Funding for the Centers for Disease Control and Prevention has dropped by $580 million since 2010 and has not been offset by increases to state and local funding, according to an analysis released Thursday.

The findings, adjusted for inflation and published in an annual report by Trust for America’s Health, show that states and local governments have kept their investments flat since 2010, at $11.5 billion. When translated to per-person investments, the total is equal to an average of spending $31.62 per person.