Gaps in Public Health Preparedness: Lessons Learned in California
Jan 1, 2004
Lessons from California
Published in: Health Affairs - Web Exclusive, June 2, 2004, p. w4-341-w4-353
Posted on RAND.org on January 01, 2004
Since September 2001 Congress has allocated approximately $3 billion to strengthen the public health infrastructure. To achieve this goal, the U.S. Centers for Disease Control and Prevention (CDC)allocates funding to states, which distribute funds to local jurisdictions. Evidence-based measures to assess public health preparedness are lacking. The authors used an expert-panel process to develop performance measures, based on the ten essential public health services. They developed and conducted tabletop exercises in California to evaluate preparedness to detect and respond to a hypothetical smallpox outbreak based on those measures. There was wide variation of readiness in California. While the sources of variation are often different, common infrastructure gaps need to be addressed.
This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.