Download eBook for Free

Full Document

FormatFile SizeNotes
PDF file 1.3 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Summary Only

FormatFile SizeNotes
PDF file 0.1 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

The Cities Readiness Initiative (CRI) was created in 2004 to help the nation's largest metropolitan areas develop the ability to provide life-saving medications in the event of a large-scale biological terrorist attack or naturally occurring disease outbreak. In 2007, the Centers for Disease Control and Prevention asked RAND to provide an initial evaluation of the impact of the Cities Readiness Initiative on awardees' readiness and capability to conduct mass countermeasure dispensing above and beyond what would be the case without the program. The subsequent study drew on available empirical evidence, including data from the Technical Assistance Review, a CDC-administered assessment of jurisdictions' capabilities in 12 core functional areas associated with countermeasure distribution and dispensing, as well as qualitative data collected through discussions with personnel involved with countermeasure dispensing in nine metropolitan areas (both CRI awardees and non-CRI jurisdictions). The evaluation showed that, overall, CRI awardees had benefited from the program's preparedness guidance and scenario focus and that the program had strengthened or encouraged the development of partnerships with other stakeholders. The program also encouraged a variety of changes to awardees' training plans and had spillover effects on non-CRI sites. However, this evaluation did not address questions of how the documented benefits compare to the program costs.

The research in this report was prepared for the U.S. Centers for Disease Control and Prevention and conducted by RAND Health.

This report is part of the RAND technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

RAND 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.