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Important everyday health services, including declines in immunization coverage, have been negatively impacted during the COVID-19 pandemic. One particularly troubling example is that coverage for childhood vaccines has gone down, leaving children under- and un-vaccinated.

As a lifelong public health professional, I am troubled by the opportunities I missed to better address racial injustice. We must used this moment to refresh, to listen and learn from each other. If we are who we say we are, and if we are as brave as we can be, we can fulfill our vision for a better, more equitable, future.

The core value of public health is social justice. Our field must do more to address the inequities in our society and confront the racism that keeps all of us from being healthy.

The statistics of who is dying from COVID-19 paint a glaring picture and highlight the ever-growing health disparities that exist in communities of color. These health disparities have become a focus area for Congress during COVID-19 response activities.

To help break the chain of COVID-19 infections, state and local health departments are conducting disease investigations and contact tracing, core tools of public health practice used to combat the spread of communicable diseases. This post is a brief review of state legislation that would impact these public health tools.

COVID-19 has generated awareness of the importance of building community resiliency and brought about an influx of federal funding, which offers an opportunity to advance equity in prevention, social determinants of health, and healthcare.

Policymakers seek to prevent the spread of COVID-19 by focusing on non-congregate sheltering and alternative housing for unhoused populations.

As the response to COVID-19 transitions from response to recovery, advocacy efforts continue to intensify on Capitol Hill, to help shape negotiations on the fifth emergency supplemental package.

This Health Policy Update is an overview of policy strategies that states have taken at the executive and legislative levels to increase the healthcare workforce to more effectively and efficiently respond to the COVID-19 pandemic.

The novel coronavirus, COVID-19, shows no bias—it has infected people of all ages, genders, races, and ethnicities. However, racial and ethnic disparities in rates of infection and deaths have emerged. Public health officials can and must emphasize the necessity for data on racial disparities as the pandemic unfolds.

The requisites for community recovery include universal COVID-19 testing, public compliance with stay-at-home and physical distancing recommendations, and a public health and health care system with the capacity to respond to hotspots and outbreaks of COVID-19 as restrictions on movement and gathering are gradually lifted.

As we celebrate the 25th anniversary of National Public Health Week, it is important to remember that COVID-19 represents such a threat to our collective health, and it requires our best work to mitigate it

To prepare and respond to COVID-19, Congress and the administration approved three emergency supplemental bills for the federal, state, local, territorial, and tribal governmental agencies. This post outlines some key points to keep in mind about this money and the upcoming efforts to provide financial relief.

COVID-19 Highlights Need to Fund State Public Health Association of state and territorial health officials, astho, covid-19, covid-19 pandemic, public health, public health infrastructure, state health agency, public health workforce, public health emergency, public health workers ASTHO Staff The COVID-19 pandemic has reminded us just how critical is to invest in public health infrastructure and workers, both of which are severely in need of support. If the current COVID-19 pandemic can teach us anything, it’s the importance of having a strong public health infrastructure. State and local health agencies maintain core capabilities critical to promoting and protecting the public’s health, in both times of crisis and calm. Though often associated with tackling chronic and infectious disease, the significance of the state public health infrastructure extends far beyond that. In many states, state health agencies (SHAs) are accountable for protecting community resources the population relies heavily on, like inspecting and regulating hospitals and emergency medical services, laboratories, nursing homes, and even, in some jurisdictions, solid waste disposal sites and haulers. This infrastructure depends on its resources and support. This recent brief outlines SHA resource and capacity trends since 2010 based on data from the ASTHO Profile, a comprehensive survey of the structures, functions, and resources of state and territorial health agencies. The most recent survey, fielded in 2019, found that SHAs reduced their spending over the past few years. Per capita, spending by state health agencies was even lower in 2018 than in 2010. Human resources are also on the decline. Since 2010, the state public health workforce decreased by more than 15 percent. Although much of SHA spending goes directly to local health departments, the local public health workforce has also seen a steady decrease since 2008, according to the National Association of County and City Health Officials. This instability in resources makes it difficult for health agencies to maintain those foundational capabilities of the public health infrastructure. The Public Health National Innovations Center’s Foundational Public Health Services framework outlines the core capabilities of health departments, like surveillance, communications, policy development, community partnerships, and, notably, emergency preparedness and response. When facing public health emergencies like the COVID-19 pandemic, some of the less commonly used services become the most important. Health agencies best serve their jurisdictions by sustaining these capabilities to address core public health concerns as well as the competencies needed during public health emergencies. But those resources dedicated to preparedness and response are constrained. In fiscal year 2010, 6.6 percent of SHAs’ expenditures went to all hazards preparedness and response. In fiscal year 2018, agencies could afford to spend just 3.5 percent of their budgets on preparedness. But despite limited resources, SHAs have maintained the infrastructure to prepare and respond to public health emergencies, including capacity for laboratory testing, immunizations, and infectious disease surveillance. SHAs have also developed essential partnerships to ready themselves. According to the 2019 ASTHO Profile, about 29 percent of SHAs share resources with other states on a continuous, recurring non-emergency basis. Since 2012, all-hazards response and epidemiology are the top two shared functions, laying the groundwork for the type of multi-state response that may be needed in the face of a pandemic. During public health crises, SHAs must also maintain administrative preparedness, which includes the ability to quickly accept and allocate emergency supplemental funding and to rapidly increase the public health workforce. The COVID-19 response will require “a long-term, intense activation at the state level working across the healthcare system,” said Nirav Shah, MD, director of the Maine Center for Disease Control and Prevention, on a recent episode of the Public Health Review podcast. According to Shah, the system will need adequate resources and additional staff to maintain that activation and keep health agency staff from splitting their time, energy, and focus. Public health infrastructure is more important than ever so that SHAs can continue their charge while mitigating the current challenges. States need consistent resources to respond to emergencies like COVID-19 and to simultaneously keep up their other critical responsibilities. After all: “We will not have served the public’s health if we add to coronavirus simply by taking away from something else,” says Shah. website yes

In response to the COVID-19 pandemic, states are using their emergency powers to authorize a variety of social distancing measures. This post is a summary of executive orders that have led to the closure of many businesses and nonprofit organizations, as well as proposed state legislation to provide economic assistance to businesses impacted by COVID-19.

16 recommendations for states as they set up mobile and drive-through COVID-19 test sites.

There are two alarming health trends on the rise affecting women across the United States: maternal mortality and severe maternal morbidity. This post is an overview of legislative activity from the current session to address the high prevalence of maternal mortality and morbidity in the U.S.

February is Heart Month, a time to not only celebrate our love for others but also the organ that pumps us full of life - yet heart disease continues to be the leading cause of death in the U.S. This post is an overview of state legislation that would increase access to nutritious food, wellness opportunities, and incentives to improve heart health.

Government affairs officers from ASTHO and NACCHO discuss approaching public health advocacy as a coalition and the upcoming 2020 Hill Day.

Weeks into this large-scale response, the 2019 novel coronavirus outbreak (2019-nCoV) continues to be a global public health threat.