When disaster strikes — whether it’s a wildfire, a pandemic, or a hurricane — public health systems are often the first line of defense and the last to leave.

In this episode of What is Public Health Podcast, during National Public Health Week, April 7-13, 2025, on Day 6, I examine how emergency preparedness has evolved in public health, from early bioterrorism response to the COVID-19 pandemic, and why being ready isn’t optional — it’s essential.

We cover:

• How public health departments respond to emergencies behind the scenes

• The role of FEMA and how it intersects with local health systems

• Why underfunding preparedness leads to preventable loss

• The impact of COVID-19, wildfires, and hurricanes as case studies

• What happens when budgets are cut, positions are lost, and trust erodes

Preparedness isn’t just about stockpiles and drills — it’s about saving lives, protecting the vulnerable, and ensuring a faster recovery when things go wrong.

Key Takeaways:

• Emergency preparedness is one of public health’s most critical roles — but often the least visible until it's too late.

• FEMA relies on strong public health infrastructure for effective coordination.

• Funding cuts and staffing shortages undermine our ability to respond to disasters.

• Investing in preparedness today prevents catastrophe tomorrow.

Resources:
CDC Public Health Emergency Preparedness (PHEP):
https://www.cdc.gov/cpr/readiness/phep.htm

Trust for America’s Health – Ready or Not Report:
https://www.tfah.org/report-details/ready-or-not-2024/

FEMA Disaster Preparedness:
https://www.fema.gov/emergency-managers