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Review
. 2021 May 12;34(3):e00183-20.
doi: 10.1128/CMR.00183-20. Print 2021 Jun 16.

How To Prepare for the Unexpected: a Public Health Laboratory Response

Carmen L Charlton  1 , Noah Hull  2 , Cari Roark Sloma  2 , Mary Bonifas  3 , Matthew Johnson  4 , Anna K Strain  5 , Tyler Wolford  6 , Sherrie Staley  6 , Carey Perkins  7 , Rafia Razzaque  8 , Colleen Courtney  9 , Eric P Bind  10
Affiliations
Review

How To Prepare for the Unexpected: a Public Health Laboratory Response

Carmen L Charlton et al. Clin Microbiol Rev. .

Abstract

Public health laboratories (PHLs) continue to face internal and external challenges to their abilities to provide successful, timely responses to public health crises and emerging threats. These laboratories are mandated to maintain the health of their communities by identifying, diagnosing, and warning constituents of potential and real health emergencies. Due to the changing characteristics of public health threats and their cross-jurisdictional nature, laboratories are facing increased pressure to ensure that they respond in a consistent and coordinated manner. Here, the Association of Public Health Laboratories (APHL) Emerging Leader Program Cohort 11 members have compiled stories from subject matter experts (SMEs) at PHLs with direct involvement in crises to determine the characteristics of a successful response. Experts examined a diverse selection of emerging threats from across PHLs, including infectious diseases, opioids, natural disasters, and government shutdowns. While no public health crisis will be identical to another, overarching themes were consistent across subjects. Experiences from SMEs that could improve future responses to emerging threats are highlighted.

Keywords: COVID-19; emerging issues; public health laboratories.

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