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Epidemic and disaster aid to states : health and sanitation : general information and policies.

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      Disasters and epidemics are seldom predictable. For this reason few states and local health departments can adequately plan to meet contingencies which require rapid and costly expansion of services. The Public Health Service (PHS) has, in the past, assisted state health departments by the assignment of personnel in accordance with the availability of men and money. In many cases it has been difficult to render adequate assistance. At the December 1947 annual conference with the Surgeon General of the Public Health Service, the State and Territorial Health Officers recommended that this service be expanded. Subsequently the Surgeon General designated the Communicable Disease Center (CDC) as the office to plan, administer, and furnish aid to state health departments in meeting emergency demands resulting from non-military catastrophic events or disease epidemics when state and local health organizations are unable to fully cope with the public health problems involved. Other divisions of the Public Health Service will also be called upon whenever necessary. At the present time, the reserve fund provided for this purpose does not permit full and adequate mobilization of all necessary personnel and facilities which may be utilized effectively under emergency conditions. In accordance with the recommendations of the State and Territorial Health Officers' Conference, the Public Health Service is attempting to obtain the essential financial backing for this work. Preliminary plans have been made to establish this service as a Communicable Disease Center activity and basic policies are set forth herein. CDC welcomes this new opportunity to serve the state health departments. The activities will be supplementary to and coordinated with the work of the state health department. Assistance will be rendered local health departments when the need is apparent and is requested by the state health department. The fieldwork will be coordinated with related activities of other federal agencies and with the American Red Cross and other relief organizations so as to avoid overlapping and to insure the best possible mutual cooperation.

      I. Introduction -- II. Circumstances justifying aid -- III. Legal responsibilities -- IV. Administrative procedure -- V. Nature of PHS aid -- VI. Personnel -- VII. Supplies -- VIII. Equipment -- IX. Other services -- XI. Conclusion.

      Federal Security Agency, Public Health Service Communicable Disease Center, Atlanta, Georgia.

      8 numbered pages

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