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?

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 personnel?

Does the State emergency public health response primarily focus on high frequency day-to-day public health events rather low frequency bioterrorism?

What is the states "smallpox" plan?

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?