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HHS Draft Pandemic Influenza Preparedness and Response Plan: Public Comments to the Plan - Associations
This Department of Health and Human Services Draft Pandemic Influenza Preparedness and Response Plan includes accumulated comments from the following associations: American Biological Safety Association, American Hospital Association, American Lung Association & American Thoracic Society, American Society for Microbiology, Association for Occupational Health Professionals, Association for Professionals in Infection Control and Epidemiology, Association of Immunization Managers, Association of Public Health Laboratories, Association of State and Territorial Health Officials, Council of State and Territorial Epidemiologists, Infectious Diseases Society of America, Laboratory Corporation of America, Metropolitan Chicago Healthcare Council, and The Society for Healthcare Epidemiology of America.
United States. Department of Health and Human Services
2004-08
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HHS Draft Pandemic Influenza Preparedness and Response Plan: Public Comments to the Plan - Individuals and DOH
This document includes accumulated comments on the Department of Health and Human Services Draft Pandemic Influenza Preparedness and Response Plan from the following individuals and Department of Health: Andrew Noymer, Andrew Pekosz, Clara Witt, Howard Weinblatt, Idaho Department of Health and Welfare, John Barry, John Hoyle, John Kelley, Jonathan McCullers, Jonathan Temte, Kathleen LeDell, Marc Lipsitch & Christina Mills, Marian McDonald, Marion Kaine, Mark Korbitz, Mary Manley, Merritt Schreiber, Pennsylvania Department of Health, Susan Smith, and the Virginia Department of Health.
United States. Department of Health and Human Services
2004-08
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HHS Pandemic Influenza Plan [Full Plan]
"This document, the HHS [Health and Human Services] Pandemic Influenza Plan, serves as a blueprint for all HHS pandemic influenza preparedness planning and response activities. This plan updates the August 2004 draft HHS Pandemic Influenza Preparedness and Response Plan and features important additions and refinements. The Plan integrates changes made in the 2005 World Health Organization (WHO) classification of pandemic phases and expansion of international guidance and now is consistent with the National Response Plan (NRP) published in December 2004. The HHS Pandemic Influenza Plan has three parts, the first two of which are contained in this document. Part 1, the Strategic Plan outlines federal plans and preparation for public health and medical support in the event of a pandemic. It identifies key roles of HHS and its agencies in a pandemic and provides planning assumptions for federal, state and local governments and public health operations plans. Part 2, Public Health Guidance for State and Local Partners, provides detailed guidance to state and local health departments in 11 key areas. Parts 1 and 2 will be regularly updated and refined. These documents will serve as tools for continued engagement with stakeholders, state and local partners. Part 3, which is currently under development, will consist of HHS Agencies Operational Plans."
United States. Department of Health and Human Services
2005-11
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Pandemic Flu History
This web page provides a history of pandemic flu in the United States since 1918.
United States. Department of Health and Human Services
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Pandemic Influenza Implementation Plan: Part I of II
"Part I of the HHS Implementation Plan identifies eight cross-cutting issues that encompass many of the themes noted in the HHS [Health and Human Services] Strategic Plan and Guidance for State and Local Partners. These themes include infection control, laboratory diagnostics, surveillance, health care planning, and workforce support. Each chapter outlines actions and specific steps the Department will undertake to fulfill the directives of the HSC [Homeland Security Council] and accomplish pandemic preparedness. The eight cross-cutting issue chapters are: 1) International Activities 2) Domestic Surveillance 3) Public Health Interventions 4) Federal Medical Response 5) Vaccines 6) Antiviral Drugs 7) Communications 8) State, Local, and Tribal Preparedness. The action steps in these eight chapters are organized by the three pillars identified in the National Strategy for Pandemic Influenza: preparedness and communication; surveillance and detection; and response and containment. The implementation of the HHS action steps is contingent upon the availability of resources."
United States. Department of Health and Human Services
2006-11
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[National Strategy for Pandemic Influenza] Implementation Plan Three Year Summary
"This Three Year Summary provides a historical record to report the Federal Government's progress in addressing actions due to be completed within 36 months of the initial release of the Implementation Plan and reflects that progress as of April 30, 2009. Although the closely-monitored H5N1 influenza strain did not evolve into a human pandemic strain over those three years, a different influenza virus caused a pandemic in 2009. In late April 2009, human outbreaks associated with a novel influenza virus, 2009 H1N1 Influenza A, were confirmed in Mexico and the United States. On June 11, 2009, the WHO officially declared an influenza pandemic and raised its pandemic alert phase to 6. Fortunately, however, the characteristics of 2009 H1N1 influenza virus have not caused the economic or societal interruptions anticipated in the Implementation Plan and its actions. 2009 H1N1 disease severity has been generally similar to what is seen during regular influenza seasons (although different age groups have been predominantly affected, with most cases, and most severe cases, occurring in older children and adults less than 65 years of age)."
United States. Department of Health and Human Services
2010
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HHS Draft Pandemic Influenza Preparedness and Response Plan
This is the U.D. Department of Health and Human Services (HHS) Core Document of the August 2004 Draft Pandemic Influenza Preparedness and Response Plan, which was replaced by the Final November 2005 version. The document outlines the purpose and components of the plan, the planning process, goals and coordination of a pandemic response, key pandemic preparedness and response principles, and preparedness activities.
United States. Department of Health and Human Services
2004-08
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Home Health Care Services Pandemic Influenza Planning Checklist
"Planning for pandemic influenza is critical. The Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention have developed the following checklist to help public and private organizations that provide home health care services assess and improve their preparedness for responding to pandemic influenza. Home health agencies will likely be called upon to provide care for patients who do not require hospitalization for pandemic influenza, or for whom hospitalization is not an option because hospitals have reached their capacity to admit patients. These agencies may become overburdened very quickly and shortages of personnel and supplies for providing home health care may occur. This checklist is modeled after the one included in the HHS Pandemic Influenza Plan. This checklist identifies key areas for pandemic influenza planning. Home health care organizations can use this tool to identify the strengths and weaknesses of current planning efforts. Links to websites with information are provided throughout the document. However, actively seeking information that is available locally or at the state level will be necessary to complete the development of the plan. Also, for some elements of the plan (e.g., education and training programs), information may not be immediately available and it will be necessary to monitor selected websites for new and updated information."
United States. Department of Health and Human Services
2006-03-01
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State and Local Pandemic Influenza Planning Checklist
"Planning for pandemic influenza is critical. To assist you in your efforts, the Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) have developed the following checklist. It identifies important, specific activities you can do now to prepare. Many are specific to pandemic influenza, but a number also pertain to any public health emergency. This checklist is based on the HHS Pandemic Influenza Plan, Public Health Guidance for State and Local Partners, but is not intended to set forth mandatory requirements. Each state and local jurisdiction should determine for itself whether it is adequately prepared for disease outbreaks in accordance with its own laws and procedures."
United States. Department of Health and Human Services
2005-12-02
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Business Pandemic Influenza Planning Checklist
"In the event of pandemic influenza, businesses will play a key role in protecting employees health and safety as well as limiting the negative impact to the economy and society. Planning for pandemic influenza is critical. To assist you in your efforts, the Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) have developed the following checklist for large businesses. It identifies important, specific activities large businesses can do now to prepare, many of which will also help you in other emergencies. Further information can be found at www.pandemicflu.gov and www.cdc.gov/business."
United States. Department of Health and Human Services
2005-12-06
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Preparing for Pandemic Influenza - What You Can Do
This document provides information for communities, businesses and individuals in the preparation of a pandemic influenza outbreak.
United States. Department of Health and Human Services
2005-11-02
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Healthcare Disinformation [presentation]
From the Introduction: "[1] Disinformation; also called 'active measures' when referring to its use by a state for national security and power projection purposes; [2] The difference between disinformation and misinformation is intent; [3] Not all false stories are organized campaigns pushed by a nation-state; [4] Often indistinguishable from conspiracies, and often piggy back on them; [5] Many countries, both powerful and established as well as smaller, engage in disinformation; [6] There are estimates of over 10,000 individual disinformation operations during the Cold War: [a] It's believed to be even more prevalent in the Internet Age; [7] Disinformation is very challenging to deal with because: [a] It can be difficult to identify, [b] It can be difficult to trace to its source, [c] It can be difficult to counteract; [8] Famous (recent) case: 2016 U.S. Presidential election; [9] This presentation will lean heavily towards Russia and its long history of leveraging disinformation, going back to at least the early days of the Soviet Union. Many countries utilize disinformation in the modern era."
United States. Department of Health and Human Services
2020-12-03
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Exploring Racial Influences on Flu Vaccine Attitudes and Behavior: Results of a National Survey of African American and White Adults
From the Abstract: "Racial disparities in adult flu vaccination rates persist with African Americans falling below Whites in vaccine acceptance. Although the literature has examined traditional variables including barriers, access, attitudes, among others, there has been virtually no examination of the extent to which racial factors including racial consciousness, fairness, and discrimination may affect vaccine attitudes and behaviors. [...] We contracted with GfK [Growth from Knowledge] to conduct an online, nationally representative survey with 819 African American and 838 White respondents. Measures included risk perception, trust, vaccine attitudes, hesitancy and confidence, novel measures on racial factors, and vaccine behavior. [...] There were significant racial differences in vaccine attitudes, risk perception, trust, hesitancy and confidence"
United States. Department of Health and Human Services
Quinn, Sandra C. (Sandra Crouse); Jamison, Amelia; Freimuth, Vicki S. . . .
2018-03-06
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Guidance for Licensed Pharmacists and Pharmacy Interns Regarding COVID-19 Vaccines and Immunity Under the PREP Act
From the Document: "The United States Department of Health and Human Services (HHS) is the lead agency for the federal government's response to the COVID-19 [coronavirus disease 2019] pandemic. A key component of that response will be access to a COVID-19 vaccine across the United States. Pharmacists, in partnership with other healthcare providers, are well-positioned to increase access to vaccinations--particularly in certain areas that have too few pediatricians and other primary-care providers, or that are otherwise medically underserved. [...] Nearly every State permits pharmacists to order and administer vaccines to both adults and children under certain circumstances. Therefore, as an Authority Having Jurisdiction under the Secretary's March 10, 2020 declaration under the Public Readiness and Emergency Preparedness Act (PREP Act), the Office of the Assistant Secretary for Health (OASH) issues this guidance. Subject to satisfaction of the requirements listed below, this guidance authorizes State-licensed pharmacists to order and administer, and State-licensed or registered pharmacy interns acting under the supervision of the qualified pharmacist to administer, to persons ages three or older COVID-19 vaccinations that have been authorized or licensed by the Food and Drug Administration (FDA)."
United States. Department of Health and Human Services
2020-09-03
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Enforcement Discretion Regarding COVID-19 Community-Based Testing Sites (CBTS) During the COVID-19 Nationwide Public Health Emergency
From the Summary: "This notification is to inform the public that the Department of Health and Human Services (HHS) is exercising its discretion in how it applies the Privacy, Security, and Breach Notification Rules under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). As a matter of enforcement discretion, the HHS Office for Civil Rights (OCR) will not impose penalties for noncompliance with the regulatory requirements under the HIPAA Rules against covered health care providers or their business associates in connection with the good faith participation in the operation of a COVID-19 [coronavirus disease 2019] Community-Based Testing Site (CBTS) during the COVID-19 nationwide public health emergency."
United States. Department of Health and Human Services
2020-04-09
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Pandemic Influenza Plan, Supplement 8: Community Disease Control and Prevention
This supplement to the Pandemic Influenza Plan addresses community disease control and prevention measures. It includes recommendations for community preparedness and containment including for implementing quarantine and isolation, launching public awareness campaigns, managing case contacts, and using such measures as closures of public facilities and snow days.
United States. Department of Health and Human Services
2005-11
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Department of Health and Human Services State and Local Pandemic Influenza Planning Checklist
This checklist, released by HHS [Health and Human Services] and the CDC [Centers for Disease Control and Prevention], identifies important activities that state and local agencies and organizations should undertake to prepare for a pandemic flu outbreak. The checklist is based on the HHS Pandemic Influenza Plan, Public Health Guidance for State and Local Partners. LLIS Core Capability: Community Preparedness
United States. Department of Health and Human Services
2005-12-02?
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How Does Seasonal Flu Differ from Pandemic Flu?
Side-by-side comparison of seasonal and pandemic flu.
United States. Department of Health and Human Services
2005-11-01
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HHS Pandemic Influenza Plan [Summary Sheet]
"This document, the HHS [Health and Human Services] Pandemic Influenza Plan, serves as a blueprint for all HHS pandemic influenza preparedness planning and response activities. This plan updates the August 2004 draft HHS Pandemic Influenza Preparedness and Response Plan and features important additions and refinements. The Plan integrates changes made in the 2005 World Health Organization (WHO) classification of pandemic phases and expansion of international guidance and now is consistent with the National Response Plan (NRP) published in December 2004. The HHS Pandemic Influenza Plan has three parts, the first two of which are contained in this document. Part 1, the Strategic Plan outlines federal plans and preparation for public health and medical support in the event of a pandemic. It identifies key roles of HHS and its agencies in a pandemic and provides planning assumptions for federal, state and local governments and public health operations plans. Part 2, Public Health Guidance for State and Local Partners, provides detailed guidance to state and local health departments in 11 key areas. Parts 1 and 2 will be regularly updated and refined. These documents will serve as tools for continued engagement with stakeholders, state and local partners. Part 3, which is currently under development, will consist of HHS Agencies Operational Plans."
United States. Department of Health and Human Services
2005-11-02
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HHS Initiatives to Address the Disparate Impact of COVID-19 on African Americans and Other Racial and Ethnic Minorities
From the Document: "PRESIDENT TRUMP IS COMMITTED to equipping racial, ethnic, and underserved communities with the healthcare resources needed to combat the COVID-19 [coronavirus disease 2019] pandemic. The information below outlines some of the immediate steps underway to improve prevention, testing, and treatment of COVID-19 in minority populations and reduce racial and ethnic disparities. The Administration recognizes that effectively addressing the underlying issue of overall poorer health status in some racial, ethnic, and other underserved communities requires both short- and long-term strategies. Broader initiatives that address both economic opportunity and healthcare disparities are critical and the Administration has multiple such initiatives underway, including the creation of Opportunity Zones, the White House Council on Eliminating Barriers to Affordable Housing, and HHS's targeted efforts on chronic underlying health conditions such as diabetes, hypertension, maternal morbidity, and tobacco use, all of which are more prevalent among some minorities. This fact sheet is focused on the immediate steps the U.S. Department of Health and Human Services (HHS) has taken to address the disparate impact of COVID-19 on African Americans and other racial and ethnic minorities."
United States. Department of Health and Human Services
2020?
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COVID-19 Guidance for Hospital Reporting and FAQs for Hospitals, Hospital Laboratory, and Acute Care Facility Data Reporting, Updated July 10, 2020
From the Document: "On March 29, 2020, Vice President Pence sent a letter to hospital administrators across the country requesting daily data reports on testing, capacity and utilization, and patient flows to facilitate the public health response to the 2019 Novel Coronavirus (COVID-19). Many separate governmental entities are requesting similar information, resulting in stakeholder requests to reduce duplication and minimize reporting burden. This document details the Federal Government's data needs, explains the division of reporting responsibility between hospitals and states, and provides clear, flexible options for the timely delivery of this critical information. The objective is to allow states and hospitals either to leverage existing data reporting capabilities or, where those capabilities are insufficient, to provide guidance in how to build upon existing capabilities."
United States. Department of Health and Human Services
2020-07-10
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ELC Enhancing Detection: South Dakota Testing Plan
From the Document: "SDPHL [South Dakota Public Health Laboratory] performs the 2019-nCoV [2019 novel coronavirus] RT-PCR [reverse transcription polymerase chain reaction] test designed to detect the SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] virus from respiratory specimens such as nasopharyngeal (NP), oropharyngeal (OP), and sputum specimens. SDPHL performs nucleic acid extraction on three Roche LC2.0 extractors, three Qiagen EZ-1 Advanced, and one Kingfisher instruments. SDPHL performs real-time reverse transcriptase polymerase chain reaction (RTPCR) on three Thermo Fisher ABI 7500 Fast DX and two QuantStudio instruments. SDPHL will add one additional Kingfisher and one Thermo Fisher ABI 7500 Fast DX to the state COVID-19 testing infrastructure. The current RT-PCR infrastructure at SDPHL can perform over 300 specimens in a conventional workday. Proposed RT-PCR infrastructure expansion will increase that throughput to almost 500 specimens each day."
United States. Department of Health and Human Services
2020-07-08?
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ELC Enhancing Detection: Alabama Testing Plan
From the Document: "In anticipation of the Alabama Department of Public Health (ADPH) accommodating anticipated increased demands for SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] testing, the Bureau of Clinical Laboratories (BCL) surveyed testing laboratories throughout Alabama to determine SARS-CoV-2 testing volume, platforms, capacity and barriers in April 2020. Continuing capturing of this information is allowing the BCL to strategically determine specimen distribution based on available medium to high throughput testing platforms at the hospital, research, and commercial laboratories surveyed in efforts to achieve a minimum of 2% monthly testing of the state's population."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: New Mexico Testing Plan
From the Document: "This submission outlines New Mexico's testing accomplishments and plans for May and June 2020 and will be updated to incorporate additional plans for July-December 2020. In order to perform surveillance and epidemiologic analyses aimed at decreasing the incidence and prevalence of SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] infection in New Mexico and informing ongoing response efforts, New Mexico has developed a testing plan that will: (1) build a sustainable testing capability for both nucleic acid amplification testing (NAAT) and serum antibody testing (antibody testing); (2) implement robust testing and surveillance in diverse urban, rural and tribal communities that prioritize New Mexico populations most vulnerable to COVID19 [coronavirus disease 2019]; and (3) monitor the disease trajectory and provide data and modeling to provide ongoing data and feedback to enable New Mexico to contain the virus until a vaccine is widely distributed. New Mexico's testing plan is tied directly to the state's work to dramatically increase its case investigation, contact tracing and containment capabilities. Effective early identification of cases on a population basis will allow New Mexico to further open our economy and society while protecting the population from the threat of continuing expansion of SARS-CoV-2 infection."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: North Carolina Testing Plan
From the Document: "North Carolina's coordinated testing action plan is a data-driven approach that (1) supports individuals with suspected disease (2) supports proactive management of populations at high risk for infection, and (3) promotes health equity for historically marginalized populations. For May and June, our coordinated testing strategy aim to test at least 2% of North Carolina's population (~210,000 per month) through testing anyone with symptoms suggestive of COVID-19 [coronavirus disease 2019] and close contacts of known positive cases, regardless of symptoms. As we continue to increase testing for subsequent months, North Carolina will implement a 'bottom-up' approach that uses an estimated daily testing threshold which factors (1) testing estimates by calculating the approximate size of testing cohorts of interest in prioritized populations (2) associated risk, and (3) frequency of testing. As we refine our strategy, additional federal financial and resource support are needed to achieve our increased testing goals."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: New York Testing Plan
From the Document: "The aim of the grant is to increase diagnostic testing capacity to a minimum of 220,000 tests/month. NYS [New York State] is aiming to test 5% of the population (excluding NYC) with diagnostic assays (550,000 monthly) and we plan to at least maintain, if not increase, that level using multiple approaches."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Wyoming Testing Plan
From the Document: "The State of Wyoming faces unique challenges in terms of testing capacity for SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2]. There is only one laboratory, the Wyoming Public Health Laboratory (WPHL), that has the capacity, infrastructure, and expertise in performing complex (non-rapid) SARS-CoV-2 testing. As such, the Wyoming Department of Health's approach to testing 2% of the state's population monthly through a combination of approaches, including: [1] Expansion of testing capacity at the WPHL through procurement of high-throughput instrumentation and hiring of laboratory personnel; [2] Expansion of rapid testing capacity at laboratories across the state of Wyoming through purchasing of equipment or allocating testing supplies and specimen collection supplies; [3] Contracting with private reference laboratories to provide testing."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: North Dakota Testing Plan
From the Document: "The North Dakota Department of Health (NDDoH) has already surpassed the goal of testing 2% of its population each month. In May, the NDDoH is supporting PCR [polymerase chain reaction] testing of 2,500 people per day, which would be 75,000 people (10% of the population). The NDDoH plans to expand this testing to 8,000 tests (diagnostic and serology) per day or 248,000 tests per month (33% of the population) between diagnostic and serology."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Oklahoma Testing Plan
From the Document: "Pursuant to guidelines provided by the Commissioner of Health in response to the Governor, Oklahoma has set a goal to test 90,000 people each month, or 2.25% of the state's population, for SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2]."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Iowa Testing Plan
From the Document: "Testing is a key component for Iowa's plan to recover from the pandemic. Iowa has strived to increase testing capacity since the pandemic arrived here in February 2020. Supply shortages from multiple manufacturers has forced the lab to be able to test for SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] on multiple platforms. The State Hygienic Laboratory (SHL) provides approximately 50% of all the testing performed in Iowa. At this point approximately, 1 in 32 Iowans have been tested and SHL has performed over 45,000 tests. To reach a goal of at least 66,000 tests performed each month by SHL and ramping up to 99,000 tests performed each month, SHL will need to add staff, supplies and equipment and to restructure where testing is performed to meet the needs of Iowa."
United States. Department of Health and Human Services
2020
