Common use of Emergency Operations Coordination Clause in Contracts

Emergency Operations Coordination. 5. Community Preparedness For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxx. Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development of an integrated healthcare module within the WebEOC platform Outdated medical countermeasure preparedness plans States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Households included children 27% Respondents who know they are pregnant — Respondents 65 or older 12% Respondents who reported having diabetes 10% Respondents who reported a condition that limits activities 18% Respondents who reported a health problem that required the use of specialized equipment 7% PHEP funds support staff who have expertise in many different areas. PHEP-Funded Staff CDC Field Staff 3 Educators 3 Epidemiologists 6 Laboratorians — Other Staff 34 PHEP PROGRAM–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e death and injuries in a 2016 Result of communication drill between laboratory and epidemiological staff — — Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — Public Health Laboratory Testing: LRN-B 2014 2015 2016 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — LRN chemical (LRN-C) labs rapidly identify exposures to toxi human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, advanced capabilities. Current number and level of LRN-C Labs: — Public Health Laboratory Testing: LRN-C c chemicals, aid ith testing capa 2, or 3, with Leve 2014 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting the most 2016 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — Result of LRN exercise to collect, package, and ship samples — — — For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxxxxx.xxx.xxx/xxx/xxxxxxxxx/xxxxxxxxxxxx.xxx. Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development States and localities developed plans that included: ▶ Ability to geographically map vulnerable populations ▶ Extensive training programs for planners at all levels ▶ Well established partnerships including behavioral health, emergency management, transportation, and law enforcement States and localities faced challenges including: ▶ Incomplete training and exercising of an integrated healthcare module within responder safety and health plans ▶ Outdated guidance for local planners ▶ Staff turnover at the WebEOC platform Outdated medical countermeasure preparedness plans local health department level States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. National Population 2017 Households included children 2736% Respondents who know they are pregnant — 4% Respondents 65 or older 1220% Respondents who reported having diabetes 1011% Respondents who reported a condition that limits activities 1821% Respondents who reported a health problem that required the use of specialized equipment 79% PHEP funds support staff who have expertise in many different areas. Total Number of State, Local, and Territorial Staff: 2,708 2017 Educators 147 Laboratorians 193 Epidemiologists 356 Health Professionals 427 Other Staff 1,585 PHEP-Funded CDC Staff 2017 CDC Field Staff 3 Educators 3 Epidemiologists 6 Laboratorians — Other Staff 34 64 PHEP PROGRAM–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination Program – Key Performance Measure Results In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number Emergency Operations Coordination 2015 2016 2017 Average number of minutes for public health staff with incident management lead roles to report for immediate duty N(Target: 60 34 28 47 min) Percentage of territories that conducted call-down drills to document the ability to contact responders to activate the emergency 86% 100% 86% operations coordination center (Yes/A 25 31 No) Timely and effective communication between lab and epidemiologic staff can reduc reduce death and injuries in a public health emergency. Public Health Laboratory Testing e death and injuries in a 2016 Result of communication drill between laboratory and epidemiological staff — — 2017 Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 87 Percentage of communication drills between laboratory and epidemiological staff completed within 45 minutes Drill 1: 92% Drill 2: 94% Public Health Laboratory Testing: LRN-B 2014 2015 2016 2017 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 100 / 105 98 / 105 98/106 Public Health Laboratory Testing: PulseNet 2014 2015 2016 2017 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 96% (target: 90%) 93% (target: 90%) 96% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days 94% (target: 90%) 91% (target: 90%) 95% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic c human exposures. CDC manages the LRN-C, a group of labs w with chemical health threats. LRN-C labs are designated as Level 1Xxxxx 0, 0, o advanced capabilities. Current number and level of LRN-C Labs: — 10 (Level 1), 35 (Level Public Health Laboratory Testing: LRN-C c chemicalshemicals, aid ith diagno testing capa 2, or capabilities r 3, with Leve 2014 diagnosesXxxxx 0 xxxx 0), 00 (Xxxxx 3) 2015 ses, and mi bilities minim to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting and c demonstrating 2016 ize further onfirm the most 2016 2017 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number or Xxxxx 0 xxxx 0 / 0 0 / 0 0 / 0 Average number of additional chemical agent detection methods demonstrated by Level 1 and/or or Level 2 labs — — — Result 1 1 1 Percentage of labs that passed the LRN exercise to collect, package, and ship samples — — — 100% 100% 100% For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxxxxx.xxx.xxx/xxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness Information Sharing For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxx. Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development of an integrated healthcare module within the WebEOC platform Outdated Well-established partnerships including behavioral health Competing priorities for local jurisdictions to conduct all-hazards planning, training, and exercise rather than medical countermeasure preparedness plans countermeasure-specific dispensing States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Households included children 2738% Respondents who know they are pregnant — 3% Respondents 65 or older 1220% Respondents who reported having diabetes 1011% Respondents who reported a condition that limits activities 1821% Respondents who reported a health problem that required the use of specialized equipment 78% PHEP funds support staff who have expertise in many different areas. PHEP-Funded Staff CDC Field Staff 3 1 Educators 3 4 Epidemiologists 6 11 Health Professionals 1 Laboratorians — 9 Other Staff 34 19 PHEP PROGRAM–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 30 106 30 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e reduce death and injuries in a 2016 Result of communication drill between laboratory and epidemiological staff — — N/A: Completed drill in time: (target: 45 mins) Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 1 Public Health Laboratory Testing: LRN-B 2014 2015 2016 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 3 / 3 2 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 100% (target: 90%) 92% (target: 90%) 94% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days 100% (target: 90%) 100% (target: 90%) 70% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, 2 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting the most 2016 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 9 / 9 9 / 9 9 / 9 Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — 2 2 2 Result of LRN exercise to collect, package, and ship samples — — — Passed Passed Passed For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxx. Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development Use of an integrated healthcare module within the WebEOC platform Outdated geographic information system for identifying at-risk populations Planning documents lack comprehensive medical countermeasure preparedness plans process, procedures and strategies States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Households included children 2736% Respondents who know they are pregnant — 4% Respondents 65 or older 1221% Respondents who reported having diabetes 1011% Respondents who reported a condition that limits activities 1825% Respondents who reported a health problem that required the use of specialized equipment 711% PHEP funds support staff who have expertise in many different areas. PHEP-Funded Staff CDC Field Staff 3 — Educators 3 23 Epidemiologists 6 19 Laboratorians — 25 Other Staff 34 PHEP PROGRAM–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty 60 60 N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e reduce death and injuries in a 2016 Result of communication drill between laboratory and epidemiological staff — — Completed drill in time: (target: 45 mins) N/A: Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 1 Public Health Laboratory Testing: LRN-B 2014 2015 2016 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 2 / 2 1 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 98% (target: 90%) 100% (target: 90%) 95% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days N/A N/A N/A LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, 2 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting the most 2016 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 9 / 9 9 / 9 9 / 9 Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — 2 2 2 Result of LRN exercise to collect, package, and ship samples — — — Passed Passed Passed For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness Information Sharing For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxx. Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development The majority of states and localities developed plans for: ▶ Points of dispensing and vulnerable populations ▶ Receiving and distribution sites ▶ Maintaining the integrity of medicines and medical supplies States and localities faced challenges related to exercising their plans around: ▶ Security for public points of dispensing ▶ Initiating and sustaining a dispensing campaign during an integrated healthcare module within the WebEOC platform Outdated medical countermeasure preparedness plans emergency ▶ Setting up a dispensing site States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Households included children 2736% Respondents who know they are pregnant — 4% Respondents 65 or older 1219% Respondents who reported having diabetes 10% Respondents who reported a condition that limits activities 1821% Respondents who reported a health problem that required the use of specialized equipment 79% PHEP funds support staff who have expertise in many different areas. differen PHEP-Funded Staff t areas. CDC Field Staff 3 90 Educators 3 177 Epidemiologists 6 383 Health Professionals 263 Laboratorians — 473 Other Staff 34 1643 PHEP PROGRAM–PROGRAM – KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number National average number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e death and injuries in a 2016 Result National percentage of communication drill between laboratory and epidemiological staff — — Laboratory Response Network biological (LRNterritories that conducted call-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats down drills to minimize disease outbreaks. CDC manages document the LRN-B, a group of public health labs with testing capabilities ability to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together contact responders to identify outbreak sources. Current number of LRN-B public health labs: — Public Health Laboratory Testing: LRN-B 2014 2015 2016 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by activate the state of Illinois. See Illinois fact sheet. Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — LRN chemical (LRN-C) labs rapidly identify exposures to toxi human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, advanced capabilities. Current number and level of LRN-C Labs: — Public Health Laboratory Testing: LRN-C c chemicals, aid ith testing capa 2, or 3, with Leve 2014 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting the most 2016 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — Result of LRN exercise to collect, package, and ship samples — — — For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxxemergency operations coordination center

Emergency Operations Coordination. 5. Community Preparedness For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxxxxxxx://xxx.xxx.xxx/cpr/readiness/capabilities.htm. KEY CHALLENGE KEY STRENGTH Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development of an integrated healthcare module within the WebEOC platform Outdated The medical countermeasure preparedness plans response plan is frequently exercised and is well coordinated with all stakeholders Demonstrating ability to provide prophylaxis for public health responders States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Population 2017 Households included children 2746% Respondents who know they are pregnant — 6% Respondents 65 or older 1215% Respondents who reported having diabetes 107% Respondents who reported a condition that limits activities 18% — Respondents who reported a health problem that required the use of specialized equipment 7% — PHEP funds support staff who have expertise in many different areas. differen PHEP-Funded Staff t areas.2017 CDC Field Staff 3 1 Educators 3 2 Epidemiologists 6 1 Health Professionals — Laboratorians — 5 Other Staff 34 7 PHEP PROGRAMProgram–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination Key Performance Measure Results In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e death and injuries in a Emergency Operations Coordination 2015 2016 Result of communication drill between laboratory and epidemiological staff — — 2017 Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 1 Number of minutes for public health staff with incident management lead roles to report for immediate duty 44 60 45 Timely and effective communication between lab and epidemiologic st public health emergency. Public Health Laboratory Testing aff can reduce death and injuries in a 2017 Results of communication drills between laboratory and epidemiological staff completed within 45 minutes Drill 1: Completed drill in time Drill 2: Completed drill in time Public Health Laboratory Testing: LRN-B 2014 2015 2016 2017 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 2 / 2 2 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 2017 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 100% (target: 90%) 100% (target: 90%) 96% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days 100% (target: 90%) 100% (target: 90%) 100% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1Xxxxx 0, 0 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 2015 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 2016 nimize furtherd confirm ting the most 2016 2017 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — Result of LRN exercise to collect, package, and ship samples — — — For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxx7 / 9 9 / 9 9 / 9

Emergency Operations Coordination. 5. Community Preparedness For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxx. Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development Well-defined volunteer program Lack of an integrated healthcare module within the WebEOC platform Outdated medical countermeasure preparedness plans for at-risk populations States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Households included children 2740% Respondents who know they are pregnant — 3% Respondents 65 or older 1219% Respondents who reported having diabetes 10% Respondents who reported a condition that limits activities 1820% Respondents who reported a health problem that required the use of specialized equipment 78% PHEP funds support staff who have expertise in many different areas. PHEP-Funded Staff CDC Field Staff 3 1 Educators 3 — Epidemiologists 6 4 Health Professionals — Laboratorians — 7 Other Staff 34 — PHEP PROGRAM–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 40 58 21 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e reduce death and injuries in a 2016 Result of communication drill between laboratory and epidemiological staff — — Completed drill in time: (target: 45 mins) Completed drill in time: (target: 45 mins) Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 2 Public Health Laboratory Testing: LRN-B 2014 2015 2016 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 5 / 5 2 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 100% (target: 90%) 100% (target: 90%) 81% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days 80% (target: 90%) 100% (target: 90%) 100% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, 2 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting the most 2016 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 7 / 9 8 / 9 9 / 9 Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — 2 2 2 Result of LRN exercise to collect, package, and ship samples — — — Passed Passed Passed For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness Information Sharing For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxxxxxxx://xxx.xxx.xxx/cpr/readiness/capabilities.htm. KEY CHALLENGE KEY STRENGTH Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development of an integrated healthcare module within the WebEOC platform Outdated medical countermeasure preparedness plans Strong partnerships with state agencies to provide organized and efficient receiving, staging, and storage site capabilities Incomplete plans, standard operating procedures, and training for emergency management operations States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Population 2017 Households included children 2740% Respondents who know they are pregnant — 3% Respondents 65 or older 1220% Respondents who reported having diabetes 109% Respondents who reported a condition that limits activities 1824% Respondents who reported a health problem that required the use of specialized equipment 78% PHEP funds support staff who have expertise in many different areas. differen PHEP-Funded Staff t areas.2017 CDC Field Staff 3 Educators 3 — Epidemiologists 6 — Laboratorians — 4 Other Staff 34 7 PHEP PROGRAMProgram–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination Key Performance Measure Results In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e death and injuries in a Emergency Operations Coordination 2015 2016 Result of communication drill between laboratory and epidemiological staff — — 2017 Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 1 Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 34 N/A Timely and effective communication between lab and epidemiologic st public health emergency. Public Health Laboratory Testing aff can reduce death and injuries in a 2017 Results of communication drills between laboratory and epidemiological staff completed within 45 minutes Drill 1: Completed drill in time Drill 2: Completed drill in time Public Health Laboratory Testing: LRN-B 2014 2015 2016 2017 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 2 / 2 2 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 2017 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 90% (target: 90%) 67% (target: 90%) 86% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days 67% (target: 90%) 0% (target: 90%) 100% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1Xxxxx 0, 0 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 2015 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 2016 nimize furtherd confirm ting the most 2016 2017 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 9 / 9 7 / 9 9 / 9 Number of additional chemical agent detection methods demonstrated by Level 1 and/or or Level 2 labs — — — 1 0 1 Result of LRN exercise to collect, package, and ship samples — — — Passed Passed Passed For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxxxxx.xxx.xxx/xxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness Recovery For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxxxxxxx://xxx.xxx.xxx/cpr/readiness/capabilities.htm. KEY CHALLENGE KEY STRENGTH Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development Use of an integrated healthcare module within the WebEOC platform Outdated medical countermeasure Incident Command System for all incidents Fragmented preparedness plans States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Population 2017 Households included children 2733% Respondents who know they are pregnant — 5% Respondents 65 or older 1220% Respondents who reported having diabetes 1012% Respondents who reported a condition that limits activities 18% — Respondents who reported a health problem that required the use of specialized equipment 7% — PHEP funds support staff who have expertise in many different areas. differen PHEP-Funded Staff t areas.2017 CDC Field Staff 1 Educators — Epidemiologists 4 Health Professionals 3 Educators 3 Epidemiologists 6 Laboratorians — 5 Other Staff 34 29 PHEP PROGRAMProgram–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination Key Performance Measure Results In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e death and injuries in a Emergency Operations Coordination 2015 2016 Result of communication drill between laboratory and epidemiological staff — — 2017 Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — Public Health Laboratory Testing: LRN-B 2014 2015 2016 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — LRN chemical (LRN-C) labs rapidly identify exposures to toxi human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, advanced capabilities. Current number and level of LRN-C Labs: — Public Health Laboratory Testing: LRN-C c chemicals, aid ith testing capa 2, or 3, with Leve 2014 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting the most 2016 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — Result of LRN exercise minutes for public health staff with incident management lead roles to collect, package, and ship samples — — — For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxxreport for immediate duty

Emergency Operations Coordination. 5. Community Preparedness Medical Surge For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxxxxxxx://xxx.xxx.xxx/cpr/readiness/capabilities.htm. KEY CHALLENGE KEY STRENGTH Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development Maintenance of a registry of individuals with special healthcare needs who may need additional assistance in an integrated healthcare module within the WebEOC platform Outdated medical countermeasure preparedness emergency Limited health and safety plans for responders at points of dispensing States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Population 2017 Households included children 2735% Respondents who know they are pregnant — 3% Respondents 65 or older 1221% Respondents who reported having diabetes 10% Respondents who reported a condition that limits activities 18% — Respondents who reported a health problem that required the use of specialized equipment 7% — PHEP funds support staff who have expertise in many different areas. differen PHEP-Funded Staff t areas.2017 CDC Field Staff 3 1 Educators 3 2 Epidemiologists 6 1 Health Professionals 2 Laboratorians — 7 Other Staff 34 12 PHEP PROGRAMProgram–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination Key Performance Measure Results In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e death and injuries in a Emergency Operations Coordination 2015 2016 Result of communication drill between laboratory and epidemiological staff — — 2017 Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 1 Number of minutes for public health staff with incident management lead roles to report for immediate duty Timely and effective communication between lab and epidemiologic st public health emergency. Public Health Laboratory Testing aff can reduce death and injuries in a 2017 Results of communication drills between laboratory and epidemiological staff completed within 45 minutes Drill 1: Completed drill in time Drill 2: Completed drill in time Public Health Laboratory Testing: LRN-B 2014 2015 2016 2017 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 2 / 2 2 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 2017 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 0% (target: 90%) 100% (target: 90%) 100% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days N/A 100% (target: 90%) 100% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1Xxxxx 0, 0 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 2015 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 2016 nimize furtherd confirm ting the most 2016 2017 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — 9 / 9 8 / 9 9 / 9 Result of LRN exercise to collect, package, and ship samples — — — Passed Passed Passed For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxxxxx.xxx.xxx/xxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxxxxxxx://xxx.xxx.xxx/cpr/readiness/capabilities.htm. KEY CHALLENGE KEY STRENGTH Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development Strong community partnerships, including the Alaska Native Tribal Health Consortium, working closely together to support a medical countermeasures distribution and dispensing response Efficient deployment of an integrated healthcare module within the WebEOC platform Outdated medical countermeasure preparedness plans resources to isolated communities due to extreme weather and a very limited road system statewide States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Population 2017 Households included children 2741% Respondents who know they are pregnant — 6% Respondents 65 or older 1214% Respondents who reported having diabetes 107% Respondents who reported a condition that limits activities 18% Respondents who reported a health problem that required the use of specialized equipment 78% PHEP funds support staff who have expertise in many different areas. differen PHEP-Funded Staff t areas.2017 CDC Field Staff 2 Educators 2 Epidemiologists 1 Health Professionals 3 Educators 3 Epidemiologists 6 Laboratorians — 4 Other Staff 34 4 PHEP PROGRAMProgram–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination Key Performance Measure Results In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e death and injuries in a Emergency Operations Coordination 2015 2016 Result of communication drill between laboratory and epidemiological staff — — 2017 Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 1 Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 14 54 Timely and effective communication between lab and epidemiologic st public health emergency. Public Health Laboratory Testing aff can reduce death and injuries in a 2017 Results of communication drills between laboratory and epidemiological staff completed within 45 minutes Drill 1: Completed drill in time Drill 2: Completed drill in time Public Health Laboratory Testing: LRN-B 2014 2015 2016 2017 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 2 / 2 2 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 2017 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 100% (target: 90%) N/A 100% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days N/A 100% (target: 90%) 100% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1Xxxxx 0, 0 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 2015 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 2016 nimize furtherd confirm ting the most 2016 2017 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 9 / 9 9 / 9 9 / 9 Number of additional chemical agent detection methods demonstrated by Level 1 and/or or Level 2 labs — — — 0 0 0 Result of LRN exercise to collect, package, and ship samples — — — Passed Passed Passed For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxxxxx.xxx.xxx/xxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxx. Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development of Ability to use Inventory Management Tracking System during distribution and dispensing Incomplete plans for at risk individuals during an integrated healthcare module within the WebEOC platform Outdated medical countermeasure preparedness plans emergency States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Households included children 2735% Respondents who know they are pregnant — 3% Respondents 65 or older 1220% Respondents who reported having diabetes 109% Respondents who reported a condition that limits activities 1819% Respondents who reported a health problem that required the use of specialized equipment 79% PHEP funds support staff who have expertise in many different areas. PHEP-Funded Staff CDC Field Staff 3 1 Educators 3 2 Epidemiologists 6 4 Health Professionals — Laboratorians — 5 Other Staff 34 11 PHEP PROGRAM–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty 31 60 N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e reduce death and injuries in a 2016 Result of communication drill between laboratory and epidemiological staff — — Laboratory Response Network biological Completed drill in time: (LRN-Btarget: 45 mins) and PulseNet labs rapidly identify and notify CDC of potential Completed drill, but not in time: (target: 45 mins) biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 1 Public Health Laboratory Testing: LRN-B 2014 2015 2016 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 3 / 3 2 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 97% (target: 90%) 100% (target: 90%) 92% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days 100% (target: 90%) 100% (target: 90%) 88% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, 2 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting the most 2016 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — 8 / 9 8 / 9 9 / 9 Result of LRN exercise to collect, package, and ship samples — — — Passed Passed Passed For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness Public Health Surveillance & Epidemiologic Investigation For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxxxxxxx://xxx.xxx.xxx/cpr/readiness/capabilities.htm. KEY CHALLENGE KEY STRENGTH Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development A robust distributor partnership to distribute medical countermeasures Lack of an integrated healthcare module within the WebEOC platform Outdated medical countermeasure preparedness plans identification and prophylaxis planning for critical infrastructure staff States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Population 2017 Households included children 2734% Respondents who know they are pregnant — 3% Respondents 65 or older 1222% Respondents who reported having diabetes 109% Respondents who reported a condition that limits activities 1819% Respondents who reported a health problem that required the use of specialized equipment 7% PHEP funds support staff who have expertise in many different areas. differen PHEP-Funded Staff t areas.2017 CDC Field Staff 3 1 Educators 3 — Epidemiologists 6 5 Health Professionals — Laboratorians — Other Staff 34 7 PHEP PROGRAMProgram–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination Key Performance Measure Results In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e death and injuries in a Emergency Operations Coordination 2015 2016 Result of communication drill between laboratory and epidemiological staff — — 2017 Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — Public Health Laboratory Testing: LRN-B 2014 2015 2016 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — LRN chemical (LRN-C) labs rapidly identify exposures to toxi human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, advanced capabilities. Current number and level of LRN-C Labs: — Public Health Laboratory Testing: LRN-C c chemicals, aid ith testing capa 2, or 3, with Leve 2014 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting the most 2016 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — Result of LRN exercise minutes for public health staff with incident management lead roles to collect, package, and ship samples — — — For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxxreport for immediate duty

Emergency Operations Coordination. 5. Community Preparedness Medical Countermeasure Dispensing For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxxxxxxx://xxx.xxx.xxx/cpr/readiness/capabilities.htm. KEY CHALLENGE KEY STRENGTH Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development Strong partnerships enables high level of an integrated healthcare module participation within the WebEOC platform Outdated planning and logistics Lack of monitoring and tracking of medical countermeasure preparedness plans activities at the local level States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Population 2017 Households included children 2738% Respondents who know they are pregnant — 6% Respondents 65 or older 1220% Respondents who reported having diabetes 109% Respondents who reported a condition that limits activities 18% — Respondents who reported a health problem that required the use of specialized equipment 7% — PHEP funds support staff who have expertise in many different areas. PHEP-Funded Staff 2017 CDC Field Staff 3 2 Educators 3 1 Epidemiologists 6 — Laboratorians — Other Staff 34 5 PHEP PROGRAM–KEY PERFORMANCE MEASURE RESULTS 2017 2016 2015 2014 Emergency Operations Coordination In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 45 52 41 Timely and effective communication between lab and epidemiologic staff can reduc st public health emergency. Public Health Laboratory Testing e aff can reduce death and injuries in a 2016 Result 2017 Results of communication drill drills between laboratory and epidemiological staff — — completed within 45 minutes Drill 1: Completed drill in time Drill 2: Completed drill in time Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 1 Public Health Laboratory Testing: LRN-B 2014 2015 2016 2017 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 1 / 2 2 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 2017 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 97% (target: 90%) 97% (target: 90%) 95% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days 100% (target: 90%) 100% (target: 90%) 100% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, 2 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 2015 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 2016 nimize furtherd confirm ting the most 2016 2017 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — 8 / 9 8 / 9 9 / 9 Result of LRN exercise to collect, package, and ship samples — — — Passed Passed Passed For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxxxxx.xxx.xxx/xxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxx. Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development of an integrated healthcare module within the WebEOC platform Outdated The medical countermeasure preparedness plans response plan is frequently exercised and is well coordinated with all stakeholders Demonstrating ability to provide prophylaxis for public health responders States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Households included children 2746% Respondents who know they are pregnant — 5% Respondents 65 or older 1215% Respondents who reported having diabetes 107% Respondents who reported a condition that limits activities 1817% Respondents who reported a health problem that required the use of specialized equipment 76% PHEP funds support staff who have expertise in many different areas. PHEP-Funded Staff CDC Field Staff 3 2 Educators 3 2 Epidemiologists 6 Health Professionals — Laboratorians — 6 Other Staff 34 8 PHEP PROGRAM–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 60 44 60 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e reduce death and injuries in a 2016 Result of communication drill between laboratory and epidemiological staff — — Completed drill in time: (target: 45 mins) Completed drill in time: (target: 45 mins) Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 1 Public Health Laboratory Testing: LRN-B 2014 2015 2016 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 3 / 3 2 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 100% (target: 90%) 100% (target: 90%) 100% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days 100% (target: 90%) 100% (target: 90%) 100% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, 2 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting the most 2016 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — 8 / 9 7 / 9 9 / 9 Result of LRN exercise to collect, package, and ship samples — — — Passed Passed Passed For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness Medical Materiel Management & Distribution For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxx. Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development Plans for sustained anthrax operations Lack of an integrated healthcare module within the WebEOC platform Outdated medical countermeasure preparedness security plans for all dispensing sites States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Households included children 2735% Respondents who know they are pregnant — 3% Respondents 65 or older 1219% Respondents who reported having diabetes 108% Respondents who reported a condition that limits activities 1822% Respondents who reported a health problem that required the use of specialized equipment 78% PHEP funds support staff who have expertise in many different areas. PHEP-Funded Staff areas. CDC Field Staff 2 Educators — Epidemiologists — Laboratorians 3 Educators 3 Epidemiologists 6 Laboratorians — Other Staff 34 11 PHEP PROGRAMProgram–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination Key Performance Measure Results In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e death and injuries in a Emergency Operations Coordination 2014 2015 2016 Result of communication drill between laboratory and epidemiological staff — — Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — Public Health Laboratory Testing: LRN-B 2014 2015 2016 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — LRN chemical (LRN-C) labs rapidly identify exposures to toxi human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, advanced capabilities. Current number and level of LRN-C Labs: — Public Health Laboratory Testing: LRN-C c chemicals, aid ith testing capa 2, or 3, with Leve 2014 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting the most 2016 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — Result of LRN exercise minutes for public health staff with incident management lead roles to collect, package, and ship samples — — — For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxxreport for immediate duty

Emergency Operations Coordination. 5. Community Preparedness For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxx. Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development Advanced capacity for redundant communication systems Lack of an integrated healthcare module within the WebEOC platform Outdated comprehensive medical countermeasure preparedness plans States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Households included children 2735% Respondents who know they are pregnant — 4% Respondents 65 or older 1221% Respondents who reported having diabetes 109% Respondents who reported a condition that limits activities 1816% Respondents who reported a health problem that required the use of specialized equipment 75% PHEP funds support staff who have expertise in many different areas. differen PHEP-Funded Staff t areas. CDC Field Staff 1 Educators 6 Epidemiologists 3 Educators 3 Epidemiologists 6 Health Professionals — Laboratorians — 8 Other Staff 34 23 PHEP PROGRAM–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 55 29 20 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e reduce death and injuries in a 2016 Result of communication drill between laboratory and epidemiological staff — — Completed drill in time: (target: 45 mins) Completed drill in time: (target: 45 mins) Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 1 Public Health Laboratory Testing: LRN-B 2014 2015 2016 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 3 / 3 2 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 100% (target: 90%) 100% (target: 90%) 98% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days 100% (target: 90%) 60% (target: 90%) 100% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, 2 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting the most 2016 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 9 / 9 9 / 9 9 / 9 Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — 1 1 1 Result of LRN exercise to collect, package, and ship samples — — — Passed Passed Passed For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxxxxxxx://xxx.xxx.xxx/cpr/readiness/capabilities.htm. KEY CHALLENGE KEY STRENGTH Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development of an integrated healthcare module within “bio-pack” containers, which are kits of medications, instructions, and supplies, to make sure public health and critical infrastructure groups receive timely prophylaxis Timely pre-event training for the WebEOC platform Outdated medical countermeasure preparedness plans 33,000+ city workers that will be integral to a distribution and dispensing response States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Population 2017 Households included children 27% — Respondents who know they are pregnant — Respondents 65 or older 12% — Respondents who reported having diabetes 10% — Respondents who reported a condition that limits activities 18% — Respondents who reported a health problem that required the use of specialized equipment 7% — PHEP funds support staff who have expertise in many different areas. differen PHEP-Funded Staff t areas.2017 CDC Field Staff 4 Educators 4 Epidemiologists 4 Health Professionals 3 Educators 3 Epidemiologists 6 Laboratorians — Other Staff 34 29 PHEP PROGRAMProgram–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination Key Performance Measure Results In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Emergency Operations Coordination 2015 2016 2017 Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e can reduce death and injuries in a 2016 Result 2017 Results of communication drill drills between laboratory and epidemiological staff completed within 45 minutes Drill 1: — Drill 2: — Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — Public Health Laboratory Testing: LRN-B 2014 2015 2016 2017 Public Health Laboratory Testing: PulseNet 2015 2016 2017 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days LRN chemical (LRN-C) labs rapidly identify exposures to toxi to human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, 1 advanced capabilities. Current number and level of LRN-C Labs: — Public Health Laboratory Testing: LRN-C c xic chemicals, aid ith with testing capa , 2, or 3, with Leve 2014 2015 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 2016 nimize furtherd confirm ting the most 2016 2017 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number of additional chemical agent detection methods demonstrated by Level 1 and/or or Level 2 labs — — — Result of LRN exercise to collect, package, and ship samples — — — For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxxxxx.xxx.xxx/xxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxx. Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development of an integrated healthcare module within the WebEOC platform Outdated medical countermeasure preparedness plans Strong partnerships with state agencies to provide organized and efficient receiving, staging, and storage site capabilities Incomplete plans, standard operating procedures, and training for emergency management operations States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Households included children 2740% Respondents who know they are pregnant — 6% Respondents 65 or older 1220% Respondents who reported having diabetes 108% Respondents who reported a condition that limits activities 1823% Respondents who reported a health problem that required the use of specialized equipment 7% PHEP funds support staff who have expertise in many different areas. PHEP-Funded Staff CDC Field Staff 3 Educators 3 2 Epidemiologists 6 1 Health Professionals — Laboratorians — 4 Other Staff 34 5 PHEP PROGRAM–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 N/A 34 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e reduce death and injuries in a 2016 Result of communication drill between laboratory and epidemiological staff — — Completed drill in time: (target: 45 mins) Completed drill in time: (target: 45 mins) Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 1 Public Health Laboratory Testing: LRN-B 2014 2015 2016 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 3 / 3 2 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 93% (target: 90%) 90% (target: 90%) 67% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days N/A 67% (target: 90%) 0% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1, 2 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 nimize furtherd confirm ting the most 2016 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 9 / 9 9 / 9 7 / 9 Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — 1 1 0 Result of LRN exercise to collect, package, and ship samples — — — Passed Passed Passed For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxx

Emergency Operations Coordination. 5. Community Preparedness For a complete list of all 15 public health preparedness capabilities, visit xxx.xxx.xxx/xxxx/xxxxxxxxx/xxxxxxxxxxxx.xxxxxxxx://xxx.xxx.xxx/cpr/readiness/capabilities.htm. KEY CHALLENGE KEY STRENGTH Medical Countermeasure Readiness: Ensuring that medicine and supplies get to those who need them most during an emergency. KEY STRENGTH KEY CHALLENGE Development of an integrated healthcare module within the WebEOC platform Outdated The medical countermeasure preparedness plans response plan is frequently exercised and is well coordinated with all stakeholders Demonstrating ability to provide prophylaxis for public health responders States, territories, and localities are required to develop emergency plans covering children, pregnant women, and other vulnerable populations. Population 2017 Households included children 2746% Respondents who know they are pregnant — 6% Respondents 65 or older 1215% Respondents who reported having diabetes 107% Respondents who reported a condition that limits activities 18% — Respondents who reported a health problem that required the use of specialized equipment 7% — PHEP funds support staff who have expertise in many different areas. differen PHEP-Funded Staff t areas.2017 CDC Field Staff 3 1 Educators 3 2 Epidemiologists 6 1 Health Professionals — Laboratorians — 5 Other Staff 34 7 PHEP PROGRAMProgram–KEY PERFORMANCE MEASURE RESULTS 2016 2015 2014 Emergency Operations Coordination Key Performance Measure Results In an emergency, it is critical that staff can meet quickly to plan for, lead, and manage a public health response. Public health staff serve as Incident Commanders, Public Information Officers, Planning Section Chiefs, Operations Section Chiefs, and other response roles. Number of minutes for public health staff with incident management lead roles to report for immediate duty N/A 25 31 Timely and effective communication between lab and epidemiologic staff can reduc public health emergency. Public Health Laboratory Testing e death and injuries in a Emergency Operations Coordination 2015 2016 Result of communication drill between laboratory and epidemiological staff — — 2017 Laboratory Response Network biological (LRN-B) and PulseNet labs rapidly identify and notify CDC of potential biological health threats to minimize disease outbreaks. CDC manages the LRN-B, a group of public health labs with testing capabilities to detect and confirm biological health threats. CDC also manages PulseNet, a national network of labs that analyzes and connects foodborne illness cases together to identify outbreak sources. Current number of LRN-B public health labs: — 1 Number of minutes for public health staff with incident management lead roles to report for immediate duty 44 60 45 Timely and effective communication between lab and epidemiologic st public health emergency. Public Health Laboratory Testing aff can reduce death and injuries in a 2017 Results of communication drills between laboratory and epidemiological staff completed within 45 minutes Drill 1: Completed drill in time Drill 2: Completed drill in time Public Health Laboratory Testing: LRN-B 2014 2015 2016 2017 Proportion of LRN-B proficiency tests passed Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. 2 / 2 2 / 2 2 / 2 Public Health Laboratory Testing: PulseNet 2014 2015 2016 2017 Percentage of E. coli-positive tests analyzed and uploaded into PulseNet national database within four working days — — — 100% (target: 90%) 100% (target: 90%) 96% (target: 90%) Percentage of Listeria-positive tests analyzed and uploaded into PulseNet national database within four working days 100% (target: 90%) 100% (target: 90%) 100% (target: 90%) LRN chemical (LRN-C) labs rapidly identify exposures to toxi toxic human exposures. CDC manages the LRN-C, a group of labs w chemical health threats. LRN-C labs are designated as Level 1Xxxxx 0, 0 advanced capabilities. Current number and level of LRN-C Labs: — 1 (Level 2) Public Health Laboratory Testing: LRN-C c chemicals, aid ith aidith testing capa 2, or 3, with Leve 2014 2015 diagnoses, and mi bilities to detect an l 1 labs demonstra 2015 2016 nimize furtherd confirm ting the most 2016 2017 Proportion of core chemical agent detection methods demonstrated by Level 1 and/or or Level 2 labs Lab located in Chicago is operated by the state of Illinois. See Illinois fact sheet. Number of additional chemical agent detection methods demonstrated by Level 1 and/or Level 2 labs — — — 7 / 9 9 / 9 9 / 9 Result of LRN exercise to collect, package, and ship samples — — — Passed Passed Passed For more information on CDC’s Public Health Emergency Preparedness Program, visit xxx.xxx.xxx/xxxx/xxx.xxxxxx.xxx.xxx/xxx/xxx.xxx