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In 2011, the Minnesota Legislature passed and Governor Dayton signed SF 119, creating a new certification for Community Paramedics. The law included language directing the Department of Human Services to create this report.

The main arguement of this article is that a large number of factors, such as demographic changes, economic development, gobal travel and commerce and conflict have heightened the risk of international disease outbreaks and international organizations like the WHO and national public health organizations are struggling to develop and adopt new and innovative protocols to cope with new threats.