Cities Readiness Initiative Program

bParati Cities Readiness Initiative Region National Map Image

About the CRI Program

The Center for Disease Control and Prevention (CDC) Cities Readiness Initiative (CRI) Program was established by enactment of the Public Health Security and Bioterrorism Preparedness and Response Act of 2002, which was superseded by the Pandemic and All Hazards Preparedness Act (PAHPA) in 2006.

The CRI Program is designed to enhance preparedness in the nation’s largest cities and metropolitan statistical areas (MSA) where more than 50% of the U.S. population resides. Through CRI, state and metropolitan public health departments have developed plans to respond to a large-scale bioterrorist event by dispensing antibiotics to the entire population of an identified MSA with 48 hours.

The program includes a total of 72 metropolitan statistical areas (MSAs), with at least one CRI MSA in every state. The CDC’s Office of Public Health Preparedness and Response (OPHPR), Division of State and Local Readiness (DSLR) administers the Public Health Emergency Preparedness (PHEP) cooperative agreement, which includes the CRI carve-out funding.  DSLR also provides technical assistance to the participating 72 MSAs for the development of their plans to receive, distribute, and dispense medical assets received from CDC’s Strategic National Stockpile (SNS).

The OPHPR, Division of Strategic National Stockpile (DSNS) is responsible for maintaining the SNS inventory and ensuring systems and equipment are in place to deliver SNS assets within 12 hours of their request from a state or separately funded city.

Funding for the CRI program is provided to the 50 states and four metropolitan areas of Washington, D.C., Chicago, Los Angeles County and New York City through CDC’s Public Health Emergency Preparedness (PHEP) cooperative agreement.