NHSPI_measure_metadata: 103

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rowid obsid index item_code domain_code domain_name domain_description subdomain_code subdomain_name subdomain_description subdomain_long_desc measure_name measure_description measure_rationale data_source verbose_data_source data_dates limitations
103 237.0 Index 6.1.2 6.0 EOH Environmental & Occupational Health 17.0 FWS Food & Water Security The sufficient availability, access, use, and protection of safe and clean food and water resources to support human well-being and health. M275_DW State public health laboratory provides or assures testing for drinking water Having the capability at a state public health laboratory to test different types of water samples is important to the characterization of various water-based environments that may be contaminated or otherwise affected by a health security event. Being able to rapidly characterize the level of contamination is important for preventing exposure and being able to allow re-entry/use during the recovery phase of an event. APHL CLSS Association of Public Health Laboratories (APHL), Comprehensive Laboratory Services Survey (CLSS) 2012, 2014, & 2016 The state public health laboratory testing “provide or assure” standard is based on national consensus expert opinion and is recommended by the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Department of Health and Human Services, and is reflected in the Healthy People 2020 goals concerning access to comprehensive public health and environmental health laboratory testing. This standard requires the state public health authority, through its laboratory, engage in the testing and reporting process – either by directly performing the tests or by assuring that alternative labs perform the tests adequately. This standard is designed to ensure that laboratory testing, interpretation, and reporting is guided by specialized public health knowledge and expertise found within the state public health agency, and that timely, effective public health responses and protective actions occur based on test results. States that provide testing through another type of laboratory, with no assurance role performed by the public health laboratory, do not meet this standard. (see https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2846798/). Inclusion of this measure ensures that the Index is consistent with national expert opinion and federal recommendations concerning comprehensive public health laboratory testing capabilities. However, the measure does not assess the quality of the testing, the timeliness of results reporting to enable responses to public health threats, nor whether sufficient capacity exists to test the volume of samples required during a health security event.