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Public health agencies have an opportunity to recruit for and retain a diverse and skilled workforce. As new funding opportunities emerge ASTHO recommends a focus on proof, people, and processes.

The COVID-19 pandemic highlighted the importance of having in-house skills to respond to worldwide public health emergencies. Because of this, the American College of Preventive Medicine recommends that health departments consider bringing a board-certified preventive medicine physician on staff or to have one available to assist with preparedness and population health interventions.

To learn more about how the DELPH program has influenced our scholars’ leadership journey so far, ASTHO spoke with three leaders in the current cohort: Andrea Lowe, director of legislative services at the Nebraska Department of Health and Human Services; Tiffany Wilson, data analytics branch manager at the Alabama Department of Public Health; and Harold Gil, data science support unit supervisor at the Washington State Department of Health.

An issue that public health wrestles with is how to combat racism as we would any other public health emergency. ASTHO’s board of directors has declared structural racism a public health emergency. And health equity is the number one priority in ASTHO’s strategic plan, which means our staff will prioritize equity work as we support all aspects of our members’ technical assistance and capacity building needs.

Continuing ASTHO’s Legislative Prospectus series—which highlights the top 10 public health policy issues for 2022—we are focusing this week on mental and behavioral health as well as supporting the public health workforce.

Amid so much uncertainty, it might feel naïve to make any claims about what the future holds. But it is in these moments that it becomes more important than ever to have beacons to guide us and give us hope. As we look ahead to 2022, here are four priorities that must steer the public health course in the year to come.

Every year on Nov. 22, ASTHO—and countless other agencies and organizations worldwide—take a moment to acknowledge the public health workforce on Public Health Thank You Day. Like so many other days of recognition, it has become a blip on our yearly calendar. And, simply put, that’s just not enough. This year, ASTHO leadership took pen to paper to share some of our feelings, fears, and—yes, our thanks—for everything the public health workforce has always done to protect us.

In addition to the countless hours worked during the COVID-19 pandemic, many public health workers are also grappling with how to repay outstanding federal loans. In response, the U.S. Department of Education (DOE) recently announced temporary relief to current and future Public Service Loan Forgiveness (PSLF) program participants as a result of the COVID-19 pandemic.

Six questions with Scott Becker, CEO of the Association of Public Health Laboratories. Becker is active in national and international public health initiatives. He chairs the Governance Working Group for the Global Laboratory Leadership Program, a collaboration with the World Health Organization, CDC, and others to develop a competency-based curriculum for laboratory leaders. Additionally, Becker is a member of the Affiliate Council of ASTHO, which he formerly chaired.

Pharmacies have long been instrumental partners in providing lifesaving vaccines nationwide. As state and territorial health officials evaluate their COVID-19 response, planners must include input from the pharmacy community when identifying areas for improvement, as well as best vaccination practices in advance of future public health emergencies.

Though now an illegal practice, government contracts, policies, and practices have generally excluded women, and Black, Indigenous, and people of color. Still, practices and existing structures continue the inequitable distribution of all contracts. Governmental and non-governmental grants and funding should benefit the communities they serve while being proportionate to the communities' demographics. This is where inclusive contracting comes in.

As we head into Memorial Day weekend and honor the members of our armed forces who have made the ultimate sacrifice for our country and its freedoms, it is also important for us to give thanks to public health workers for being a shining example of what it means to lead in the face of a crisis.

When rural hospitals close, it increases the distance people must travel for essential healthcare services. The COVID-19 pandemic has highlighted and magnified the factors leading to rural hospital closures across the country. Many healthcare facilities suspended elective procedures to conserve critically needed personal protective equipment and reduce the risk of exposure to COVID-19 by patients and hospital staff. For many rural hospitals, however, the suspension of elective procedures with the reduced the use of non-urgent services by apprehensive patients meant a loss of revenue and the furloughed healthcare staff. Since the onset of the COVID-19 pandemic, approximately half of all rural hospitals are experiencing negative operating margins due to reduced outpatient revenue. The rate increases in states that have not expanded Medicaid. Unfortunately, these kinds of challenges are not new to rural hospitals.

In this episode, hear firsthand from an AmeriCorps member and supervisor about mentorship, impact, and workforce development.

In this episode, experts spoke with ASTHO about solutions to recruit new public health professionals and the partnerships forming around that endeavor.

On this episode, graduates of ASTHO’s Essentials of Leadership and Management share how the program has improved their work and helped them grow as leaders.

A public health approach is needed to address youth mental health by supporting frontline staff through a “helping the helpers” model. In this episode, experts discuss strategies and promising state practices for cross-sector collaborations.

In this episode, guests discuss the urgent need to find new recruits in forensic pathology and urge state health officials to consider reforms that could help bring reinforcement to a critical yet often neglected profession with a huge impact on public health.

Dr. Brian Castrucci, President and CEO of the de Beaumont Foundation, says workforce data indicates public health agencies could lose nearly 130,000 employees by 2025; J.T. Lane, ASTHO’s Senior Vice President for Population Health and Innovation, says agencies can learn about the latest technology innovations at ASTHO’s Public Health TechXpo; and an ASTHO blog article discusses how the organization partnered with the Ohio Department of Health to include people living with disabilities in preparedness planning.

Dr. Thomas Dobbs, Dean of the John D. Bower School of Population Health at the University of Mississippi Medical Center, writes about problems impacting public health, such as underfunding, bureaucracy, and inadequate administrative support, in an article for Health Affairs; Omar Khalid, ASTHO’s Director of Workforce Development, says ASTHO has a new online resource hub to help agencies build resilience among members of their workforce; and five years ago today, ASTHO delivered the first episode of the Public Health Review podcast.