A report by two health advocacy groups says West Virginia is lagging in its approach to handling infectious disease threats.
The report released Tuesday by the Trust for America's Health and the Robert Wood Johnson Foundation says West Virginia met four of 10 indicators of preparedness.
The report says West Virginia didn't maintain or increase funding for public health programs from the 2011-12 to 2012-13 fiscal year.
The state also has gaps in the percentage of residents vaccinated for flu and whooping cough and has no policy requiring a cervical cancer vaccine for teens.
West Virginia did meet indicators for routine HIV screening, health facility reporting of infections and public health lab readiness.
A Department of Health and Human Resources spokeswoman says state officials are reviewing the report.