DENVER - Colorado scores near the bottom of a national survey looking at public health and emergency preparedness.

The nonpartisan Trust for America's Health and the Robert Wood Johnson Foundation released their annual "Ready or Not?" report on Wednesday.

Kansas and Montana scored lowest on a 10-point scale measuring preparation for diseases, disasters, bioterrorism and extreme weather.

Colorado tied with Nevada, Georgia, Hawaii and New Jersey for next-lowest in their ability to respond.

Maryland, Mississippi, North Carolina, Vermont and Wisconsin scored highest.

The report says that in the years since Sept. 11, 2001, preparedness has improved.

But it points to gaps in readiness for health and extreme weather emergencies, bioterrorist threats and serious disease outbreaks.

Trust executive Jeffrey Levi calls the report a snapshot of the nation's public health emergency preparedness.