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SUMMARY Public health laboratories (PHLs) continue to face internal and external challenges to their abilities to provide successful, timely responses to public health crises and emerging threats. These laboratories are mandated to maintain the health of their communities by identifying, diagnosing, and warning constituents of potential and real health emergencies. Due to the changing characteristics of public health threats and their cross-jurisdictional nature, laboratories are facing increased pressure to ensure that they respond in a consistent and coordinated manner. Here, the Association of Public Health Laboratories (APHL) Emerging Leader Program Cohort 11 members have compiled stories from subject matter experts (SMEs) at PHLs with direct involvement in crises to determine the characteristics of a successful response. Experts examined a diverse selection of emerging threats from across PHLs, including infectious diseases, opioids, natural disasters, and government shutdowns. While no public health crisis will be identical to another, overarching themes were consistent across subjects. Experiences from SMEs that could improve future responses to emerging threats are highlighted.

The International Health Regulations (2005) outlines eight core capacities that focus on maintaining and strengthening the ability to prevent, detect, respond and report public health threats globally. As of May 2013, 100 of the 195 State Parties that agreed to implement the regulations have failed to meet all of the core capacities. The Laboratory Response Network (LRN), an infrastructure of public health laboratories capable of responding to biological, chemical, radiological, and other emerging public health threats, fulfills five out of eight core capacities and could serve as a model for successful implementation of IHR (2005).

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