Vermont Business Magazine InReady or Not? Protecting the Public's Health from Diseases, Disasters and Bioterrorism, 25 states scored a 5 or lower on 10 key indicators of public health preparedness.Alaskascored lowest at 2 out of 10, andMassachusettsandRhode Islandscored the highest at 9 out of 10. Vermont, along with several other states, received a 6 out of 10.New Hampshire received a 4.
The report, issued today by the Trust for America's Health (TFAH), found the country does not invest enough to maintain strong, basic core capabilities for health security readiness and, instead, is in a continued state of inefficiently reacting with federal emergency supplemental funding packages each time a disaster strikes.
According toReady or Not?, federal funding to support the base level of preparedness has been cut by more than half since 2002, which has eroded advancements and reduced the country's capabilities.
"While we've seen great public health preparedness advances, often at the state and community level, progress is continually stilted, halted and uneven," saidJohn Auerbach, president and CEO of TFAH. "As a nation, we—year after year—fail to fully support public health and preparedness. If we don't improve our baseline funding and capabilities, we'll continue to be caught completely off-guard when hurricanes, wildfires and infectious disease outbreaks hit."
Ready or Not?features six expert commentaries from public health officials who share perspectives on and experiences from the historic hurricanes, wildfires and other events of 2017, including fromCalifornia,Florida,LouisianaandTexas.
The report also examines the nation's ability to respond to public health emergencies, tracks progress and vulnerabilities, and includes a review of state and federal public health preparedness policies. Some key findings include:
- Just 19 states andWashington, D.C.increased or maintained funding for public health from Fiscal Year (FY) 2015-2016 to FY 2016-2017.
- The primary source for state and local preparedness for health emergencies has been cut by about one-third (from$940 millionin FY 2002 to$667 millionin FY 2017) and hospital emergency preparedness funds have been cut in half ($514 millionin FY 2003 to$254 millionin FY 2017).
- In 20 states andWashington, D.C.70 percent or more of hospitals reported meeting Antibiotic Stewardship Program core elements in 2016.
- Just 20 states vaccinated at least half of their population (ages 6 months and older) for the seasonal flu from Fall 2016 to Spring 2017—and no state was above 56 percent.
- 47 state labs andWashington, D.C.provided biosafety training and/or provided information about biosafety training courses (July 1, 2016toJune 30, 2017).
TheReady or Not?report provides a series of recommendations that address many of the major gaps in emergency health preparedness, including:
- Communities should maintain a key set offoundational capabilitiesand focus on performance outcomes in exchange for increased flexibility and reduced bureaucracy.
- Ensuring stable, sufficient healthemergency preparednessfunding to maintain a standing set of core capabilities so they are ready when needed. In addition, a complementaryPublic Health Emergency Fundis needed to provide immediate surge funding for specific action for major emerging threats.
- Strengthening and maintaining consistent support forglobal health securityas an effective strategy for preventing and controlling health crises. Germs know no borders.
- Innovating and modernizing infrastructure needs– including a more focused investment strategy to supportscience and technology upgradesthat leverage recent breakthroughs and hold the promise of transforming the nation's ability to promptly detect and contain disease outbreaks and respond to other health emergencies.
- Recruiting and training anext generation public health workforcewith expert scientific abilities to harness and use technological advances along with critical thinking and management skills to serve as Chief Health Strategist for a community.
- Reconsideringhealth system preparedness for new threats and mass outbreaks. Develop stronger coalitions and partnerships among providers, hospitals and healthcare facilities, insurance providers, pharmaceutical and health equipment businesses, emergency management and public health agencies.
- Preventing the negative health consequences ofclimate change and weather-related threats. It is essential to build the capacity to anticipate, plan for and respond to climate-related events.
- Prioritizing efforts to address one of the most serious threats to human health by expanding efforts to stopsuperbugsand antibiotic resistance.
- Improving rates ofvaccinations for children and adults –which are one of the most effective public health tools against many infectious diseases.
- Supportinga culture of resilienceso all communities are better prepared to cope with and recover from emergencies, particularly focusing on those who are most vulnerable.Sometimes the aftermath of an emergency situation may be more harmful than the initial event. This must also include support for local organizations and small businesses to prepare for and to respond to emergencies.
The report was supported by a grant from the Robert Wood Johnson Foundation (RWJF) and is available on TFAH's website atwww.healthyamericans.org.
Score Summary:
A full list of all of the indicators and scores and the full report are available on TFAH's website. For the state-by-state scoring, states received one point for achieving an indicator or zero points if they did not achieve the indicator. Zero is the lowest possible overall score, 10 is the highest. The data for the indicators are from publicly available sources or were provided from public officials.
9 out of 10:MassachusettsandRhode Island
8 out of 10:Delaware,North CarolinaandVirginia
7 out of 10:Arizona,Colorado,Connecticut,Hawaii,Minnesota,New York,OregonandWashington
6 out of 10:California,District of Columbia, Florida,Illinois,Maryland,Nebraska,New Jersey,North Dakota,South Carolina,South Dakota,Utah,VermontandWest Virginia
5 out of 10:Georgia,Idaho,Maine,Mississippi,MontanaandTennessee
4 out of 10:Alabama,Arkansas,Iowa,Louisiana,Missouri,New Hampshire,OklahomaandPennsylvania
3 out of 10:Indiana,Kansas,Kentucky,Michigan,Nevada,New Mexico,Ohio,Texas,WisconsinandWyoming
2 out of 10:Alaska
Trust for America's Health is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority.
SOURCE:WASHINGTON,Dec. 19, 2017/PRNewswire-USNewswire/ --Trust for America's Healthwww.healthyamericans.org