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The national preparedness index score was 6.7 out of 10 in 2018, a 3.1% improvement.
"The anti-vaccine movement is like its own media empire."
Lessons learned from 140 outbreaks involving nearly 5,000 people and steps to minimize the risk of getting sick from swimming.
The US as a whole had a score of 7.1 out of 10 for 2017, nearly a 3% improvement.
Death rates dropped 18.7% from 1980 to 2014, with the largest decline in men.
The move is praised by some experts, but Redfield comes with a controversial past.
Even an epidemic in a far-off country could do major damage to the US economy, experts say.
Only 19 states reported increasing or maintaining their public health budgets, down from 26 last year.
"Censorship . . . threatens to disrupt a prime goal of government: protecting public safety," the groups write.
As access to drinking water continues to pose a problem, leptospirosis infections and deaths have been reported.
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CIDRAP - Center for Infectious Disease Research and PolicyOffice of the Vice President for Research, University of Minnesota, Minneapolis, MN
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