Changes underway since then at CDC to address this tragic failure need to be sped up and funded. The most important change of all will be a culture change at this vital federal public health agency, a change that looks outward to actively involve the nation's national laboratory system.
Ultimately, it originated in the fact that testing laboratories at CDC have historically not had adequate levels of staff and resources consistent with the agency's responsibility as the nation's premier public health laboratory. Its laboratories have also not had appropriate organizational standing or fiscal authority to drive policy and process for test development and deployment in biological emergencies.
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