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Covid-19 pummeled public health agencies and organizations. Future crises, whether from infectious disease, extreme weather, or other sources, are likely to do the same unless they change their approach to public health reporting, data management, and information exchange.

Managing public health is not easy, especially in the United States. Not only is this country home to diverse populations that have varying genetic predispositions and cultural patterns of medical significance, it is also geographically huge. How epidemics or climate change affect California may be quite different from their impacts in Maine. The needs of Pittsburghers can vary widely from the needs of those living 50 miles away in rural Pennsylvania.

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