Abstract Objective Responding to large-scale public health emergencies relies heavily on planning and collaboration between law enforcement and public health officials. This study examines the current level of information sharing and integration between these domains by measuring the inclusion of public health in the law enforcement functions of fusion centers. Methods Survey of all fusion centers, with a 29.9% response rate. Results Only one of the 23 responding fusion centers had true public health inclusion, a decrease from research conducted in 2007. Information sharing is primarily limited to information flowing out of the fusion center, with little public health information coming in. Most of the collaboration is done on a personal, informal, ad-hoc basis. There remains a large misunderstanding of roles, capabilities, and regulations by all parties (fusion centers and public health). The majority of the parties appear to be willing to work together, but there but there is no forward momentum to make these desires a reality. Funding and staffing issues seem to be the limiting factor for integration. Conclusion These problems need to be urgently addressed to increase public health preparedness and enable a decisive and beneficial response to public health emergencies involving a homeland security response.

中文翻译：

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（Dis）整合的现状：公共卫生和融合中心

摘要目的应对大规模的公共卫生突发事件在很大程度上取决于执法部门与公共卫生官员之间的计划与合作。本研究通过测量融合中心执法职能中公共卫生的纳入情况，研究了这些领域之间信息共享和整合的当前水平。方法对所有融合中心进行调查，回复率为29.9％。结果在23个作出响应的融合中心中，只有一个具有真正的公共卫生包容性，与2007年的研究相比有所减少。信息共享主要限于从融合中心流出的信息，很少有公共卫生信息进入。大多数合作是在个人，非正式，临时的基础上完成。角色，能力，各方（融合中心和公共卫生）的法规。多数政党似乎都愿意合作，但在那里并没有实现这些愿望的前进动力。资金和人员配置问题似乎是整合的限制因素。结论必须紧急解决这些问题，以增强公共卫生准备水平，并能够对涉及国土安全对策的公共卫生紧急情况做出果断和有益的应对。