info exists and the way to access that data and hinders the ability of local health businesses to supply integrated care to their communities (Lumpkin et al., 1995).
The fragmentation signifies that state and local public health companies inevitably must spend time on duplicative information-reporting actions that drain already scarce staff resources (GAO, 1999a). States and localities acquire and report information; and federal companies, especially CDC, in the case of infectious and persistent ailments, provide valuable technical support, coaching, and grant funding (GAO, 1999a). Duty for surveillance, one of the vital necessary
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