dr. krug is also professor of media -- professor of pediatrics at the university -- and serves as the chair of the american academy of pediatric preparedness advisory council. dr. krug, welcome. esby,l turn to you dr. ingl and you can lead off with five minutes of testimony. chance toou, for the speak about these important issues. inglesby, andm i am professor of medicine and public health. our center's mission is to protect people's health from disasters. . will provide a brief overview the opinions expressed here are my own and don't necessarily reflect the views of johns hopkins university. the u.s. faces a range of major public health threats, any of which critical occur without much warning. these include mass bombings, chemical skills, radiation, nuclear threats and biological threats. biological threats, whether natural or accidental, such as an epidemic viral strain released from a lab come or deliberate like smallpox or anthrax, are of particular concern and a big focus of my concern

dr. krug make important point in terms of the financial incentives of the current system, just in time for supplies and for staffing, there is limited surge capacity and we are seeing that in tennessee right now. i had a call with our hospitals a couple weeks ago, some of the challenges, this is a flu season i think that is more severe than we typically see and a sen. burr: to doubt, we don't know what this will look like and compared to other seasons. one thing is true, we are reporting more. many states are reporting child and -- deaths. we of already had tragic preventable deaths -- we have already had tragic preventable deaths. as people hear about those things, there is a perception of greater severity and with that, people visit place like dust place like emergency rooms. if you are ill, you may need to call your health care provider but you may not need to go to an emergency room. all of those types of things are a part of what we deal with in a flu season where there is heightened awar

dr. krug, welcome. advisory disaster council. >> think you for the chance to speak to the on these important issues. healthe director of security at john hopkins school of public health where i'm a professor of public health. our mission is to protect people from disasters and to rebuild communities. i'll provide key areas that might colleagues and i consider vital response capabilities. the opinions expressed are my own and don't reflect john hopkins university. there is a range of public health threats that can occur without much warning. these include natural disasters, bombings, shootings, nuclear threats, and biological threats. whether theyreats, are viruses in china, were accidental, such as a viral strain released from a lab, or deliberate like smallpox and anthrax, and that is a big focus of my comments today. biological threats can reach from modest in size or could pose as global, catastrophic threats. first, we need to strengthen the health care system preparedness. that is the cap

introduced a bill with senator king entitled the good samaritan health professionals act and secondly dr. krug and dr. inglesby -- the need to have a public health emergency fund and senator schatz and i've introduced something that just as fema has dollars it doesn't mean a special preparations but when an emergency hits the dollars are appropriated in it cannot be encumbered and put in escrow by another effort. those dollars are there. you have to come back to congress and get approval. gao will eventually do it at it would also take care of contracts. the previous director said of ebola he had to get 10 travel vouchers for people to go to west africa. he had to contract with ngos for them to contract to get transportation for people and goods. senator schatz and i've put something together with guards of that. let me ring up something that's perhaps will more provocative. the need to maintain the international network theoretically world health is doing that. i'm not sure we are getting our bank for our buck with world health. you probably have relationships with them so don't mean to put i