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          <BusinessNameLine1Txt>COLUMBIA UNIVERSITY</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 29789</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>100879789</ZIPCd>
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        <RecipientEIN>135598093</RecipientEIN>
        <CashGrantAmt>124257</CashGrantAmt>
        <PurposeOfGrantTxt>FLU FORECASTING</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FRED HUTCHINSON CANCER RESEARCH CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>1100 FAIRVIEW AVE N</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>981091024</ZIPCd>
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        <RecipientEIN>237156071</RecipientEIN>
        <CashGrantAmt>72298</CashGrantAmt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>GEORGIA SOUTHERN UNIVERSITY RESEARCH &amp; SERVICE FOUNDATION INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>POST OFFICE BOX 8005</AddressLine1Txt>
          <CityNm>STATESBORO</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>304608005</ZIPCd>
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        <RecipientEIN>582354256</RecipientEIN>
        <CashGrantAmt>52371</CashGrantAmt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF GEORGIA</BusinessNameLine1Txt>
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          <AddressLine1Txt>310 EAST CAMPUS ROAD</AddressLine1Txt>
          <CityNm>ATHENS</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
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        <RecipientEIN>581353149</RecipientEIN>
        <CashGrantAmt>73903</CashGrantAmt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF GEORGIA</BusinessNameLine1Txt>
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          <AddressLine1Txt>310 EAST CAMPUS ROAD</AddressLine1Txt>
          <CityNm>ATHENS</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
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        <RecipientEIN>581353149</RecipientEIN>
        <CashGrantAmt>125752</CashGrantAmt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF GEORGIA</BusinessNameLine1Txt>
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          <AddressLine1Txt>310 EAST CAMPUS ROAD</AddressLine1Txt>
          <CityNm>ATHENS</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>306021589</ZIPCd>
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        <RecipientEIN>581353149</RecipientEIN>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IOWA DEPARTMENT OF HEALTH AND HUMAN SERVICES</BusinessNameLine1Txt>
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          <AddressLine1Txt>LUCAS BLDG 6TH FLOOR 321 E 12TH S</AddressLine1Txt>
          <CityNm>DES MOINES</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>503190075</ZIPCd>
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        <RecipientEIN>426004523</RecipientEIN>
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      <RecipientTable>
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          <BusinessNameLine1Txt>JOHNS HOPKINS UNIVERSITY</BusinessNameLine1Txt>
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          <AddressLine1Txt>12529 COLLECTIONS CENTER DRIVE</AddressLine1Txt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <RecipientEIN>520595110</RecipientEIN>
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      <RecipientTable>
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        <RecipientEIN>481124839</RecipientEIN>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LEHIGH UNIVERSITY</BusinessNameLine1Txt>
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          <AddressLine1Txt>306 S NEW STREET SUITE 451</AddressLine1Txt>
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        <RecipientEIN>240795445</RecipientEIN>
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      <RecipientTable>
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          <BusinessNameLine1Txt>MARYLAND DEPARTMENT OF HEALTH CENTER FOR ZOONOTIC AND VECTOR-BORNE DISEASES</BusinessNameLine1Txt>
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          <AddressLine1Txt>201 W PRESTON STREET 3RD FLOOR 31</AddressLine1Txt>
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        <RecipientEIN>526002033</RecipientEIN>
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          <AddressLine1Txt>PO BOX 30437</AddressLine1Txt>
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          <StateAbbreviationCd>MI</StateAbbreviationCd>
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        <RecipientEIN>386000134</RecipientEIN>
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          <StateAbbreviationCd>MN</StateAbbreviationCd>
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        <RecipientEIN>416007162</RecipientEIN>
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          <StateAbbreviationCd>MN</StateAbbreviationCd>
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        <RecipientEIN>416007162</RecipientEIN>
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      <RecipientTable>
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        <RecipientEIN>416007162</RecipientEIN>
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      <RecipientTable>
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          <StateAbbreviationCd>MT</StateAbbreviationCd>
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        <RecipientEIN>816001713</RecipientEIN>
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      <RecipientTable>
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          <BusinessNameLine1Txt>NEBRASKA MEDICAL CENTER UNIVERSITY OF</BusinessNameLine1Txt>
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        <RecipientEIN>470049123</RecipientEIN>
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          <AddressLine1Txt>301 CENTENNIAL MALL SOUTH PO BOX 95</AddressLine1Txt>
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        <RecipientEIN>470491233</RecipientEIN>
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      <RecipientTable>
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          <StateAbbreviationCd>NV</StateAbbreviationCd>
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        <RecipientEIN>886000022</RecipientEIN>
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      <RecipientTable>
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          <AddressLine1Txt>4150 TECHNOLOGY WAY STE 300</AddressLine1Txt>
          <CityNm>CARSON CITY</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
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        <RecipientEIN>886000022</RecipientEIN>
        <CashGrantAmt>39900</CashGrantAmt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF NEW HAMPSHIRE</BusinessNameLine1Txt>
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          <AddressLine1Txt>51 COLLEGE ROAD- SERVICE BUILDING R</AddressLine1Txt>
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          <StateAbbreviationCd>NH</StateAbbreviationCd>
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        <RecipientEIN>026000937</RecipientEIN>
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          <BusinessNameLine1Txt>NORTH CAROLINA DEPT OF HLTH &amp; HUMAN SVCS</BusinessNameLine1Txt>
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          <AddressLine1Txt>1902 MAIL SERVICE CENTER</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
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        <RecipientEIN>562033116</RecipientEIN>
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      <RecipientTable>
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          <StateAbbreviationCd>NC</StateAbbreviationCd>
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        <RecipientEIN>562033116</RecipientEIN>
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      <RecipientTable>
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          <BusinessNameLine1Txt>NORTH CAROLINA DEPT OF HLTH &amp; HUMAN SVCS</BusinessNameLine1Txt>
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          <AddressLine1Txt>1902 MAIL SERVICE CENTER</AddressLine1Txt>
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          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>276991902</ZIPCd>
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        <RecipientEIN>562033116</RecipientEIN>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH CAROLINA DEPT OF HLTH &amp; HUMAN SVCS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1902 MAIL SERVICE CENTER</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>276991902</ZIPCd>
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        <RecipientEIN>562033116</RecipientEIN>
        <CashGrantAmt>86696</CashGrantAmt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>NORTH CAROLINA DEPT OF HLTH &amp; HUMAN SVCS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1902 MAIL SERVICE CENTER</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
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        <RecipientEIN>562033116</RecipientEIN>
        <CashGrantAmt>187018</CashGrantAmt>
        <PurposeOfGrantTxt>COVID-19 RESPNET COVID</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>NORTHEASTERN UNIVERSITY</BusinessNameLine1Txt>
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          <AddressLine1Txt>360 HUNTINGTON AVE MAIL STOP 540-17</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02115</ZIPCd>
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        <RecipientEIN>041679980</RecipientEIN>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 15278</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>432150278</ZIPCd>
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        <RecipientEIN>311334820</RecipientEIN>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 15278</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>432150278</ZIPCd>
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        <RecipientEIN>311334820</RecipientEIN>
        <CashGrantAmt>224964</CashGrantAmt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
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        <USAddress>
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        <RecipientEIN>311334820</RecipientEIN>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>432150278</ZIPCd>
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        <RecipientEIN>311334820</RecipientEIN>
        <CashGrantAmt>207053</CashGrantAmt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 15278</AddressLine1Txt>
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          <ZIPCd>432150278</ZIPCd>
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        <RecipientEIN>311334820</RecipientEIN>
        <CashGrantAmt>21704</CashGrantAmt>
        <PurposeOfGrantTxt>COVID-19 ONE HEALTH</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>OHIO STATE UNIVERSITY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 772398</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
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          <AddressLine1Txt>1401 JFK BLVD</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>191021602</ZIPCd>
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        <RecipientEIN>236003047</RecipientEIN>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PREDICTIVE SCIENCE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>9990 MESA RIM ROAD</AddressLine1Txt>
          <CityNm>SAN DIEGO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92121</ZIPCd>
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        <RecipientEIN>263200502</RecipientEIN>
        <CashGrantAmt>14221</CashGrantAmt>
        <PurposeOfGrantTxt>COVID-19 OUTBREAK TOOLS</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>PREDICTIVE SCIENCE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>9990 MESA RIM ROAD</AddressLine1Txt>
          <CityNm>SAN DIEGO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92121</ZIPCd>
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        <RecipientEIN>263200502</RecipientEIN>
        <CashGrantAmt>27171</CashGrantAmt>
        <PurposeOfGrantTxt>COVID-19 COVID MODELING</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PREDICTIVE SCIENCE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>9990 MESA RIM ROAD</AddressLine1Txt>
          <CityNm>SAN DIEGO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92121</ZIPCd>
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        <RecipientEIN>263200502</RecipientEIN>
        <CashGrantAmt>26509</CashGrantAmt>
        <PurposeOfGrantTxt>FLU</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PREDICTIVE SCIENCE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9990 MESA RIM ROAD</AddressLine1Txt>
          <CityNm>SAN DIEGO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92121</ZIPCd>
        </USAddress>
        <RecipientEIN>263200502</RecipientEIN>
        <CashGrantAmt>124706</CashGrantAmt>
        <PurposeOfGrantTxt>FLU FORECASTING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIVERSITY OF CALIFORNIA BERKELEY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 744695</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>900744695</ZIPCd>
        </USAddress>
        <RecipientEIN>946002123</RecipientEIN>
        <CashGrantAmt>25138</CashGrantAmt>
        <PurposeOfGrantTxt>COVID-19 OUTBREAK TOOLS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIVERSITY OF CALIFORNIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 74739</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>900741816</ZIPCd>
        </USAddress>
        <RecipientEIN>946036494</RecipientEIN>
        <CashGrantAmt>19806</CashGrantAmt>
        <PurposeOfGrantTxt>FLU</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SALT LAKE COUNTY HEALTH DEPARTMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2001 S STATE ST S2-600</AddressLine1Txt>
          <CityNm>SALT LAKE CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84114</ZIPCd>
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        <RecipientEIN>876000316</RecipientEIN>
        <CashGrantAmt>26974</CashGrantAmt>
        <PurposeOfGrantTxt>FLU</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>SALT LAKE COUNTY HEALTH DEPARTMENT</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2001 S STATE ST S2-600</AddressLine1Txt>
          <CityNm>SALT LAKE CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84114</ZIPCd>
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        <RecipientEIN>876000316</RecipientEIN>
        <CashGrantAmt>68547</CashGrantAmt>
        <PurposeOfGrantTxt>COVID-19 ISHSP</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SALT LAKE COUNTY HEALTH DEPARTMENT</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2001 S STATE ST S2-600</AddressLine1Txt>
          <CityNm>SALT LAKE CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84114</ZIPCd>
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        <RecipientEIN>876000316</RecipientEIN>
        <CashGrantAmt>373835</CashGrantAmt>
        <PurposeOfGrantTxt>COVID-19 RESPNET COVID</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SALT LAKE COUNTY HEALTH DEPARTMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2001 S STATE ST S2-600</AddressLine1Txt>
          <CityNm>SALT LAKE CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84114</ZIPCd>
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        <RecipientEIN>876000316</RecipientEIN>
        <CashGrantAmt>305903</CashGrantAmt>
        <PurposeOfGrantTxt>RESPNET FLU</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>SALT LAKE COUNTY HEALTH DEPARTMENT</BusinessNameLine1Txt>
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          <AddressLine1Txt>2001 S STATE ST S2-600</AddressLine1Txt>
          <CityNm>SALT LAKE CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84114</ZIPCd>
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        <RecipientEIN>876000316</RecipientEIN>
        <CashGrantAmt>288106</CashGrantAmt>
        <PurposeOfGrantTxt>COVID-19 RESPNET RSV</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAN MATEO COUNTY PUBLIC HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>225 37TH AVENUE</AddressLine1Txt>
          <CityNm>SAN MATEO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94403</ZIPCd>
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        <RecipientEIN>946000532</RecipientEIN>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>COVID-19 HPAI</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SIGNATURE SCIENCE LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 660362</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>787667362</ZIPCd>
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        <RecipientEIN>741070544</RecipientEIN>
        <CashGrantAmt>124389</CashGrantAmt>
        <PurposeOfGrantTxt>FLU FORECASTING</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>STANFORD UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 884253</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>900884253</ZIPCd>
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        <RecipientEIN>941156365</RecipientEIN>
        <CashGrantAmt>79949</CashGrantAmt>
        <PurposeOfGrantTxt>COVID-19 COVID MODELING</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TACOMA-PIERCE COUNTY HEALTH DEPARTMENT</BusinessNameLine1Txt>
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          <AddressLine1Txt>3629 SOUTH D STREET</AddressLine1Txt>
          <CityNm>TACOMA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98418</ZIPCd>
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        <RecipientEIN>911488160</RecipientEIN>
        <CashGrantAmt>33500</CashGrantAmt>
        <PurposeOfGrantTxt>DISABILITY SYS</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>TEXAS A&amp;M AGRILIFE EXTENSION SERVICE</BusinessNameLine1Txt>
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          <AddressLine1Txt>400 HARVEY MITCHELL PARKWAY S SUIT</AddressLine1Txt>
          <CityNm>COLLEGE STATION</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>778454375</ZIPCd>
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        <RecipientEIN>746000537</RecipientEIN>
        <CashGrantAmt>49375</CashGrantAmt>
        <PurposeOfGrantTxt>COVID-19 ONE HEALTH</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF VIRGINIA</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 400195</AddressLine1Txt>
          <CityNm>CHARLOTTESVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>229044195</ZIPCd>
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        <RecipientEIN>546001796</RecipientEIN>
        <CashGrantAmt>42117</CashGrantAmt>
        <PurposeOfGrantTxt>FLU</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>UNIVERSITY OF VIRGINIA</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 400195</AddressLine1Txt>
          <CityNm>CHARLOTTESVILLE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>229044195</ZIPCd>
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        <RecipientEIN>546001796</RecipientEIN>
        <CashGrantAmt>78688</CashGrantAmt>
        <PurposeOfGrantTxt>FLU FORECASTING</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>34</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CSTE/CDC APPLIED EPIDEMIOLOGY FELLOWSHIP</GrantTypeTxt>
        <RecipientCnt>118</RecipientCnt>
        <CashGrantAmt>5397103</CashGrantAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS</FormAndLineReferenceDesc>
        <ExplanationTxt>CSTE EXECUTES A LEGALLY BINDING AGREEMENT WITH ALL GRANTEES. THIS AGREEMENT DESCRIBES THE DETAILED TERMS AND PERMISSIBLE USES OF GRANT FUNDS. FUNDED ENTITIES ARE REQUIRED TO SUBMIT REGULAR PROGRESS REPORTS DETAILING THE USE OF FUNDS 2 - 4 TIMES PER YEAR. PROGRESS REPORTS ARE REVIEWED INTERNALLY AND SHARED WITH STAKEHOLDERS IF NEEDED AND/OR REQUESTED. FUNDED ENTITIES ARE REQUIRED TO SUBMIT BUDGETS DETAILING ESTIMATED COSTS AND EXPENDITURES OF THE AWARD BEFORE ANY FUNDS ARE DISBURSED. ANY CHANGES MADE BY THE GRANTEE FROM THE APPROVED BUDGET MUST BE PREAPPROVED BY CSTE. A FINAL REPORT IS DUE AT THE END OF THE PROJECT.</ExplanationTxt>
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        <PersonNm>JANET HAMILTON</PersonNm>
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        <PersonNm>MARCELLE LAYTON</PersonNm>
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        <PersonNm>ANNIE FINE</PersonNm>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES HAVE A WELLNESS BENEFIT OF UP TO $25 PER MONTH.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>VISION STATEMENT: THE COUNCIL OF STATE AND TERRITORIAL EPIDEMIOLOGISTS IS COMMITTED TO IMPROVING THE PUBLIC'S HEALTH BY SUPPORTING THE EFFORTS OF EPIDEMIOLOGISTS WORKING AT THE STATE AND LOCAL LEVEL TO INFLUENCE PUBLIC HEALTH PROGRAMS AND POLICY BASED ON SCIENCE AND DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A EPIDEMIOLOGY CAPACITY ASSESSMENT:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN SPRING 2024, CSTE CONDUCTED THE EIGHTH EPIDEMIOLOGY CAPACITY ASSESSMENT (ECA) IN STATE AND TERRITORIAL HEALTH DEPARTMENTS. AS THE MOST COMPREHENSIVE ASSESSMENT OF APPLIED EPIDEMIOLOGY CAPACITY IN GOVERNMENTAL PUBLIC HEALTH, THE ECA PROVIDES A SNAPSHOT OF THE EPIDEMIOLOGY WORKFORCE, INCORPORATING DATA FROM ALL 50 STATE HEALTH DEPARTMENTS AND-FOR THE FIRST TIME SINCE 2001-ALL U.S. TERRITORIAL HEALTH DEPARTMENTS AND FREELY ASSOCIATED STATES. THE LATEST ECA REVEALS CONTINUED GAPS IN APPLIED EPIDEMIOLOGY CAPACITY AND FUNDING, WHICH WILL LIKELY WIDEN AS PANDEMIC ERA FUNDING EXPIRES. HEALTH DEPARTMENTS' CAPACITY TO CONDUCT ESSENTIAL PUBLIC HEALTH SERVICES IS BEING SIGNIFICANTLY IMPACTED, POTENTIALLY LEAVING THE U.S. UNPREPARED TO RESPOND TO EXISTING OR EMERGING HEALTH THREATS. HOWEVER, THERE IS GOOD NEWS: ECA RESULTS CAN BE USED TO BOLSTER THE APPLIED EPI WORKFORCE AND SOLICIT CONSISTENT SUPPORT AND FUNDING. WITHOUT UNDERSTANDING THE GAPS, WE CAN'T ADDRESS THEM. WITH ECA DATA, CSTE AND PUBLIC HEALTH DEPARTMENTS CAN EDUCATE FEDERAL POLICYMAKERS ON FUNDING SHORTFALLS, INFORM STATE-LEVEL DECISION MAKERS ABOUT CAPACITY NEEDS, AND TAILOR RECRUITMENT AND TRAINING EFFORTS TO SUPPORT CURRENT APPLIED EPIS WHILE CULTIVATING THE WORKFORCE PIPELINE. CSTE IS ALSO ACTIVELY FOSTERING THE APPLIED EPIDEMIOLOGY WORKFORCE PIPELINE TO HELP FILL PERSONNEL AND TRAINING GAPS. WE RECENTLY UPDATED THE APPLIED EPIDEMIOLOGY COMPETENCIES (AECS), WHICH DEFINE THE ROLE OF AN EPIDEMIOLOGIST AND SERVE AS A RESOURCE FOR WORKFORCE DEVELOPMENT ACTIVITIES. AND WE CONTINUE OUR ROBUST FELLOWSHIPS AND TRAINING PROGRAMS, INCLUDING THE APPLIED EPIDEMIOLOGY FELLOWSHIP, DATA SCIENCE TEAM TRAINING PROGRAM, AND OTHERS, TO SUPPORT APPLIED EPIDEMIOLOGISTS THROUGHOUT THEIR CAREERS. ECA STATISTICS * 80%: FUNDING FOR EPIDEMIOLOGY PERSONNEL AND ACTIVITIES THAT COMES FROM FEDERAL SOURCES * 5,706: NUMBER OF EPIDEMIOLOGISTS IN STATE HEALTH DEPARTMENTS (AS OF SPRING 2024) * 2,537: ADDITIONAL EPIDEMIOLOGISTS NEEDED IN STATE HEALTH DEPARTMENTS TO MEET BASIC PUBLIC HEALTH NEEDS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4B CSTE CONVENINGS:</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLIED EPIDEMIOLOGISTS ARE SPREAD ACROSS THE COUNTRY IN STLT PUBLIC HEALTH DEPARTMENTS. BUT THEIR WORK IS OFTEN CROSS-JURISDICTIONAL-INFECTIOUS DISEASES DON'T PAY ATTENTION TO LINES ON A MAP, AND NON-INFECTIOUS ISSUES LIKE INJURY AND CHRONIC DISEASE ARE ADDRESSED MORE EFFECTIVELY THROUGH A UNIFIED, CONSISTENT APPROACH. AS THE ONLY NATIONAL ORGANIZATION DEDICATED TO ADVANCING THE FIELD OF APPLIED EPIDEMIOLOGY, CSTE IS THE HUBWHERE APPLIED EPIDEMIOLOGISTS AND PUBLIC HEALTH PARTNERS COLLABORATE, STRENGTHEN PARTNERSHIPS, AND CREATE ALIGNED STRATEGIES THAT ENABLE THEM TO MORE EFFECTIVELY PROTECT THE PUBLIC'S HEALTH. ONE FUNDAMENTAL AREA CSTE COORDINATES IS EMERGENCY RESPONSE TO OUTBREAKS AND OTHER ACUTE PUBLIC HEALTH ISSUES. IN THE LAST YEAR ALONE, CSTE FACILITATED RESPONSE EFFORTS FOR MEASLES, FLU, H5N1 (BIRD FLU), RSV, COVID-19, OROPOUCHE, AND APPLESAUCE CONTAMINATED BY LEAD, AS WELL AS RESPONSE READINESS WORK FOR MARBURG AND EBOLA. THIS APPROACH ENABLES RAPID SHARING OF INFORMATION AND EXPERIENCES, DRIVING AN INTEGRATED NATIONAL RESPONSE. CSTE ALSO HOLDS HUNDREDS OF IN-PERSON AND ONLINE MEETINGS EACH YEAR. WORKGROUPS INCLUDING INJURY SURVEILLANCE, TRIBAL EPIDEMIOLOGY, ECR, AND DOZENS OF OTHERS MEET REGULARLY TO ADDRESS CURRENT ISSUES AND DEVELOP COLLABORATIVE SOLUTIONS. AT THE 2025 CSTE ANNUAL CONFERENCE, THE POLICY WORKGROUP FROM THE COUNCIL FOR OUTBREAK RESPONSE: HAI AND AR (CORHA)-A NATIONAL COUNCIL THAT CSTE CO-LEADS-HELD A DISCUSSION SESSION HIGHLIGHTING MAJOR GAPS IN PREPAREDNESS AND RESPONSE FOR HIGH-IMPACT PATHOGENS (HIP) LIKE EBOLA, MPOX, AND MEASLES IN HEALTHCARE SETTINGS. INPUT AND FEEDBACK DURING THIS SESSION INFORMED CORHA'S STRATEGIES TO ADDRESS CHALLENGES, GUIDE EFFORTS, AND LEAD PROGRESS AGAINST THESE THREATS. AS THE CONDUIT FOR CONNECTING APPLIED EPIDEMIOLOGISTS, CSTE FACILITATES INCREASED COLLABORATION AND COHESIVE PUBLIC HEALTH RESPONSES AND INITIATIVES. IN TURN, THIS HELPS EPIDEMIOLOGISTS KEEP THEIR COMMUNITIES SAFE FROM CURRENT AND EMERGING THREATS AND SUSTAIN HEALTHY, THRIVING COMMUNITIES NATIONWIDE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C SYNDROMIC SURVEILLANCE:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN PUBLIC HEALTH TODAY, SPEED IS PARAMOUNT, AND DETECTING THREATS BEFORE THEY ESCALATE IS THE CORNERSTONE OF AN EFFECTIVE RESPONSE. SYNDROMIC SURVEILLANCE SERVES AS A CRITICAL EARLY-WARNING SYSTEM, CONTINUOUSLY ANALYZING STREAMS OF REAL TIME EMERGENCY ROOM-VISIT DATA TO IDENTIFY UNUSUAL PATTERNS. CSTE PLAYS A CENTRAL ROLE IN STRENGTHENING THIS CAPABILITY NATIONWIDE, BRIDGING INNOVATIVE APPROACHES WITH PRACTICAL APPLICATION TO PROTECT COMMUNITIES. A POWERFUL EXAMPLE OF SUCCESSFUL SYNDROMIC SURVEILLANCE COMES FROM THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES (NCDHHS) IN THE AFTERMATH OF HURRICANE HELENE IN SEPTEMBER 2024. NCDHHS NOW PLANS TO USE THIS DEFINITION FOR ROUTINE MONITORING AND IN FUTURE DISASTERS, SO PUBLIC HEALTH WORKERS CAN PROACTIVELY EDUCATE ON SAFE TOOL USE, COMMON INJURIES, AND RISKS DURING CLEANUP, AND POTENTIALLY EVEN PROVIDE SAFETY EQUIPMENT, WHICH CAN ULTIMATELY PREVENT THESE INJURIES FROM HAPPENING. BY IMPLEMENTING THIS DEFINITION IN THE SHARED NSSP ESSENCE PLATFORM, NORTH CAROLINA IS MAKING THEIR INNOVATION AVAILABLE TO OTHER JURISDICTIONS USING THE PLATFORM AND HELPING PROTECT RESIDENTS IN OTHER STATES-DEMONSTRATING HOW KNOWLEDGE IS SHARED ACROSS THE NETWORK. A NATIONAL NETWORK AMPLIFIES AND ACCELERATES STORIES LIKE NORTH CAROLINA'S. CSTE'S SUPPORT FOR SYNDROMIC SURVEILLANCE IS ANCHORED IN OUR ROLE AS THE CONVENING BODY FOR THE CDC'S NATIONAL SYNDROMIC SURVEILLANCE PROGRAM (NSSP) COMMUNITY OF PRACTICE (COP). THIS COLLABORATIVE NETWORK OF 1,652 MEMBERS GIVES PUBLIC HEALTH PROFESSIONALS A FRAMEWORK TO CONNECT, SHARE KNOWLEDGE, AND SOLVE COMPLEX CHALLENGES TOGETHER. IN ADDITION TO HOSTING THE ANNUAL SYNDROMIC SURVEILLANCE SYMPOSIUM, CSTE ALSO COORDINATES REGULAR WEBINARS, SPECIALIZED SUBCOMMITTEES, AND TECHNICAL WORKGROUPS TO ADDRESS EMERGING ISSUES AND DEVELOP RESOURCES FOR REAL-TIME SHARING. THIS ONGOING, PEER-TO-PEER EXCHANGE ENSURES THAT ADVANCEMENTS ARE DISSEMINATED RAPIDLY, AND THAT NO JURISDICTION HAS TO INNOVATE IN ISOLATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D DATA STANDARDIZATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROTECTING COMMUNITIES REQUIRES THAT DATA IS GATHERED AND SHARED IN CLEAR, CONSISTENT WAYS NATIONWIDE. CSTE'S DATA STANDARDIZATION WORKGROUP (DSWG) EXISTS FOR JUST THIS PURPOSE. IN 2024-2025, DSWG CONVENED EXPERTS FROM STLTS, CDC, AND OTHER NATIONAL PARTNERS TO IDENTIFY CASE NOTIFICATION VARIABLES THAT HAVE BROAD APPLICABILITY ACROSS CONDITIONS AND BEGIN TO STANDARDIZE THEM. THIS WORK IS A STARTING POINT FOR BROADER STANDARDIZATION OF PUBLIC HEALTH SURVEILLANCE DATA, WHICH WILL ALLOW FOR CONSISTENT UTILIZATION AND INTERPRETATION OF PUBLIC HEALTH INFORMATION FROM ECR, ELR, AND OTHER DATA SOURCES. THE CONSENSUS PROCESS FOR DEFINING EACH DATA ELEMENT IS THOROUGH AND DETAILED. RECOMMENDATIONS FOR STANDARDIZATION ARE MADE BY DATA-ELEMENT SPECIFIC TEAMS, WHICH COMPRISE SUBJECT MATTER EXPERTS FROM ACROSS STLTS, CDC, AND RELEVANT DISEASE PROGRAM AREAS. THESE DRAFT RECOMMENDATIONS ARE THEN SUBMITTED FOR SUCCESSIVE ROUNDS OF FEEDBACK FROM THE DSWG, SURVEILLANCE AND INFORMATICS STEERING COMMITTEE LEADERSHIP, AND ULTIMATELY ALL CSTE MEMBERS. ONCE THIS INPUT IS RECONCILED, THE DATA ELEMENT DEFINITION IS VOTED UPON BY STATE EPIDEMIOLOGISTS. TO DATE, DSWG HAS DEFINED 53 CORE DATA ELEMENTS, INCLUDING THOSE RELATED TO HOSPITALIZATION, TRAVEL, AND IMMUNIZATIONS. DSWG'S MISSION IS TO BUILD A COMMON LANGUAGE FOR PUBLIC HEALTH. BY DEVELOPING A SET OF STANDARD DEFINITIONS THAT ARE APPLICABLE ACROSS A RANGE OF CONDITIONS, DSWG AIMS TO FACILITATE THE STREAMLINING OF DATA TRANSMISSION PRACTICES INTO A UNIFIED NATIONAL STANDARD. THIS CAN LAY THE FOUNDATION FOR FACILITATING MORE EFFECTIVE INTERJURISDICTIONAL DATA EXCHANGE AND TRANSMISSION TO CDC DURING FUTURE PUBLIC HEALTH RESPONSE ACTIVITIES. CSTE IS FOCUSED ON ADVANCING INNOVATION, METHODOLOGIES, AND PARTNERSHIPS TO COLLECT, USE, AND SHARE DATA EFFECTIVELY TO CHAMPION POLICIES AND PUBLIC HEALTH ACTION. CSTE RELEASED A NUMBER OF GUIDES AND TOOLKITS TO SUPPORT OUR MEMBERS AND PUBLIC HEALTH DEPARTMENTS NATIONWIDE: * LONG COVID REFERENCE GUIDE * NEONATAL ABSTINENCE SYNDROME SURVEILLANCE IMPLEMENTATION GUIDE * PUBLIC HEALTH LAW REPOSITORY * INJURY SURVEILLANCE TOOLKIT * ELECTRONIC HEALTH INFORMATION ACCESS TOOLKIT * CHRONIC DISEASE DATA MODERNIZATION TOOLKIT CSTE RELEASED NUMEROUS CSTE LEARN COURSES ON TOPICS SUCH AS MATERNAL AND CHILD HEALTH AND DATA MODERNIZATION, AS WELL AS THE WORLD CUP WEBINAR SERIES TO HELP JURISDICTIONS HOSTING GAMES COLLABORATE ON PREPAREDNESS ACTIVITIES. CSTE HOSTED DSTT COHORT 5 PRESENTATION WEBINARS FOR TEAMS TO SHARE THEIR PROJECTS AND EXPERIENCES AND EXPANDED CSTE CONNECT TO ADD MORE THAN 10 NEW CONNECT COMMUNITIES TO SUPPORT OUR MEMBERS. CSTE WORKS TO ADVANCE DATA MODERNIZATION AND INTEROPERABILITY TO CREATE A HIGH-FUNCTIONING, HIGHLY AUTOMATED, AND INTEROPERABLE PUBLIC HEALTH SYSTEM AT ALL LEVELS. CSTE WORKS WITH MEMBERS TO SOURCE AND DISSEMINATE STORIES OF DATA MODERNIZATION FOR THE CSTE STORIES FROM THE FIELD WEBSITE AND ADDED 10 NEW DATA MODERNIZATION SUCCESS STORIES. CSTE PUBLISHED RESOURCES TO SUPPORT CHRONIC DISEASE MODERNIZATION EFFORTS INCLUDING THE NATIONAL STRATEGIC PLAN, AN ACCOMPANYING ROADMAP, AND AN ONLINE TOOLKIT TO SUPPORT IMPLEMENTATION. CSTE CONTINUES TO SUPPORT THIS WORK THROUGH THE DEVELOPMENT OF A CHRONIC DISEASE SURVEILLANCE POLICY BRIEF, WHICH IS BEING COMPLETED IN CLOSE COLLABORATION WITH OUR S/I STEERING COMMITTEE, THE PARTNERS' NETWORK WHICH PROVIDES STRATEGIC OVERSIGHT AND GUIDANCE ON EMERGING INITIATIVES, AND THE CHRONIC DISEASE SUBCOMMITTEE. CSTE PRODUCED A DATA MODERNIZATION 101 TRAINING, WHICH WILL EQUIP THE WORKFORCE ACROSS STLTS AS WELL AS WITHIN CSTE TO BETTER UNDERSTAND FOUNDATIONAL DATA MODERNIZATION PRINCIPLES AND SUCCESSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>CSTE PROMOTES THE EFFECTIVE USE OF EPIDEMIOLOGIC DATA TO GUIDE PUBLIC HEALTH PRACTICE AND IMPROVE HEALTH. CSTE ACCOMPLISHES THIS BY SUPPORTING THE USE OF EFFECTIVE PUBLIC HEALTH SURVEILLANCE AND GOOD EPIDEMIOLOGIC PRACTICE THROUGH TRAINING, CAPACITY DEVELOPMENT, AND PEER CONSULTATION, DEVELOPING STANDARDS FOR PRACTICE, AND ADVOCATING FOR RESOURCES AND SCIENTIFICALLY BASED POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY THREE TO FIVE YEARS AN INDEPENDENT CONTRACTOR IS HIRED TO DO A SALARY AND WAGE REVIEW. COPIES OF THE REPORT ARE GIVEN TO THE EXECUTIVE BOARD TO USE AS A TOOL FOR SETTING THE EXECUTIVE DIRECTOR'S SALARY, AND A COPY IS GIVEN TO THE EXECUTIVE DIRECTOR FOR SETTING THE EMPLOYEES' SALARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ACTIVE MEMBERSHIPS AND ASSOCIATE MEMBERSHIPS FOR PERSONS ENGAGED IN THE PRACTICE OF EPIDEMIOLOGY. PERSONS CURRENTLY ENROLLED FULL TIME IN AN UNDERGRADUATE OR GRADUATE PROGRAM WHO ARE ACTIVELY PURSUING A DEGREE IN PUBLIC HEALTH OR RELATED FIELD ARE ELIGIBLE FOR STUDENT MEMBERSHIP. IN FY25, THERE WERE 3,278 MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ELECTION OF THE EXECUTIVE BOARD, POSITION STATEMENTS THAT DO NOT AFFECT STATE OR TERRITORIAL PUBLIC HEALTH LAW, AND OTHER SIMILAR MATTERS AS SPECIFIED IN THE BYLAWS OR DESIGNATED BY THE EXECUTIVE BOARD SHALL BE DETERMINED BY A VOTE OF THE ACTIVE MEMBERS BY ELECTRONIC BALLOT AT A TIME BEFORE THE ANNUAL MEETING OR AS DESIGNATED BY THE EXECUTIVE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICIAL COUNCIL DECISIONS, SUCH AS POSITION STATEMENTS THAT AFFECT PUBLIC HEALTH LAW, ARE MADE BY VOTE WITH ONLY ONE VOTE PER STATE OR TERRITORY CAST BY THE STATE EPIDEMIOLOGIST OR AN OFFICIAL ACTIVE MEMBER REPRESENTATIVE FROM THE STATE OR TERRITORY DESIGNATED BY THE STATE EPIDEMIOLOGIST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PREPARED BY MAULDIN &amp; JENKINS, LLC, AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. FORM 990 IS THEN PROVIDED TO THE ORGANIZATION'S BOARD FOR REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICY REQUIRES IMMEDIATE NOTIFICATION OF CONFLICTS AND WE HAVE ANNUAL ACKNOWLEDGEMENT THAT ALL HAS BEEN DISCLOSED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>SOME INFORMATION IS POSTED ON THE CSTE WEBSITE FOR THE GENERAL PUBLIC TO ACCESS. SOME INFORMATION IS POSTED ON THE CSTE WEBSITE FOR MEMBER ACCESS ONLY. ANY INFORMATION THAT A REQUESTOR COULD NOT ACCESS THEMSELVES, UPON REQUEST, IS PROVIDED EITHER BY FAX OR EMAIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G OTHER FEES</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS AND CONTRACTS - TOTAL EXPENSE: 5258275, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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