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A Comparison of US Federal Government Spending for Research and Development Related to Public Health Preparedness Capabilities, 2008–2017

Published online by Cambridge University Press:  22 August 2019

Mark Keim ,
Thomas D. Kirsch  and
Alex Lovallo
Mark Keim
Affiliation:
DisasterDoc LLC, Atlanta, Georgia
Thomas D. Kirsch*
Affiliation:
National Center for Disaster Medicine and Public Health, Rockville, Maryland
Alex Lovallo
Affiliation:
DisasterDoc LLC, Atlanta, Georgia
*
Correspondence and reprint requests to Thomas D. Kirsch, 11300 Rockville Pike, Suite 1000, Rockville, MD 20852 (e-mail: thomas.kirsch@usuhs.edu)
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Abstract

Objective:

The Centers for Disease Control and Prevention developed 15 National Public Health Emergency and Preparedness Response Capabilities (NPHPRCs) to serve as national standards for health-related core capabilities. The objective of this study is to determine the level of federal funding allocated for research related to NPHPRCs during 2008–2017.

Methods:

An online search of http://www.USAspending.gov was performed to identify federal awards, grants, contracts from 2008–2017 related to research associated with NPHPRCs. Inclusion criteria were identifiable as research and disaster-related; US-based; and specific reference to any of the NPHPRCs. A panel of 3 experts reviewed each entry for inclusion.

Results:

The search identified 15 278 transactions representing US $29.2 billion in awards. After exclusions, 93 entries were found to be related to NPHPRCs, averaging US $2 783 136 annually. Funding notably dropped to US $168 684 in 2010 and ceased entirely in 2016. Ten (67%) of NPHPRCs received funding. Eighty-percent of funding focused on 4 capabilities. Three federal agencies funded 80% of research. Sixteen (24%) of the 47 recipients received 80% of all funding.

Conclusion:

US federal investments in research and development related to NPHPRCs have been highly variable over the past decade. One-third of NPHPRCs receive no funding. There are notable gaps in funding, content, continuity, and scope of participation.

Keywords

disastersemergency preparednessfundingpublic healthpublic policy
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 4 , August 2020 , pp. 459 - 466
Copyright
© 2019 Society for Disaster Medicine and Public Health, Inc.

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