Public Health Structure
How is the state public health system organized? Consider the
interaction between Local (Public Health, Police, Fire, EMS), State
(Public Health Department, Disaster Management, National Guard) and the
federal government (CDC, FBI, FEMA, Department of Defense).
Has the state changed or modified its public health infrastructure as
a reaction of a bio-terrorism threat? How? Has the change strengthen,
weaken or likely to have no effect on public health efforts?
Is the state undertaking any long term or reorganization of its
public health infrastructure?
Bioterrorism /Disaster Response
How is the state organized to address a biological epidemic? What can
your state do to manage a public health emergency? What changes have
they made specifically related to bio-terrorism?
What are the issues posed by bioterrorism and how do they differ from
other public health bioemergencies? How does bioterrorism fit into
general public health, the state and federal powers available to manage
public health emergencies?
Does the state have a plan for response and followup? Does the state
have sufficient expert personnel as first responders? effective command
and control structures for directing first response and follow-up
Does the State emergency public health response primarily focus on
high frequency day-to-day public health events rather low frequency
What is the states "smallpox" plan?
Public Health Law
How does state constitution impact the ability of public health
authorities to carry out police powers? Are there state constitutional
law constraints? How has the state courts interpreted the exercise
police power in the state?
What laws and regulations has your state enacted to enable public
health authorities to carry out constitutional police powers? How do the
laws and regulations limit the public health authorities? Are they to
broad, too narrow? What, if any, change would you recommend?
In your state has the Model State Emergency Health Powers Act (MSEHPA)
been enacted in whole or in part? What was the reasoning about the
states decision with regard to MSEHPA? Do you think ought to implement
the MSEHPA? Why? What alternatives would you propose if your state was
reluctant to enact the entire MSEHPA?
What changes need to be made in state public health laws and the
public health system to better prepare the United States to manage a
bioterrorism incident and to avoid other unnecessary deaths? Why?
If a state has made a change in its laws are they likely to have long
term effect and avoid other public health unnecessary deaths?
What weaknesses exist in state law? Are there area where lines of
authority are blurred? Have traditional police powers weakened through
post-911 legislation? What corrective legislation is needed?