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2010 Report: Public Health Preparedness

About This Report

This report presents a snapshot of public health preparedness based on available information on state, locality, and U.S. insular area activities receiving Terrorism Preparedness and Emergency Response funding. Data included in the fact sheet section of the report are from CDC (i.e., data related to the PHEP cooperative agreement and data from other CDC programs) as well as from the Association of Public Health Laboratories and the National Association of County and City Health Officials. CDC data were confirmed by both CDC subject matter experts and the PHEP-funded states and localities.

While these data do not represent all preparedness activities occurring in states, localities, and U.S. insular areas, they significantly expand on the information provided in CDC’s first state preparedness report.31 Both reports provide the most comprehensive picture available on the breadth of state public health preparedness and response efforts. Fact sheets in this report cover activities occurring primarily from October 1, 2007 to September 30, 2008 (FY 2008). In addition, some data from 2009 are included in this report. All data sources and timeframes are described in appendix 7.

CDC has now released three preparedness reports; this is CDC’s second report featuring state-by-state data. It includes updates (when available) to data presented in CDC’s first state report, Public Health Preparedness: Mobilizing State by State (2008)32 as well as new data on state and local preparedness activities. CDC’s 2009 report, Public Health Preparedness: Strengthening CDC’s Emergency Response33 broadly described CDC activities supported by Terrorism Preparedness and Emergency Response funding. CDC, ASPR, and public health partners continue to work together to better define and measure national public health preparedness to ensure that federal funds are invested wisely in ensuring our national readiness to prevent, mitigate, and respond to all types of public health emergencies.

This report is organized into two main sections and seven appendices:

CDC Preparedness Cover images from 2008 and 2009. CDC preparedness reports demonstrate results, drive program improvements, and increase accountability for federal investments.

Section 1 begins with a description of surveillance and epidemiology activities and their importance to emergency preparedness. Following that are descriptions and national-level data on laboratories and response readiness activities critical to preparedness in states and localities. Section 1 concludes with information on additional preparedness activities funded by CDC that enhance preparedness at state and local levels.

Section 2 presents fact sheets with information on a broad range of preparedness activities in the 50 PHEP-funded states and the 4 localities of Chicago, the District of Columbia, Los Angeles County, and New York City. The fact sheets also include data on the prevalence of several chronic conditions in the state or locality, which should be considered when developing effective response plans, and information on additional CDC-funded projects and activities located in those areas.

Section 2 concludes with a discussion of preparedness activities and challenges in the eight PHEP-funded U.S. insular areas. These areas include the three territories of American Samoa, Guam, and the U.S. Virgin Islands; the two commonwealths of the Northern Mariana Islands and Puerto Rico; and three freely associated states of the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

Appendices 1-7 provide explanations of the fact sheet data points in the report and their significance, an overview of CDC organizations involved in preparedness activities, funding tables, technical assistance review scores for the Cities Readiness Initiative of CDC’s Strategic National Stockpile, and data sources.

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