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Optimizing Federal, State, and Local Responses to Public Health Emergencies: Lessons from COVID: Proceedings of a Workshop--in Brief

By: Paula Whitacre, Steven Kendall, and Anne-Marie Mazza

The COVID-19 pandemic raised challenging legal and policy issues—as reflected in numerous, often inconsistent, health-related decisions made in the United States at the national, state, and local level and in COVID-related judicial opinions issued after the onset of the pandemic. The response to the pandemic provides an opportunity to consider whether federal, state, and local governments had the necessary authority to deal with the crisis, how authority was applied, whether there was sufficient clarity as to responsibility, and what should be changed for the future.

On May 30–31, 2024, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine’s Committee on Science, Technology, and Law (CSTL) convened a virtual workshop to examine the allocation of responsibility among levels of government when dealing with a public health crisis; the extent to which federal, state, and local governments have the necessary authority to act; whether there is sufficient clarity as to which levels of government are responsible for particular actions; and lessons that can be learned from the pandemic to inform government responses to pandemics in the future.

The National Academies Press 2024