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Half of U.S. states are not prepared to prevent, detect and respond to infectious disease outbreaks, according to a report by the Robert Wood Johnson Foundation and the Trust for America’s Health.

“Over the last decade, we have seen dramatic improvements in state and local capacity to respond to outbreaks and emergencies. But we also saw during the recent Ebola outbreak that some of the most basic infectious disease controls failed when tested,” Jeffrey Levi, PhD, executive director of TFAH, said in the report. “The Ebola outbreak is a reminder that we cannot afford to let our guard down. We must remain vigilant in preventing and controlling emerging threats — like MERS-CoV, pandemic flu and Enterovirus — but not at the expense of ongoing, highly disruptive and dangerous diseases, seasonal flu, HIV/AIDS, antibiotic resistance and healthcare-associated infections.”

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