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EXECUTIVE SUMMARY:
The objectives of this review was to determine whether the New York City Department of Health and Mental Hygiene (DOHMH) and the Medical and Health Research Association of New York City (MHRA) properly recorded, summarized and reported bio-terrorism preparedness transactions by specific focus areas designated in cooperative agreements. We found that DOHMH and MHRA accounted for bio-terrorism program funds in accordance with the terms and conditions of the cooperative agreements with the Centers for Disease Control and Prevention (CDC). DOHMH officials stated that CDC funding had not been used to supplant existing State and local programs. In addition, we found that MHRA has adequate controls and procedures to monitor sub-recipient expenditures of CDC funds.