The Outbreaks: Protecting Americans from Infectious Diseases report found that more than half (28) of states scored a five or lower out of 10 key indicators related to preventing, detecting, diagnosing and responding to outbreaks. Five states—Delaware, Kentucky, Maine, New York and Virginia—tied for the top score, achieving eight out of 10 indicators. Seven states—Idaho, Kansas, Michigan, Ohio, Oklahoma, Oregon and Utah—tied for the lowest score at three out of 10.
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