Madam Speaker, I am pleased to join my colleagues, Congresswoman Baldwin (WI-02) and Congressman Towns (NY- 10) on the introduction of the National Integrated Public Health Surveillance Systems and Reportable Conditions Act which addresses…
Madam Speaker, I am pleased to join my colleagues, Congresswoman Baldwin (WI-02) and Congressman Towns (NY-
10) on the introduction of the National Integrated Public Health Surveillance Systems and Reportable Conditions Act which addresses a critical aspect of our public health system in the United States: our science infrastructure at all levels of government.
That infrastructure, primarily applied epidemiology, laboratory science, and public health informatics, has greatly improved since the mid-1990s, but has not kept pace with the challenges we face today, such as increased foodborne disease outbreaks, emerging infections such as West Nile Virus, growing antimicrobial resistance, pandemic flu, and environmental health threats, particularly to clean air and water.
Many parts of the local-State-Federal disease surveillance system remain fragmented and paper-based, and have not fully benefited from new technologies that could improve the thoroughness and timeliness of reporting. Only two State public health laboratories have bidirectional data flow and can both send and receive laboratory messages, the gold standard for disease reporting. The potential for new pathogen discovery, rapid electronic exchange of public health information, national bacterial and viral databases for DNA ``fingerprinting'' of infectious disease organisms has not been fully realized.
Madam Speaker, we need a robust, universal, 21st century public health infrastructure that is strengthened at all levels of government to meet these challenges.
The bill we are introducing today will achieve that goal. It will require a very modest expansion of resources, renewed focus and mission, and new areas of special emphasis for several existing programs within the Centers for Disease Control and Prevention, which have never before been authorized. These programs will give public health institutions the capacity to identify and monitor the occurrence of infectious diseases and other conditions of public health importance. It will also improve the detection of new and emerging infectious disease threats, including laboratory capacity to detect antimicrobial resistant infections, identify and respond to disease outbreaks, and hire and train necessary professional staff.
The bill also focuses on improving electronic disease surveillance and reporting by requiring the Secretary, acting through the Director of the Centers for Disease Control to adopt, within 180 days of enactment, guidelines for public health entities to ensure that all State and local health departments and public health laboratories have access to receive, monitor, and report infectious diseases and other urgent conditions of public health importance. These guidelines will be coordinated with the office of the National Coordinator for Health Information Technology and the American Health Information Community .
Grant mechanisms for achieving complete, and updated electronic disease reporting by State and local health departments, and public health laboratories are also delineated and modestly enhanced to ensure the Nation has a seamless, rapid information flow of disease detection and reporting.
We are facing workforce shortages in many areas of our health and public health system. Three recent surveys conducted by the Council of State and Territorial Epidemiologists have established that the number and level of training of epidemiologists is perceived as seriously deficient in most States. The need to increase, well-trained, core public health science professionals is addressed in this bill. Fellowship training for key elements of the public health workforce, applied epidemiologists, laboratory scientists and public health informaticians, is authorized and modest funding targets provided.
The bill also authorizes, for the first time, a process for determining a list of nationally notifiable diseases and conditions. The provisions are modeled on the existing process of collaboration between the States and the Centers for Disease Control and Prevention, but provide clarity and structure that enables Congress to monitor and support improvements as events and technology require.
Madam Speaker, the ``National Integrated Public Health Surveillance Systems and Reportable Conditions Act'' will enhance the Nation's public health capacity by strengthening its core science infrastructure and ensuring a seamless, rapid flow of information. It will help us meet the serious public health challenges of today and tomorrow. I urge my colleagues to consider the benefits of this bill and join as a cosponsor and support its enactment.