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 <subject>Disease detection or diagnosis</subject>
 <subject>Health care facilities</subject>
 <subject>Hospitals</subject>
 <subject>Infectious diseases</subject>
 <subject>Emergency preparedness</subject>
 <subject>National preparedness</subject>
 <subject>Biological warfare</subject>
 <subject>Federal/state relations</subject>
 <subject>CDC Bioterrorism Preparedness and</subject>
 <subject>Reponse Program</subject>
 <type>Testimony</type>
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<titleInfo>
 <title>Infectious Diseases: Gaps Remain in Surveillance Capabilities of State and Local Agencies</title>
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<abstract>Recent challenges, such as the SARS outbreak and the anthrax
incidents in the fall of 2001, have raised concerns about the	 
nation&apos;s preparedness for a large-scale infectious disease	 
outbreak or bioterrorism event. In order to be adequately	 
prepared for such a major public health threat, state and local  
public health agencies need to have several basic	 capabilities, 
including disease surveillance systems, laboratory facilities,	 
communication systems and a sufficient workforce. GAO was asked  
to examine the capacity of state and local public health agencies
and hospitals to detect and report illnesses or conditions that  
may result from a large-scale infectious disease outbreak or	 
bioterrorism event. This testimony is based largely on recent	 
work, including a report on state and local preparedness for a	 
bioterrorist attack; preliminary findings from current work on	 
updates of bioterrorism preparedness at the state and local	 
levels; and findings from a survey GAO conducted on hospital	 
emergency department capacity and emergency preparedness.</abstract>
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<note>Testimony</note>
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 <searchTitle>GAO-03-1176T; Infectious Diseases: Gaps Remain in Surveillance Capabilities of State and Local Agencies;
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 <topic>Disease detection or diagnosis</topic>
 <topic>Health care facilities</topic>
 <topic>Hospitals</topic>
 <topic>Infectious diseases</topic>
 <topic>Emergency preparedness</topic>
 <topic>National preparedness</topic>
 <topic>Biological warfare</topic>
 <topic>Federal/state relations</topic>
 <topic>CDC Bioterrorism Preparedness and</topic>
 <topic>Reponse Program</topic>
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