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Cities Readiness Initiative

CDC's Cities Readiness Initiative (CRI) is a federally funded program designed to enhance preparedness in the nation's major metropolitan statistical areas (MSAs) where more than 57% of the U.S. population resides. Through CRI, state and large metropolitan public health departments have developed plans to quickly receive and distribute medicine and medical supplies from the Strategic National Stockpile (SNS) to local communities following a large-scale public health emergency.

The initial CRI planning scenario was based on a response to a large-scale anthrax attack. Through continued analysis and lessons learned, it became apparent that CRI MSAs needed to be better prepared to also respond to other public health emergencies. The Pandemic and All-Hazards Preparedness Act of 2006 (P.L. 109-417) emphasizes an all-hazards approach to public health preparedness planning.

Participating Metropolitan Statistical Areas

The CRI project began in 2004 with 21 cities and has expanded to include a total of 72 cities and MSAs with at least one CRI city MSA in every state. Occasionally, MSAs extend across state borders, resulting in the representation of several states within one MSA.

CRI Cities and Metropolitan Areas

Albany, NY
Albuquerque, NM
Anchorage, AK
Atlanta, GA
Baltimore, MD
Baton Rouge, LA
Billings, MT
Birmingham, AL
Boise, ID
Boston, MA
Buffalo, NY
Burlington, VT
Charleston, WV
Charlotte, NC
Cheyenne, WY
Chicago, IL
Cincinnati, OH
Cleveland, OH

Columbia, SC
Columbus, OH
Dallas, TX
Denver, CO
Des Moines, IA
Detroit, MI
District of Columbia
Dover, DE
Fargo, ND
Fresno, CA
Hartford, CT
Honolulu, HI
Houston, TX
Indianapolis, IN
Jackson, MS
Kansas City, MO
Las Vegas, NV
Little Rock, AR

Los Angeles, CA
Louisville, KY
Manchester, NH
Memphis, TN
Miami, FL
Milwaukee, WI
Minneapolis, MN
Nashville, TN
New Haven, CT
New Orleans, LA
New York City, NY
Oklahoma City, OK
Omaha, NE
Orlando, FL
Peoria, IL
Philadelphia, PA
Phoenix, AZ
Pittsburgh, PA

Portland, ME
Portland, OR
Providence, RI
Richmond, VA
Riverside, CA
Sacramento, CA
Salt Lake City, UT
San Antonio, TX
San Diego, CA
San Francisco, CA
San Jose, CA
Seattle, WA
Sioux Falls, SD
St. Louis, MO
Tampa, FL
Trenton, NJ
Virginia Beach, VA
Wichita, KS

Technical Assistance to Ensure Readiness

CDC's Office of Public Health Preparedness and Response, Division of State and Local Readiness (DSLR) provides technical assistance to the 72 participating CRI jurisdictions for the development of plans to receive, distribute, and dispense medical assets received from CDC's Strategic National Stockpile. To ensure continued readiness, CDC and state public health personnel conduct annual technical assistance reviews to assess the plans for each jurisdiction within their MSAs. The technical assistance review scores for each jurisdiction are combined to compute an average score for the entire MSA.


Funding for the CRI project is provided to the 50 states and four metropolitan areas of Chicago, Los Angeles County, New York City and Washington D.C. through CDC's Public Health Emergency Preparedness (PHEP) cooperative agreement. State awardees provide CRI funds to their CRI jurisdictions in support of all-hazards medical countermeasure distribution and dispensing planning and preparedness. DSLR also administers the PHEP cooperative agreement, provides annual guidance on preparedness activities that support the National Response Framework, and coordinates technical assistance.

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