Trust for America’s Health (TFAH) has released their yearly report, “Ready or Not 2022: Protecting the Public’s Health from Diseases, Disasters, and Bioterrorism.” It measures states’ degree of preparedness to respond to a wide spectrum of health emergencies and to provide ongoing public health services, including disease surveillance, seasonal flu vaccination, safe water, and expanded healthcare services during emergencies. It tiers states and the District of Columbia into three performance levels: high, middle, and low, placing 17 states and DC in the high-performance tier, 20 states in the middle-performance tier, and 13 states in the low-performance tier. According to the report, Pennsylvania “demonstrated exceptional progress, elevating from the low tier to the high tier.”