic agents; or (ii) providing— (I) fluoridation of water; or (II) immunizations. ; (8) by striking paragraph (9) (as redesignated by paragraph (3)) and inserting the following: (9) FAS The term fetal alcohol syndrome or FAS means a syndrome in which, with a history of maternal alcohol consumption during pregnancy, the following criteria are met: (A) Central nervous system involvement such as mental retardation, developmental delay, intellectual deficit, microencephaly, or neurologic abnormalities. (B) Craniofacial abnormalities with at least 2 of the following: microophthalmia, short palpebral fissures, poorly developed philtrum, thin upper lip, flat nasal bridge, and short upturned nose. (C) Prenatal or postnatal growth delay.