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An Audit Report on the Department of Health's Implementation of Its Bioterrorism Preparedness Plans

June 2004

Report Number 04-036

Overall Conclusion

The Department of Health (Department) has made substantial progress in implementing bioterrorism preparedness plans specified in its cooperative agreements with two federal agencies that fund its bioterrorism preparedness activities. However, the Department’s contracting and other internal processes did not ensure adequate accountability for how bioterrorism preparedness funds were used. In particular, the Department should improve its processes for contract development and monitoring, as well as for ensuring compliance with all applicable federal requirements. The Department should also correct specific weaknesses related to its Health Alert Network’s (HAN) functionality and security.

The U.S. Centers for Disease Control and Prevention (CDC) and the Health Resources and Services Administration (HRSA) awarded approximately $62 million to the Department in 2002 to be spent through fiscal year 2003. About 64 percent ($24 million) of the Department’s grant expenditures went to subrecipients through contracts in fiscal year 2003.

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