The nation's ability to respond to an outbreak of an infectious disease is "hampered by outdated systems and limited resources," according to a new report from the Robert Wood Johnson Foundation and Trust for America's Health. Thirty-three states received a score of five or lower on a scale ranking 10 "indicators of policies and capabilities" to protect against infectious diseases. "From antibiotic-resistant superbugs to Salmonella to the seasonal flu, infectious diseases disrupt lives and communities," says Jeffrey Levi, executive director of the Trust. "Fighting these diseases requires vigilance."

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