Outdated systems of care and budget cuts hurt the ability of many states to prevent and control infectious disease outbreaks, including pertussis and human papillomavirus (HPV) in children, according to a new report from Trust for America’s Health (TFAH) and the Robert Wood Johnson Foundation.

Only Connecticut, Delaware and the District of Columbia meet the U.S. Department of Health and Human Services’ goal of vaccinating at least 90% of preschoolers against whooping cough. And fewer than half of states require vaccinations for HPV, education for parents about the vaccine or funding for vaccinations, according to the report. The Academy and the Centers for Disease Control and Prevention recommend HPV vaccination for both males and females at 11 or 12 years of age.

The report also found that two-thirds of states decreased funding for public health from the fiscal year ending in 2012 to 2013.

Report data indicate the nation has...

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