Featured Story

FeaturedStory

Aptly designated, September is National Preparedness Month, established in 2004 to promote family, community, and business disaster and emergency planning and readiness. As we all know and should continually reaffirm, disasters can happen anywhere at any time; come in various sizes, shapes, and forms in that they are both manmade and naturally occurring, can be somewhat predictable as well as “no-notice”; and can have a local, regional, national, or global societal impact. This year’s theme is “Prepared, Not Scared” with an emphasis on encouraging parents, teachers, and caregivers to teach our youth what to do when a crisis occurs, and how we all can take preparedness actions together.Read More »

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States Maintain and Increase Vaccine Coverage Through Legislative Action

November 07, 2019|11:35 a.m.| ASTHO Staff

Increasing and maintaining vaccine coverage is an important way to prevent the spread of disease and keep communities healthy. Vaccines have greatly reduced or eliminated many infectious diseases that once killed or harmed infants, children, and adults. Not only can vaccines prevent certain diseases in vaccinated individuals, they can also lower the chance of spreading disease to vulnerable populations such as infants, older adults, and people with weakened immune systems who are especially vulnerable to infectious diseases and may not be able to be vaccinated. Each year, thousands of adults in the U.S. become seriously ill and are hospitalized because of diseases that vaccines help prevent. Read More »

How Do We Protect Future Generations from Adverse Childhood Experiences?

November 05, 2019|10:50 a.m.| Debra Houry, MD, MPH, director of the National Center for Injury Prevention and Control, CDC

As a physician, I know firsthand the importance of preventing injuries and violence. While working in the emergency department, I often saw patients after an acute traumatic event, but just as frequently would see patients with longer term health issues from prior trauma. This helped me better understand the consequences of adverse childhood experiences (ACEs) and childhood trauma as well as the importance of primary prevention. ACEs are traumatic events that occur in childhood. Examples include witnessing or experiencing violence, having a family member attempt or die by suicide, and growing up in a household with substance abuse. ACEs can lead to risky behaviors, chronic health problems, and diminished life opportunities. Read More »

Governance Policies for Strategic Management of Data

October 31, 2019|4:25 p.m.| ASTHO Staff

The amount of data available to public health leaders continues to increase at a rapid pace further emphasizing the need for reliable and secure data management. State and territorial health agencies (S/THAs) receive massive amounts of disparate data from various sources and must find ways to manage, store, analyze, and use this information. Agencies typically house and maintain hundreds of data surveillance systems, each with its own purpose for monitoring disease outbreaks or trends and requiring subject matter expertise and funding resources to maintain. Read More »

Pennsylvania’s Rural Health Model: A Conversation with the Secretary of Health

October 28, 2019|9:45 a.m.| ASTHO Staff

Rural communities across the nation are experiencing a significant number of hospital closures. Nationally, 118 rural hospitals have closed since 2010, and an additional 21 percent of rural hospitals are at high risk of closure. ASTHO spoke with Rachel Levine, MD, Secretary of Health for the Commonwealth of Pennsylvania, to learn how the Pennsylvania Rural Health Model is addressing the sustainability of rural hospitals by redesigning the payment and delivery of care. Read More »

States Take Action to Create Better Health Outcomes for Incarcerated Women

October 24, 2019|10:52 a.m.| ASTHO Staff

The health concerns of incarcerated women are often left out of conversations related to health equity and optimal health for all. Women are incarcerated at an increasing rate; there are nearly eight times as many women in state and local prisons today as there were in 1980. According to the federal Bureau of Justice Statistics, nearly 75 percent of incarcerated women are between 18 and 44, an age range during which women have specific health concerns surrounding reproductive, prenatal, and postpartum care. Read More »

Business Process Improvement: A Territorial Public Health Agency Perspective

October 21, 2019|4:55 p.m.| ASTHO Staff

Catherine de la Cruz-Duran, RN, BSN, MS, is Puerto Rico’s Territorial Health Official Designee and Secretary of Planning, Development, and Federal Affairs. She was born in Buenos Aires Argentina and grew up in Lima, Peru until the age of sixteen when her family immigrated to the United States. She recently retired after 30 years in the U.S. Army, serving in multiple locations during her military career. She was stationed in Puerto Rico at the time of Hurricane Maria and worked as a liaison between the Comfort Naval Hospital and the Puerto Rico Department of Health (PRDOH) to evacuate critical care patients from damaged hospitals on the Island to the naval hospital ship. Her experience during Hurricane Maria was a significant event that led her to stay and work for the people of Puerto Rico. Her goal is to advocate for health equity and create opportunities for everyone in Puerto Rico to feel empowered to achieve the highest level of health. Read More »

States Employ Wide Array of Policy Options to Address the Risks of Vaping

October 17, 2019|4:27 p.m.| ASTHO Staff

Several states are taking swift action to address the rise of vaping among youth and the nationwide outbreak of vaping-related lung injuries. Earlier this month, ASTHO reviewed some of the recent state executive orders, emergency rules, and state legislation aimed at restricting the sale and distribution of flavored vaping products. Read More »

States’ Food, Housing, and Transportation Initiatives Aim to Reduce Health Disparities

October 10, 2019|2:25 p.m.| ASTHO Staff

The environments in which people live, learn, work, play, and worship directly impact health. Considerable evidence supports the connection between housing, food security, and transportation and health outcomes. Further, systemic and structural barriers have created disparities among groups in terms of their ability to be healthy and to live in healthy environments, which has subsequently stymied the opportunity for all communities to achieve optimal health. States are advancing place-based initiatives and implementing policies to build healthy environments that improve health and ensure equitable opportunity for wellness. Read More »

Using the Icelandic Model to Prevent Teenage Substance Use

October 09, 2019|4:26 p.m.| ASTHO Staff

Harvey Milkman, DPhil, is psychology professor emeritus at Metropolitan State University in Denver and principal consultant for the U.S.-Russia Peer-to-Peer Dialogue Program serving at-risk youth. He has devoted his life to researching youth substance abuse prevention and has published numerous articles and co-authored the book Pathways to Self-Discovery and Change: Criminal Conduct and Substance Abuse Treatment for Adolescents. Read More »

States Take Executive and Legislative Action to Address Vaping and Flavored E-cigarettes

October 03, 2019|10:35 a.m.| ASTHO Staff

Youth electronic cigarette (e-cigarette) use is a growing concern among state and federal policymakers and a public health issue that FDA claims has “hit epidemic proportions.” E-cigarettes are now the most commonly used tobacco products among youth and young adults, with e-cigarette use growing 900 percent among middle and high school students from 2011 to 2015. An estimated 3.6 million middle- and high-school-aged youth reported using e-cigarettes in 2018. Read More »

Statewide Banning of Flavored E-Cigarettes and Other Strategies to Reduce E-Cigarette Use

September 19, 2019|3:11 p.m.| Marcus Plescia MD, MPH | ASTHO Chief Medical Officer

The use and regulation of e-cigarettes continues to be a major news item across the country as federal agencies take strong action to regulate e-cigarette products. Following public comments from HHS Secretary Alex Azar and President Donald Trump, HHS issued a press release on Sept. 11 announcing that the agency intends to remove all flavored e-cigarette products from the market until manufacturers of those products file premarket tobacco product applications with FDA. This comes at the heels of preliminary findings from the 2019 National Youth Tobacco Survey (NYTS), which indicate that over one quarter of U.S. high school students report using an e-cigarette product in the past 30 days, an increase from 2018 when the rate of past 30 day use was 20.8 percent. Read More »

State Policies Aim to Improve Sepsis Prevention and Treatment

September 19, 2019|11:59 a.m.| ASTHO Staff

September is Sepsis Awareness Month, a time to highlight a serious, life-threatening condition. Sepsis occurs when a body’s immune system overwhelmingly responds to an infection and triggers widespread inflammation, leading to blood clots and leaky blood vessels, which can result in organ damage and death. Sepsis can be caused by a wide range of infections, but is most commonly linked to infections of the lungs, kidneys, skin, and gut. Sepsis occurs in patients across the lifespan, but most commonly in infants and individuals over 65. People with chronic medical conditions, such as diabetes, lung disease, cancer, and kidney disease, or with weakened immune systems are also at risk for sepsis. While sepsis is cause for daily concern, it is also a national security issue as those who survive in the aftermath of a chemical, biological, radiological, or nuclear event are at a high risk of also developing sepsis. Read More »

Member Spotlight: Jill Hunsaker Ryan

September 16, 2019|9:39 a.m.| ASTHO Staff

Jill Hunsaker Ryan, MPH, is a public health professional with nearly 25 years of experience in the field. In January, she was appointed by newly-elected Colorado Governor Jared Polis to become the executive director of the Colorado Department of Public Health and Environment. Prior to her appointment, Director Ryan was a two-term county commissioner, where she focused on determinants of health like affordable housing, healthcare, early childhood development, transit-oriented development, environmental justice, climate action, and mental health services. Director Ryan has a background in health planning and epidemiology, and in 2001 she wrote the state’s first assessment of health disparities, which subsequently led to the creation of an Office of Health Disparities, now called the Office of Health Equity. Director Ryan previously served as manager of the Eagle County Public Health Agency and as vice president of the Colorado Board of Health as a governor's appointee. Read More »

Policymakers are Prioritizing Diabetes Management Given Soaring Insulin Prices

September 12, 2019|10:58 a.m.| ASTHO Staff

Over 30 million Americans live with diabetes, and diabetes accounts for $330 billion in healthcare spending annually. Diabetes is the seventh leading cause of death in the United States and number one cause of kidney failure and adult blindness. All fifty states and the District of Columbia offer chronic disease prevention and management programs, including those that utilize evidence-based lifestyle change programs and build community-clinical connections. Read More »

State Legislation Encourages Healthy Food Choices

September 04, 2019|5:36 p.m.| ASTHO Staff

The environment in which we live, work, and play contributes to our eating habits making “you are where you eat” just as important as the more familiar adage. Our surroundings can make healthy eating choices difficult, especially when nutritious foods are costly and unavailable and unhealthy foods are abundant and accessible. Over 23 million people in the United States live in “food deserts,” or low-income neighborhoods that are more than one mile from a supermarket or large grocery store and often home to less nutritious, inexpensive food choices such as fast-food restaurants. Read More »

Infection Prevention and Outbreak Control in Dialysis Settings

August 28, 2019|10:27 a.m.| ASTHO Staff

End-stage renal disease patients are at an increased risk for acquiring infections related to their healthcare. Working with home care providers and other partners, state and territorial public health departments can support infection prevention and control practices in all settings where patients receive dialysis treatment. ASTHO spoke with Jeanne Negley, healthcare-associated infection program surveillance director at the Georgia Department of Public Health and member of the Making Dialysis Safer for Patients Coalition, about the role health departments can take in making dialysis settings safer, as well as her experience in addressing infection control and outbreak response in dialysis settings. Read More »

The Impact of Rural Hospital Closures and State Responses

August 27, 2019|4:25 p.m.| ASTHO Staff

Since 2010, 113 rural hospitals have closed. An additional 21 percent of rural hospitals—a total of 430 facilities—are at high risk of closure. Further complicating matters, 64 percent of those hospitals are considered essential to their communities—a designation made based on a hospital’s trauma center status, its service to vulnerable populations, its distance from other hospitals, and the economic impact it has on a region. Research indicates that access to healthcare and economic vitality are severely reduced following a rural hospital closure. Read More »

Severe Pulmonary Illness Connected to Vaping

August 22, 2019|12:38 p.m.| Marcus Plescia MD, MPH | ASTHO Chief Medical Officer

ASTHO is closely following the current respiratory disease clusters associated with vaping. As part of these efforts, we are in regular contact with CDC regarding updates on their findings and response. We are also working with CSTE and affected states to support response. The following is an overview of what ASTHO currently knows about the present situation and anticipated future action. . Read More »

Measles Resurgence Makes for Busy Year in Vaccination Policy

August 22, 2019|12:05 p.m.| ASTHO Staff

August is National Immunization Awareness Month, an opportunity to highlight the importance of vaccinations for people of all ages. Vaccination can prevent certain deadly diseases in infants, children, teens, adults, and travelers of all ages. When enough people are vaccinated against a disease, the spread of the disease is limited and exposure decreases. When too many people remain unvaccinated, perhaps due to a lack of access to vaccines or because they are hesitant, vaccine-preventable diseases remain a threat. For example, 2019 saw the greatest number of measles cases reported in the United States since 1992 and since measles as an endemic disease was declared eliminated from the United States in 2000. Read More »

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