Abstract: Objective To explore the capabilities of early warning,analysis and decision making for public health emergency events in two levels of centers for disease control and prevention so as to give suggestions on practical personnel training.Methods Semi-str ucture inter views were conducted to staffs of centers for disease control and prevention of both city and county levels in Hubei Province.The information aboutthe state of personnel,monitoring items,managementof reports,using of monitoring data,and ways of improving decision making capabilitv were collected.Results Although the quality and managementof survillance data were comparably good,butthe capabilities of centers for disease control and prevention of city level were weak in integrating and anglicizing monitoring data.So the centers for disease control and prevention of city can notperform pr edicting and early warning for public health emer gency events.The centers for disease control and prevention in county only can reportthe surveillance data and have no the capability of prediction and early warning for any public health emergency events.Conclusion Itis necessary to train staff from differentlevel centers for disease control and prevention for differentcontent.The course should be included fundamental knowledge and typical cases studies.