Twenty-six states and the District of Columbia met six or fewer of ten key indicators of public health preparedness, ranging from public health funding, to flu vaccination rates, to climate change readiness, a report from the Trust for American Health finds. Funded by the Robert Wood Johnson Foundation, the report, Ready or Not? Protecting the Public From Diseases, Disasters, and Bioterrorism 2016 (108 pages, PDF), found that Alaska and Idaho scored lowest, meeting just three of ten indicators, while Massachusetts met all ten, followed by North Carolina and Washington, with nine. The report also found that although twenty-six states increased or maintained public health funding in fiscal year 2015-16 from the previous year, a third of the funds for health security and half the funds for healthcare system preparedness were cut. In addition, only ten states had an emergency access program for getting private-sector healthcare staff and supplies into restricted areas during a disaster, while thirty-two states and the District of Columbia received a grade of C or above for preparedness with respect to climate change-related threats.