ww.cdc.gov/phpr/reportingonreadiness.htm). However, state and local public health departments continue to acemultiple challenges, including an ever-evolving list o public health threats. Regardless o the threat, an eective public healthresponse begins with an eective public health system with robust systems in place to conduct routine public health activities.In other words, strong state and local public health systems are the cornerstone o an eective public health response. Today, public health systems and their respective preparedness programs ace many challenges. Federal unds orpreparedness have been declining, causing state and local planners to express concerns over their ability to sustain the realand measurable advances made in public health preparedness since September 11, 2001, when Congress appropriatedunding to CDC to expand its support nationwide o state and local public health preparedness. State and local planners likelywill need to make difcult choices about how to prioritize and ensure that ederal dollars are directed to priority areas withintheir jurisdictions.
Defning National Standards or State and Local Planning
In response to these challenges and in preparation or a new ve-year PHEP cooperative agreement that takes eect in August2011, CDC implemented a systematic process or dening a set o public health preparedness capabilities to assist state andlocal health departments with their strategic planning. The resulting body o work,
Public Health Preparedness Capabilities:National Standards for State and Local Planning
, hereater reerred to as public health preparedness capabilities, creates nationalstandards or public health preparedness capability-based planning and will assist state and local planners in identiyinggaps in preparedness, determining the specic jurisdictional priorities, and developing plans or building and sustainingcapabilities. These standards are designed to accelerate state and local preparedness planning, provide guidance andrecommendations or preparedness planning, and, ultimately, assure saer, more resilient, and better prepared communities.
Public health preparedness capabilities.
CDC identied the ollowing 15 public health preparedness capabilities (shown intheir corresponding domains) as the basis or state and local public health preparedness:
Biosurveillance Incident Management
- Public Health Laboratory Testing - Emergency Operations Coordination- Public Health Surveillance and
Epidemiological Investigation - Emergency Public Inormation and Warning
- Inormation Sharing
- Community Preparedness
- Community Recovery - Fatality Management
Countermeasures and Mitigation
- Mass Care- Medical Countermeasure Dispensing - Medical Surge- Medical Materiel Management and Distribution - Volunteer Management
- Non-Pharmaceutical Interventions
- Responder Saety and Health