COVID-19 made the weaknesses in our pandemic preparedness at national and global levels painfully clear. But a new study highlights that even at the first, local steps of an outbreak with pandemic-potential, we are worryingly underprepared.

Health officials in New York set up a regional test of healthcare facilities to identify and respond to a patient with a mystery infection that could pose a pandemic-level threat. But things didn't go well. Overall, responses were slow, appropriate use of personal protective equipment was spotty, and only 60 percent of facilities passed the basics of the test—an overall failing grade.

"These drills identified needs for health care workers and health care facility staff member training to achieve earlier identification, masking, and isolation of potentially infectious febrile patients," the officials wrote in the study, which was published in the Morbidity and Mortality Weekly Report.

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A fifth, unvaccinated person has died of measles in Pennsylvania, the state's health department announced Wednesday.

The department identified the deceased as a resident of Lancaster County, which is the epicenter of a raging outbreak that began in late April. The updated case count as of Wednesday is 943 across 39 counties, including 119 cases reported in just the last seven days. At least 176 people have been hospitalized.

Lancaster County has reported 381 cases and three of the five deaths in the outbreak. The previous two deaths were both in infants too young to be vaccinated. That includes a newborn boy and a 6-week-old baby girl. So far, no other information has been released about the county's third death announced today.

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