title: Biosurveillance where it happens: state and local capabilities and needs.
abstract: In recent years, improved biosurveillance has become a bipartisan national security priority. As has been pointed out by the National Biosurveillance Advisory Subcommittee and others, building a national biosurveillance enterprise requires having strong biosurveillance systems at the state and local levels, and additional policies are needed to strengthen their biosurveillance capabilities. Because of the foundational role that state and local health departments play in biosurveillance, we sought to determine to what extent state and local health departments have the right capabilities in place to provide the information needed to detect and manage an epidemic or public health emergency-both for state and local outbreak management and for reporting to federal agencies during national public health crises. We also sought to identify those policies or actions that would improve state and local biosurveillance and make recommendations to federal policymakers who are interested in improving national biosurveillance capabilities.
authors: Center for Biosecurity of UPMC, Baltimore, Maryland 21202, USA. etoner@upmc-bisoecurity.org
authors: Eric S
authors: ES
authors: Toner
authors: Jennifer B
authors: JB
authors: Nuzzo
authors: Matthew
authors: M
authors: Watson
authors: Crystal
authors: C
authors: Franco
authors: Tara Kirk
authors: TK
authors: Sell
authors: Anita
authors: A
authors: Cicero
authors: Thomas V
authors: TV
authors: Inglesby
mesh_terms: D055877:Biosurveillance; D023482:Bioterrorism / Q000517:prevention & control*; D003299:Cooperative Behavior; D004189:Disaster Planning; D004196:Disease Outbreaks / Q000517:prevention & control*; D006077:Government Agencies; D006801:Humans; D007373:Interinstitutional Relations; D007407:Interviews as Topic; D010934:Planning Techniques; D011635:Public Health Administration; D011640:Public Policy; D014481:United States