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Christopher Nelson, PhD, Nicole Lurie, MD, MSPH, Jeffrey Wasserman, PhD and Sarah Zakowski, BA

Christopher Nelson is with the RAND Corporation, Pittsburgh, Pa. Nicole Lurie and Sarah Zakowski are with the RAND Corporation, Arlington, Va. Jeffrey Wasserman is with the RAND Corporation, Santa Monica, Calif.

Correspondence: Requests for reprints should be sent to Christopher Nelson, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA 15 213 (e-mail: cnelson@rand.org).

	Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	INTRODUCTION

 
Since September 11, 2001, and the anthrax attacks that followed, a substantial federal investment—totaling well in excess of $5 billion—has been made to increase our nation’s ability to prepare for, and respond to, public health emergencies. Yet despite anecdotal reports suggesting that progress has been made, it is unclear whether these investments have left the nation better prepared to respond to a bioterrorist attack, pandemic influenza, or any other large-scale public health emergency.

This situation is not because of a shortage of measures of preparedness. Over the past 5 years, federal agencies, state health departments, and various nongovernmental organizations have . . . [Full Text]

	WHAT CONSTITUTES A PUBLIC HEALTH EMERGENCY?

 

	WHAT DOES PUBLIC HEALTH EMERGENCY PREPAREDNESS REQUIRE?

 

	WHO IS INVOLVED IN PUBLIC HEALTH EMERGENCY PREPAREDNESS?

 

	CROSSCUTTING THEMES

 

	ELEMENTS OF PUBLIC HEALTH EMERGENCY PREPAREDNESS

 
Preplanned and Coordinated Rapid-Response Capability
Expert and Fully Staffed Workforce
Accountability and Quality Improvement

	CONCLUSION

 

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