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Public health preparedness: Building and maintaining infrastructure beyond the COVID-19 pandemic : report to congressional committees
Public health preparedness: Building and maintaining infrastructure beyond the COVID-19 pandemic : report to congressional committees
Why GAO did this study. CDC is the primary federal agency responsible for helping strengthen jurisdictions’ public health infrastructure to aid emergency preparedness and response capabilities. The CARES Act includes a provision for GAO to report on the federal response to the COVID-19 pandemic. This report (1) describes CDC awards to support jurisdictions’ public health infrastructure for preparedness, and (2) examines challenges selected jurisdictions and stakeholder groups identified to building and maintaining such infrastructure. GAO analyzed CDC’s data on awards provided to jurisdictions using annual appropriations and certain supplemental appropriations made in response to the pandemic. Specifically, GAO analyzed annual award data from fiscal year 2018 (the year GAO last reported on award data) through 2022 (most recent data available at the time of GAO’s review). GAO also analyzed data on awards using appropriations from the most recently enacted COVID-19 relief law - the American Rescue Plan Act of 2021. GAO interviewed officials from a nongeneralizable sample of 12 jurisdictions - selected based on governance structure, funding received, and rurality. GAO also interviewed representatives from 10 stakeholder groups representing public health professionals and policy organizations, among others. GAO provided a draft of this report to HHS for review and comment. HHS provided technical comments, which GAO incorporated as appropriate.
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