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Deep South, Southwest, Mountain West regions still lag behind in overall health security and emergency preparedness
An annual assessment of the nation’s day-to-day readiness for managing health emergencies improved significantly over the past five years, though deep regional differences remain. The Robert Wood Johnson Foundation (RWJF) released the 2018 National Health Security Preparedness Index, which found the United States scored a 7.1 on a 10-point scale for preparedness—nearly a 3 percent improvement over the last year, and a nearly 11 percent improvement since the Index began five years ago.
The Preparedness Index analyzes 140 measures—such as percentage of bridges that are in good or fair condition, number of pediatricians, and flu vaccination rates—to calculate a composite score that provides the most comprehensive picture of health security available. The scores indicate the ability to protect the health security of Americans from incidents like newly emerging infectious diseases, growing antibiotic resistance, terrorism and extreme weather conditions at the state and national levels.
“Threats to America’s health security are on the rise, but so is our nation’s preparedness to deal with these emergencies,” said Alonzo Plough, PhD, MPH, vice president of research-evaluation-learning and chief science officer at RWJF. “The Index shows how prepared public and private stakeholders are to tackle health security challenges and sheds light on areas for improvement.”
Despite improvements in two-thirds of states, significant inequities in health security exist across the nation: the highest-scoring state (Maryland, 8.0) scores 25 percent higher than the lowest states (Alaska and Nevada, 6.4). Generally, states in the Deep South and Mountain West regions lag behind Northeast and Pacific Coast states. Many of the lower-scoring states face elevated risks of disasters and contain disproportionate numbers of low-income residents.
“Five years of continuous gains in health security nationally is remarkable progress,” said Glen Mays, PhD, MPH, who leads a team of researchers at the University of Kentucky in developing the Index. “But achieving equal protection across the U.S. population remains a critical unmet priority.”
Eighteen states achieved preparedness levels that exceed the national average, with 21 states below the national average. A total of 38 states plus the District of Columbia increased their overall health security in the last year, while eight remained steady and four states declined.
“Every community must be equipped to prepare for, respond to, and recover from any health emergency,” said Stephen C. Redd, MD, RADM, USPHS, director of the U.S. Centers for Disease Control and Prevention (CDC) Office of Public Health Preparedness and Response. “The Index helps pinpoint where cross-sector investments are paying off and how the nation can increase resilience.”
Based on a model informed by experts in public health, emergency management, academia, health care, and other sectors, researchers collect, aggregate, and measure health security data from more than 50 sources. The final measures fall into six categories, each of which is assessed independently, and cover topics such as:
|Health security surveillance: The ability to monitor and detect health threats, and to identify where hazards start and spread so that they can be contained rapidly.||8.1||12.5%|
|Community planning and engagement: The ability to develop and maintain supportive relationships among government agencies, community organizations, and individual households.||6.0||22.4%|
|Information and incident management: The ability to deploy people, supplies, money and information to the locations where they are most effective in protecting health.||8.8||7.3%|
|Healthcare delivery: The ability to ensure access to high-quality medical services across the continuum of care during and after disasters and emergencies.||5.2||2.0%|
|Countermeasure management: The ability to store and deploy medical and pharmaceutical products that prevent and treat hazardous substance effects and infectious diseases.||7.7||6.9%|
|Environmental and occupational health: The ability to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders.||6.6||8.2%|
Source: 2018 National Health Security Preparedness Index
Originally developed by the CDC as a tool to drive dialogue to improve health security and preparedness, the Index is a collaborative effort funded by RWJF involving more than 30 organizations. State health officials, emergency management experts, business leaders, nonprofits, researchers, and others help shape the Index.
For more information visit www.nhspi.org.
For more information, contact: Will Walters, 202-868-4821, wwalters@MessagePartnersPR.com
About the Robert Wood Johnson Foundation
For more than 40 years the Robert Wood Johnson Foundation has worked to improve health and health care. The Foundation is working with others to build a national Culture of Health enabling everyone in America to live longer, healthier lives. For more information, visit www.rwjf.org. Follow the Foundation on Twitter at www.rwjf.org/twitter or on Facebook at www.rwjf.org/facebook.
for Robert Wood Johnson Foundation
Will Walters, 202-868-4821
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