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Table 4 Distribution of powers in federal or quasi federal states

From: Pandemic influenza control in Europe and the constraints resulting from incoherent public health laws

  Structure National Responsibility Regional Responsibility Summary
Austria 9 regions Planning and co-ordination
Situation monitoring
Assessment
Communication
Planning and co-ordination
Situation monitoring
Assessment
Communication
Overall responsibility for health care
Responsibility increases in Phase 5
Regional involvement.
Mainly decentralised
Germany 16 regions Planning and co-ordination
Situation monitoring
Assessment
Communication
Pandemic preparedness
Strategic action by health system
Mainly centralised
Spain 17 autonomous regions or communities and 2 autonomous cities Planning and co-ordination
Situation monitoring
Assessment
Communication
Reducing the spread of diseases
Planning and co-ordination
Situation monitoring
Assessment
Communication
Reducing the spread of diseases
Responsibility increases as of Phase 3
Close involvement of Regional governments co-ordinated by National government
Sweden 21 provinces
290 municipalities
Planning and co-ordination
Situation monitoring
Assessment
Communication
Reducing the spread of diseases
Guidance for health systems
Management of health system
Provision of a knowledge base
Planning and co-ordination
Reducing the spread of diseases
Contingency plans
Provision of health care and medical services
Distribution of vaccine and antiviral drugs
Mixed - response between National and Regional
United Kingdom* 4 regions Four national health systems with a national Health Protection Agency
Co-ordination and direction
Strategy and activation of plan
Delivery
Planning
Support of National response
Mixed - response between National and Regional
  1. * The rapporteur representing the United Kingdom did not return the completed questionnaire, so questionnaire results do not include information on devolution of powers in the UK. We did however include the UK in our own follow-up research.