Two new studies find that federal funding to prepare for bioterrorist attacks
has helped increase local emergency response capabilities. But, the surveys also
find difficulty in maintaining sufficient funds for other public health functions.
In the wake of a series of still mysterious anthrax attacks in 2002, the
U.S. Congress sent $1.6 billion to states and cities to prepare for bioterrorist
threats. A non-profit group that examines public policy issues, the Twentieth
Century Foundation, commissioned two reports to assess the progress made by
state and local public health systems in preparing to counter similar incidents.
The reports also looked at the impact of the federal money on public health
Elin Gursky, a senior fellow at the private ANSER Institute for Homeland
Security, wrote the first report, called Progress and Peril. She based
it on a national survey and interviews with 42 public health officials in 10
states. She says the federal money has helped public health officials acquire
needed equipment and updated technology, and develop stronger partnerships
with emergency responders at hospitals, law enforcement agencies, and fire
departments. At the same time, she found that public health systems were losing
staff and their capacity to respond to other emergencies due to severely reduced
"The peril issue is that many of these efforts seem to be reshaping our public
health system," said Elin Gursky. "In terms of losing state dollars to support
traditional public health programs in efforts to improve bioterrorism preparedness,
health departments reported losing things like maternal child health service
and some communicable disease services, school health, elder care, environmental
services and water quality."
The second study focuses on one representative state, Illinois, which received
a total of $44 million to prepare for biological threats. The author, Bernard
Turnock, heads the Center for Public Health Practice at the University of Illinois'
Dr. Turnock found obstacles to effectively spending the money, particularly
bureaucratic barriers to hiring key personnel such as epidemiologists, laboratory
personnel and emergency response coordinators. For example, a year after Illinois
had received the money the state had only been able to hire half of the epidemiologists
that were needed. And he found concern about the long-term federal commitment.
"The second lesson really relates to the fact that the key elements of bioterrorism
preparedness, the surveillance systems and the communications systems and the
training systems require a lengthy time to develop and implement and to be
fully effective," he said. "Therefore, much of the early progress that has
been made in those areas is jeopardized if there is not going to be continued
support for these activities over a long period."
Dr. Turnock says friction between state and local governments over priorities
for spending the money is also jeopardizing the effective use of resources.
Both authors conclude that states and local communities are better prepared
to handle bioterrorist threats today than they were two years ago. But they
agree that federal agencies need to improve their coordination and that local
communities, which are on the frontline in the fight against bioterrorism,
may need more help.