Strengthening US Public Health Preparedness and Response Operations

In the years following the 9/11 attacks, the leadership, resources, and expertise that public health agencies across the country can bring to bear on the response to infectious disease emergencies and other catastrophic events took on additional urgency and importance. In light of this expanded mission, Congress appropriated funds to support public health preparedness at the state and local levels, one result of which was the Centers for Disease Control and Prevention (CDC) Public Health Emergency Preparedness (PHEP) program. Several recent infectious disease emergencies—chief among them the Ebola epidemic in West Africa and isolated cases in the United States (2014-15) and the ongoing Zika virus pandemic—have challenged national health security and demonstrated a need for continued investment in domestic public health preparedness and response infrastructure.