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Biosurveillance where it happens: state and local capabilities and needs
Eric S Toner1, Jennifer B Nuzzo, Matthew Watson
1Center for Biosecurity of UPMC, Baltimore, Maryland 21202, USA. etoner@upmc-bisoecurity.org
State and local health departments need enhanced capabilities and policies to strengthen biosurveillance for epidemic detection and national security. This study assesses current capacities and recommends improvements for public health emergencies.
Area of Science:
- Public Health
- Epidemiology
- National Security
Background:
- Improved biosurveillance is a national security priority, requiring robust state and local systems.
- Existing policies may not fully equip health departments for epidemic detection and management.
- State and local health departments are foundational to national biosurveillance efforts.
Purpose of the Study:
- To assess the current biosurveillance capabilities of state and local health departments.
- To identify policy needs for strengthening state and local biosurveillance infrastructure.
- To provide recommendations for federal policymakers to enhance national biosurveillance.
Main Methods:
- The study involved an assessment of existing biosurveillance systems at state and local levels.
- Analysis focused on the capabilities required for epidemic detection and public health emergency response.
- Policy gaps and potential improvements were identified through expert consultation and literature review.
Main Results:
- Significant gaps exist in the biosurveillance capabilities of many state and local health departments.
- Specific policy actions are needed to bolster information systems and workforce capacity.
- Current infrastructure is often insufficient for comprehensive epidemic monitoring and reporting.
Conclusions:
- Strengthening state and local biosurveillance is critical for national public health preparedness.
- Federal support and policy changes are essential to enhance these foundational capabilities.
- Investment in biosurveillance infrastructure will improve response to public health crises.
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