I personally was involved with writing local Influenza Pandemic infection control plans after the H1N1 epidemic. Those plans came down with guidance from the CDC which gave general information and recommendations. But, it was then the responsibility of the individual states and then local governments, like counties and cities, to come up with their own disaster/pandemic emergency preparedness protocols.  With this plandemic we have come to realize how many were literally caught with their pants down and with empty shelves. Some of these systems failed from the local levels all the way up to the state governments. Those government bodies run for generations by progressives have fared the worse - partly because monies were diverted to care for the increasing welfare populations. They generated lots of paper for the taxpayers money, but no real preparedness. Very typical of the playbook, divert the funds earmarked for one thing and funnel it somewhere else. They always think there is someone else who will have their backs - the taxpayers.