Maryland is the best-prepared state in the nation for a public health emergency, according to a new report released by the Robert Wood Johnson Foundation.

Where is Hawaii? Below the national average. The chart below shows that in 2013 Hawaii was within the national average but in 2015 they moved in the below average category and has stayed there every since.

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Health security is a condition in which the nation and its people are prepared for, protected from, and resilient to events that can adversely impact health status. Hazardous events are unpredictable as to their location, timing, intensity, and geographic reach. For this reason, protections need to be available ‘everywhere’ in order to prevent disease and injury ‘anywhere.’  Many health security threats are increasing in frequency and intensity in the United States and globally due to a combination of factors:

-Extreme weather events including storms, fires, floods, droughts, and temperature extremes
-Newly emerging and resurgent infectious diseases like Zika, MERS, and Ebola
-Growing antibiotic resistance among infectious agents.
-Incomplete vaccination coverage
-Globalization in travel and trade patterns
-Political instability, violence and terrorism risks
-Aging infrastructure for transportation, housing, food, water, and energy systems.
-Cyber-security vulnerabilities.

The study states “it does not characterize the performance of individual state or local public  health preparedness programs”.  So what to make out of this report? Living in Hawaii it seems we are doing ok but have a long way to go.