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Chan said infectious disease challenges over the last decade led to better preparedness, but not nearly enough.
Recommendations take aim at preparing for global health threats while maximizing returns.
The $1 million estimate doesn't include all healthcare or other economic costs.
The plan includes a $2.8 billion boost to HHS but cuts to global health.
Newman SJ, Ye J, Leep CJ, et al. Assessment of staffing, services, and partnership of local health departments — United States, 2105. MMWR 2016 Jul 1;65(25):646-9
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