States are the seat of most authority for public health emergency
response. Much of the actual work of response falls to local
officials. However, the federal government can impose requirements
upon states as a condition of federal funding. Since 2002, Congress
has provided funding to all U.S. states, territories, and the
District of Columbia, to enhance federal, state and local
preparedness for public health threats in general, and an influenza
("flu") pandemic in particular. States were required to develop
pandemic plans as a condition of this funding.
General
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