The report highlights two areas of particular concern with regard to state-level preparedness:
- Twenty-one states do not provide sufficient legal protection from liability for healthcare volunteers who respond to a call for assistance in an emergency. Lack of such protections has been identified as a key impediment to recruiting sufficient volunteers to respond to a major health emergency. TFAH recommends that states adopt the Uniform Emergency Volunteer Health Practitioners Act (UEVHPA), which has been approved by the National Conference of Commissioners on Uniform State Laws.
- Seven states have made no purchases toward their share of the stockpile of antivirals for pandemic influenza. While this number may seem small, any differences in capacity on a state-by-state basis place the entire nation at risk. States have been asked to purchase 31 million treatment courses of the 81 million course stockpile target set by the federal government. Containment of a pandemic must be a national priority.