The Cities Readiness Initiative is a federally funded effort to prepare major U.S. cities and metropolitan areas to effectively respond to a large scale bioterrorist event by dispensing antibiotics to their entire identified population within 48 hours of the decision to do so.
CRI is needed to enhance preparedness at all levels of government and to provide a consistent nationwide approach to prepare for, respond to, and recover from a large-scale public health emergency.
Past events have taught us that the risk of terrorism—including bioterrorism—being perpetrated against Americans, is real. The ability to quickly deliver countermeasures to a large population is a central component of public health preparedness.
Since 2004, the Centers for Disease Control and Prevention (CDC) has provided funding for CRI through the Public Health Emergency Preparedness Cooperative Agreement to enhance the mass dispensing capabilities of the CRI cities. Funds are provided to the states for further distribution to the local level, except for Washington DC, Chicago, New York City, and Los Angeles, which are directly funded cities.
CDC's Coordination Office for Terrorism Preparedness and Emergency Response (COTPER), Division of Strategic National Stockpile (DSNS), provides technical assistance on the planning process by helping to identify resources and training opportunities for participating cities. The DSNS utilizes a number of venues including educational web casts, guidebooks, and training classes to share information and lessons learned from federal, state and local perspectives. In addition, CRI cities are evaluated regularly by DSNS program consultants during a CRI assessment process.
A POD is a community-based dispensing point for vaccinations or medications. A POD is also referred to as a dispensing site, dispensing clinic or Neighborhood Distribution Center (NDC).
The public health authority, upon determining a public health threat exists, will notify local emergency management that a POD or PODs will be activated.
The public health authority, upon determining a public health threat exists, will notify local emergency management that a POD or PODs will be activated:
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Decrease the number of individuals within the community of becoming ill. Community first-response teams will be treated first so that they can continue to serve the community in the event of a disaster.