From the Robert Wood Johnson Foundation summary:
Trust for America’s Health (TFAH) and the Robert Wood Johnson Foundation (RWJF) have issued the Ready or Not? Protecting the Public’s Health from Diseases, Disasters, and Bioterrorism 2008 report, which examines the progress that has been made in improving America’s ability to respond to public health emergencies since 2003.
This report, the sixth annual edition, finds that on some levels, significant progress has been made in the nation’s preparedness. However, this year, TFAH found that cuts in federal funding for state and local preparedness since 2005, coupled with the cuts states are making to their budgets in response to the economic crisis, put that progress at risk.