XIV. Public Health Response to Terrorism

FY 2000 Performance Plan - Revised Final FY 1999 Performance Plan

The growing threats from biological and chemical terrorism within the United States necessitates strengthening of public health capacity at the local, state, and federal level in order to prepare and respond to these perils. Proposed operations focus on buttressing the essential role that public health plays in the emergency response to terrorism through efforts that: a) reinforce systems of public health surveillance to detect unusual or covert events; b) build epidemiologic capacity to investigate and control health threats from such events; c) enhance public health laboratory capability to diagnose the illnesses and identify the compounds used in these circumstances; and d) develop and coordinate communications systems with other government agencies and the general public to disseminate critical information and allay unnecessary fear.

Performance Goals and Measures

Performance Goal: Increase the ability of CDC, state and local health departments to respond to terrorist threats.

Performance Measures:

FY Baseline	FY 1999 Appropriated	FY 2000 Estimate
0 (1998) sentinel networks	Establish 3 sentinel networks which will be capable if identifying early victims of bioterrorism.	Expand and enhance 3 sentinel networks which will be capable of identifying early victims of bioterrorism.
0 (1998) Health Departments with epidemiology and laboratory capacity.	Increase the number of state and major city health departments which expand epidemiology, clinical and laboratory capacity to investigate and mitigate health threats posed by bioterrorism to 40.	Increase the number of state and major city health departments which expand epidemiology, clinical and laboratory capacity to investigate and mitigate health threats posed by bioterrorism to 63.
0 (1998) Reference laboratories with support capabilities.	Create a network of two state or major city laboratories to provide rapid and accurate diagnostic and/or reference support for 10-15 select biologic agents and/or...	Create a network of twelve state or major city laboratories to provide rapid and accurate diagnostic and /or reference support for 10-15 select biologic agents and/or...
0 (1998) Demonstration Programs	...Bioterrorism preparedness and response planning programs will be established in 5 states or localities.	...Bioterrorism preparedness and response planning programs will be established in 10 states or localities.
0 (1998) Assays specific to chemicals used in terrorist attacks.	Measure rapidly by chemical methods 50 toxicants in blood and urine likely to be used in chemical terrorism.	Measure rapidly by chemical methods 100 toxicants in blood and urine likely to be used in chemical terrorism.
0 (1998) Major Metropolitan areas with electronic surveillance and communications systems.	The number of major metropolitan areas with health sector dedicated communications systems to facilitate or expedite detection and response to terrorist events will be increased to between 15 and 25 through the Health Alert Network (HAN).	The number of major metropolitan areas with health sector dedicated communications systems to facilitate or expedite detection and response to terrorist events will be increased to between 25 and 35 through the Health Alert Network (HAN).
0 (FY 1998) plan for national pharmaceutical "stockpile" to respond to terrorist use of potential biological or chemical agents.	Create a national pharmaceutical "stockpile" available for deployment to respond to terrorist use of potential biological or chemical agents, including the ability to protect 1-4 million civilians from anthrax attack.	Create a national pharmaceutical "stockpile" available for deployment to respond to terrorist use of potential biological or chemical agents, including the ability to protect 1-4 million civilians from anthrax attack.
Total Program Funding	$121,750	$118,000

Verification/Validation of Performance Measures: Data for these measures will be available from grantee progress reports, Environmental Health Laboratory's strategic planning progress reports, development of lists of purchased pharmaceuticals, and will be verified through site visits and/or publications.

Links to DHHS Strategic Plan

These performance measures relate to DHHS Goal 1: Reduce major threats to the health of all Americans and Goal 5: Improve public health systems.

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