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ASTHO President's Challenge Initiatives

A yearly initiative of ASTHO to improve population health through the work of state public health agencies.

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  • Public Health and Interoperability: A State Perspective

    Karen Smith, MD, MPH, is state health officer for the California Department of Public Health (CDPH). Formerly a public health officer for Napa County Health and Human Services Agency, Smith brings a wide array of knowledge as a physician specializing in infectious disease and public health. ASTHO recently spoke with Smith about the department’s capacity to address population health outcomes through informatics, analytics, and interoperability.

  • States Propose Raw Milk Legislation to Prevent Milk Borne Disease

    Raw milk is milk that has not been pasteurized to kill harmful bacteria and can carry dangerous germs, such as E. coli, Listeria, and Salmonella. Raw milk and raw (unpasteurized) dairy products such as soft cheese, ice cream, and yogurt cause serious foodborne illnesses. From 2007 to 2012, 26 states reported 81 outbreaks linked to raw milk, which resulted in 979 illnesses and 73 hospitalizations. Infants, young children, older adults, pregnant women, and people with weakened immune systems are at a greater risk of getting sick from drinking raw milk. Fifty-nine percent of outbreaks involved at least one child younger than five years.

  • States Take Action to Address Food Insecurity

    In 2017, one in eight Americans experienced food insecurity. Food insecurity has a direct impact on physical and mental health status, educational attainment, and life expectancy. Public programs are in place to help families access foods, such as the Supplemental Nutrition Assistance Program (SNAP) and Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program. States are also exploring strategies to more effectively leverage these resources, increase enrollment, and ensure there are vendors and locations available to dispense these resources.