# data[].attributes.body
Were able to keep pace with each surge as it evolved. Testing response was maintained through increased staffing and equipment. Federal funding became available to support needed resources.

# data[].attributes.body
Competition with other labs for resources. Sometimes had to wait for resources to come in for next available updated products.

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Adapted as resources were scarce.

# data[].attributes.body
Space limitations curtailed how much equipment could be purchased to meet the demand.

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National Guard, FEMA, manpower and consumable supplies. Federal resources were an asset, as well as volunteer support. UNLV and Community College support.

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IT support was helpful in implementing an electronic ordering system.

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Looking for help from SNHD and County to support laboratory annex.

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Bottleneck in available technology, difficult to get testing supplies based on changing CDC guidance. Guidance and technology were not always aligned.

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One of our instruments was rerouted to UMC which decreased our laboratory capacity.

# data[].attributes.body
Lab capacity has grown through Covid-19 funding. Supply chain management, reagent storage, all added to capacity and need to be maintained.

# data[].attributes.body
CDC grant funding in place for 5 years. Need to address "the fiscal cliff" when Covid-19 funding sources are no longer available. Need to identify ways to maintain staffing and service levels. Need to identify sources for long-term funding of public health initiatives. Need to find ways to address emerging issues through a flexible funding model.

# data[].attributes.body
Need to promote enhanced coordination and collaboration with the state, unified statewide response tools, increased funding opportunities.

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Decisions/Policies related to Lab Services

# data[].attributes.subject
Decisions/Policies related to Lab Services

# data[].attributes.body
Options for providing lab services being considered without adequate study, input and local concerns. Need to enhance collaboration at local level to gain understanding of local needs and potential funding sources.

# data[].attributes.body
No PHEP funding increases in past 5 years, actually decreased this fiscal year.

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Preparing for Next Pandemic or other major threat

# data[].attributes.subject
Preparing for Next Pandemic or other major threat

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Need funding to prepare now for future major threats, including the next pandemic.