Measuring Preparedness

Environmental
& Occupational Health

National
Confidence Interval
6.4 - 7.5
National
Preparedness Level
7

What it Means

Actions to maintain the security and safety of water and food supplies, to test for hazards and contaminants in the environment, and to protect workers and emergency responders from health hazards while on the job.

How we Measure it

Environmental & Occupational Health Sub-domains

fws: food water security

em: environmental monitoring

This is best viewed on desktop.

The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health.

Measure
Measure Description
Source
m275_dw
Does your laboratory provide or assure testing for the following environmental matrices (Drinking water)?
Measure Name

M275_DW

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure only indicates whether the state public health laboratory has the capability to test water in various environments. The measure does not evaluate if OTHER state laboratories have this capability. For example, Delaware and Oklahoma informed the program management office that other labs in their states do have this capability. Finally, this measure does not indicate whether the public health laboratory has the capacity to test the amount of samples necessary to respond to a health security event.

m275_pww
Does your laboratory provide or assure testing for the following environmental matrices (Private well water)?
Measure Name

M275_PWW

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure only indicates whether the state public health laboratory has the capability to test water in various environments. The measure does not evaluate if OTHER state laboratories have this capability. For example, Delaware and Oklahoma informed the program management office that other labs in their states do have this capability. Finally, this measure does not indicate whether the public health laboratory has the capacity to test the amount of samples necessary to respond to a health security event.

m275_rec
Does your laboratory provide or assure testing for the following environmental matrices (Recreational water)?
Measure Name

M275_REC

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure only indicates whether the state public health laboratory has the capability to test water in various environments. The measure does not evaluate if OTHER state laboratories have this capability. For example, Delaware and Oklahoma informed the program management office that other labs in their states do have this capability. Finally, this measure does not indicate whether the public health laboratory has the capacity to test the amount of samples necessary to respond to a health security event.

m275_sur
Does your laboratory provide or assure testing for the following environmental matrices (Surface water)?
Measure Name

M275_SUR

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure only indicates whether the state public health laboratory has the capability to test water in various environments. The measure does not evaluate if OTHER state laboratories have this capability. For example, Delaware and Oklahoma informed the program management office that other labs in their states do have this capability. Finally, this measure does not indicate whether the public health laboratory has the capacity to test the amount of samples necessary to respond to a health security event.

m275_ust
Does your laboratory provide or assure testing for the following environmental matrices (Underground storage tanks)?
Measure Name

M275_UST

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure only indicates whether the state public health laboratory has the capability to test water in various environments. The measure does not evaluate if OTHER state laboratories have this capability. For example, Delaware and Oklahoma informed the program management office that other labs in their states do have this capability. Finally, this measure does not indicate whether the public health laboratory has the capacity to test the amount of samples necessary to respond to a health security event.

m275_wst
Does your laboratory provide or assure testing for the following environmental matrices (Waste water)?
Measure Name

M275_WST

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure only indicates whether the state public health laboratory has the capability to test water in various environments. The measure does not evaluate if OTHER state laboratories have this capability. For example, Delaware and Oklahoma informed the program management office that other labs in their states do have this capability. Finally, this measure does not indicate whether the public health laboratory has the capacity to test the amount of samples necessary to respond to a health security event.

m276
For which of the following organisms or their toxins does your state public health laboratory provide or assure testing for food and or water samples to assist with foodborne disease outbreak investigations: Bacillus cereus, Brucella sp., Campylobacter sp., Clostridium botulinum, Clostridium perfringens, Cryptosporidium sp., Cyclospora cayetanensis, Listeria monocytogenes, norovirus, Salmonella, Shigella, Staphylococcus aureus, STEC non-O157, STEC O157, Vibrio sp., Yersinia enterocolitica. The state's value is equal to the percentage of these tests performed.
Measure Name

M276

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure indicates that the state public health laboratory either has these testing capabilities or assures that the tests can be done by agreement with another laboratory. Agreement laboratories may not be located to facilitate rapid transport and timely testing.

m195
Percent of population in the state whose community water systems meet all applicable health-based standards through approaches that include effective treatment and source water protection
Measure Name

M195

Measure Source

Environmental Protection Agency (EPA), Safe Drinking Water Information System Federal (SDWIS/FED) Drinking Water Data

Data date(s)

2013 & 2014

Limitations

The measure does not cover drinking water supplies that are non-public (private) and does not directly provide information on community water supplies that were adversely affected by emergencies or disasters.

The systematic collection and continuous or frequent standardized measurement and observation of: environmental specimens (air, water, land/soil, and plants) analyzing the presence of an indicator, exposure, or response (warning and control), including monitoring the environment for vectors of disease to give information about the environment to assess past and current status and predict future trends

Measure
Measure Description
Source
m202
Does your state public health laboratory provide or assure testing for air?
Measure Name

M202

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure is limited to one environmental matrix and does not specify what kind of testing should be performed. The measure does not address how many of these types of samples could be tested.

m257_aiha
Does the American Industrial Hygiene Association (AIHA) provide certification or accreditation of your state public health laboratory?
Measure Name

M257_AIHA

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure has no apparent limitations.

m257_epa
Does the U.S. Environmental Protection Agency (EPA) provide certification or accreditation of your state public health laboratory?
Measure Name

M257_EPA

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure has no apparent limitations.

m257_nelac
Does the National Environmental Laboratory Accreditation Conference (NELAC) provide certification or accreditation of your state public health laboratory?
Measure Name

M257_NELAC

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure has no apparent limitations.

m197
Does your state public health laboratory provide or assure testing for radiologic agents in environmental samples?
Measure Name

M197

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure only indicates if the state public health laboratory has the capability, or assures it through agreement with another laboratory. It does not measure the capacity of the laboratory to process the number of samples that would be required for a response. The measure does not indicate if the agreement laboratory is appropriately located to minimize sample transport time.

m196
Does your state public health laboratory provide or assure testing for environmental samples in the event of suspected chemical terrorism?
Measure Name

M196

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure is based on a response to the Comprehensive Laboratory Services Survey distributed to the 51 state laboratories represented by the Association of Public Health Laboratories (APHL), and the response is subject to the objectivity of the survey responder. The survey question asks if the laboratory provides or assures testing of environmental samples in the event of suspected chemical terrorism, which may or may not include air, food, and/or water.

m272
Does your state public health laboratory test for contaminants in environmental samples: asbestos, explosives, gross alpha and gross beta, inorganic compounds (e.g., nitrates), metals, microbial, lead, persistent organic pollutants, pesticides (including organophosphates), pharmaceuticals, radon, or volatile organic compounds? The state's value is equal to the percentage of these tests performed.
Measure Name

M272

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure only indicates that a state public health laboratory has the ability to test these contaminants. The measure does not indicate the quality of the testing or the through-put or capacity of the laboratory testing. Because this measure only evaluates state public health laboratories, another laboratory in a state may provide these testing services.

m273
Does your state public health laboratory provide or assure testing for hazardous waste?
Measure Name

M273

Measure Source

Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS)

Data date(s)

2012 & 2014

Limitations

The measure only considers the ability to test for substances, not the overall capacity for timely response and characterization of the release of hazardous waste to the environment.

m274
State participates in the National Plant Diagnostic Network (NPDN)
Measure Name

M274

Measure Source

National Plant Diagnostic Network (NPDN), National Plant Diagnostic website

Data date(s)

2014

Limitations

A "yes" response to this measure indicates that a state is participating in the NPDN. The limitation is that it there is no indication as to what level or how effectively the state is participating (i.e., how many resources has the state committed, or how successful the state is in meeting the goal of quickly detecting and identifying pathogens).

m904
Number of Environmental Scientists and Specialists, including Health per 100,000 population
Measure Name

M904

Measure Source

Bureau of Labor Statistics (BLS), Occupational Employment Statistics (OES), OES 19-2041

Data date(s)

2012 - 2015

Limitations

This is not a measure of quality as environmental and health scientists can have varying levels of training and organizations may not always support sufficient continuing education. The measure does not include agency surge plans that can increase the number of environmental and health scientists available to respond to an event, nor mutual aid plans that can temporarily increase the number of environmental and health scientists.