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The data for this report was obtained over a period from the earthquake in 2010 to 2012.

One major point outlined in the article is the way that disease outbreaks have been viewed and prepared for has changed over the past few centuries. It started out in the view of public health where social factors like sanitation and clean water were valued but then shifted towards preparedness after outbreaks of various influenza viruses seemed to not fit the paradigm of public health.

The organization has the infrastructure of the Federal government, however they operate in areas that are more rural, including Alaska and the Southwest where environmental issues such as clean drinking water can be present, which they address in their community health approach. All members also are allowed access to the internet, which I'm assuming is available at each of their locations.