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The Office of Public Health Preparedness and Response

Bioterrorism and Disease Surveillance

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Maintaining our state's ability to prevent, protect, respond to, mitigate, and recover from threats to the public's health is a critical service. Since the Public Health Preparedness and Response Branch (PHP&R) was created in 2002, it has coordinated North Carolina's public health response to public health crises and supported Local Health Departments in incidents such as West Nile virus, the H1N1 influenza pandemic, SARS, bacterial contamination of food by E. coli, C. botulinum and salmonella, numerous hurricanes and even the potential threat from radiation released by the tsunami-damaged nuclear complex in Japan.

In order to mount an effective response to these and other public health emergencies, many diverse and complex planning, coordination and infrastructure functions come in to play. These public health preparedness and disease surveillance efforts are now essential to maintaining the capacity to control and respond to epidemic diseases and other health threats in our state's communities.

In essence, PHP&R is a branch of the state government that strives to enhance the capability and readiness of public health and health care systems, communities, and individuals to identify, prevent, protect against, respond to, and recover from public health emergencies whose scale, scope, timing or unpredictability threatens to overwhelm routine capabilities. PHP&R collaborates with other state agencies, local health departments, hospitals, clinics and local university medical departments to ensure the well-being of North Carolina residents and visitors.

To accomplish these goals, PHP&R has divided the state into four Public Health Regional Preparedness Offices. Each office provides support for citizens and public health officials in their designated geographical regions. The 100 North Carolina counties are divided into Central, Western, Eastern and City Readiness Initiative (CRI)* regional offices. Each region consist of planning consultants, training and exercise facilitators, industrial hygienists, pharmacist, and program support specialists, all employed by the state, to provide and coordinate that support.

*CDC's Cities Readiness Initiative (CRI) is a federally funded program designed to enhance preparedness in the nation's largest cities and metropolitan statistical areas (MSA) where more than 50% of the U.S. population resides. Through CRI, state and large metropolitan public health departments have developed plans to respond to a large-scale bioterrorist event by dispensing antibiotics to the entire population of an identified MSA with 48 hours.

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Page last updated on February 10, 2012