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In this video Kimberlee Wyche Etheridge and Paula Tran discuss topics ranging from from community engagement to COVID-19 boosters and implementing health equity strategies within the Wisconsin Department of Public Health.

ASTHO Recognizes Georgia’s Public Health Champions ARLINGTON, VA—The Association of State and Territorial Health Officials (ASTHO) is honoring 15 Georgians who are world-renowned public health leaders during an event today hosted by Emory University’s Rollins School of Public Health, and supported in part by the Healthcare Georgia Foundation and the CDC Foundation. Each of these outstanding “Georgia Giants in Public Health” honorees is being recognized for their leadership and dedication to improving the lives and well-being of not just communities in Georgia, but across the nation and around the world. “I am not sure every Georgian knows the rich history of public health that Atlanta has served to nurture, but they should be proud of Georgia today,” says Michael Fraser, ASTHO’s executive director. “This state is home to leaders that helped end smallpox, eradicated Guinea worm, developed the national strategy to control HIV/AIDS, cut tobacco use to record lows, reduced health disparities, and established global immunization programs. In short, the work of these committed Georgia Giants has improved the lives of millions—even billions—worldwide. For that, our nation is truly grateful and our leaders are here today in Atlanta to share our thanks and recognize Georgia’s many contributions to public health.” As ASTHO celebrates its 75th anniversary this year, we reflect on how Atlanta-based institutions like the CDC have shaped generations of public health leaders, contributing to ASTHO’s legacy and commitment to advancing the important work of public health. The Georgia’s Giants in Public Health awards honor transformational state and territorial government leaders and alumni, along with those working at the federal level and with non-governmental organizations to protect and promote our nation’s health. The Georgia Giants in Public Health honorees include: Former U.S. President Jimmy Carter and Former First Lady Rosalynn Carter. James W. Curran, MD, MPH, for his many contributions to disease prevention and epidemiology, as well as his leadership in the field of HIV/AIDS research and outreach. Michael P. Eriksen, ScD, for his contributions to tobacco control, social and behavioral science, and urban and global health. Brenda Fitzgerald, MD, for her leadership as commissioner of the Georgia Department of Public Health, directing the state’s 18 public health districts and 159 county health departments. William H. Foege, MD, MPH, for his many achievements as a champion of child survival and development, as well as contributions to domestic and international health policies, disease eradication and control, and reducing the impact of smallpox. Tom Frieden, MD, MPH, for his numerous achievements in a career dedicated to public health, including leadership as CDC director. Jeffrey P. Koplan, MD, MPH, for his many achievements in epidemic intelligence and infectious disease. Judith Monroe, MD, for her many contributions and continued focus on strengthening public-private partnerships, as well as her leadership as chief executive officer of the CDC Foundation, director of CDC’s Office for State, Tribal, Local and Territorial Support, and her service as a state health official in Indiana and president of ASTHO. Gary Nelson, PhD, for his many contributions to health improvement and healthy aging, as well as his leadership in cancer prevention and control. David A. Ross, ScD, for his pioneering career in public health informatics, as well as his leadership as chief executive officer for the Task Force for Global Health and director of the Public Health Informatics Institute. David Satcher, MD, PhD, for a career dedicated to public health, including numerous contributions in disease prevention and multicultural health disparities, and leadership as the 16th Surgeon General of the United States, assistant secretary for health at HHS, and CDC director. C. Wade Sellers, MD, MPH, for his distinguished public health career, as well as the career of his grandfather, Thomas Fort Sellers, who served as director of the Georgia Department of Public Health from 1948 to 1960, where he developed the tool for rapid diagnosis of rabies. Louis W. Sullivan, MD, for his efforts to enhance health literacy and advance healthy behaviors, as well as his leadership as the 17th HHS secretary and founding dean of the Morehouse School of Medicine. Phillip L. Williams, PhD, for his many achievements in research and toxicology, as well as his leadership as founding dean of the College of Public Health at the University of Georgia. “It is truly wonderful to have an opportunity to celebrate the achievements of Georgia’s public health champions,” says Brenda Fitzgerald, MD, commissioner of the Georgia Department of Public Health and ASTHO’s president-elect. “The men and women honored here inspire us all as they continue to transform public health. I am privileged to serve as the public health commissioner in a state with such incredible resources and leadership.” ASTHO Press Release Boilerplate website yes

State and Territorial Health Officials Gather in Washington, D.C. to Make the Case for Prevention and Public Health Programs WASHINGTON, DC—State and territorial health officials from across the country gathered in Washington, D.C. this week to ask Congress to sustain investments in public health and prevention programs regardless of actions to repeal and replace the Affordable Care Act (ACA). During a Capitol Hill briefing today and meetings with key White House and congressional leaders this week, members of the Association of State and Territorial Health Officials (ASTHO) said that the nation’s health is at risk if proposals to eliminate the Prevention and Public Health Fund do not specify a viable replacement. “Federal funding for core state prevention and public health programs and services has existed for decades. Since its creation in 2010, the Prevention and Public Health Fund has invested $6 billion in preventive health services and core public health programs at the local, state, and federal levels,” says ASTHO Executive Director Michael Fraser. “Eliminating public health programs for community health needs, maternal and child health, cancer screenings, chronic disease prevention, and immunizations without a clear plan for replacement will seriously undermine our ability to effectively protect and promote health programs and guard against emerging public health threats.” “We commonly associate roads and bridges, railways and airports with infrastructure, but public health is also part of our nation’s critical infrastructure,” adds Jay Butler, MD, ASTHO President and Chief Medical Officer at the Alaska Department of Health and Social Services. “Just as the federal interstate highway system promotes commerce between the states, a strong public health infrastructure assures a healthy and productive workforce across the nation. As Congress looks to reinforce our nation’s aging transportation infrastructure, we urge similar efforts to improve and upgrade our nation’s public health system.” ASTHO’s health care infrastructure concerns stem from the fact that many local water systems are rapidly deteriorating and environmental contamination threatens the availability of safe drinking water for millions of Americans. State and territorial public health agencies monitor the air and water safety and work across government to remediate environmental hazards. Critical public health laboratory, public health information systems, and epidemiology capacity are also part of our nation’s public health infrastructure.  In addition to making the case for prevention, state and territorial health officials discussed last year’s public health response to the Zika outbreak and plans for this year’s response, the need for continued support to address the opioid epidemic, and the nation’s need to include public health in proposals to improve the nation’s aging infrastructure. In fiscal year 2016, Congress allocated $932 million from the Prevention and Public Health Fund to programs across multiple federal health agencies, providing the bulk of funding for health programs affecting millions of Americans. ASTHO Press Release Boilerplate website yes

State and Territorial Health Officials Applaud Surgeon General’s First Ever Report on Alcohol, Drugs, and Health ARLINGTON, VA—The Association of State and Territorial Health Officials (ASTHO) commends U.S. Surgeon General Vivek H. Murthy for issuing a landmark report on alcohol, drugs, and health, and remains committed to helping state and territorial health departments enhance prevention efforts, expand access to treatment, and ensure that recovery is possible for everyone struggling with substance use disorders and addiction. “Substance misuse and addictions must be recognized as public health issues, and not just a concern of the criminal justice system,” says Dr. Jay Butler, ASTHO president and chief medical officer for the Alaska Department of Health and Social Services. “We now know that addictions are chronic conditions involving brain function, and substance misuse is often deeply rooted in early life events and social factors. To truly make an impact, we must make these connections to create and implement effective, science-based responses.” Launched in September 2016, ASTHO’s President’s Challenge, led by Dr. Butler, centers around public health approaches to preventing substance misuse and addictions. Through the challenge, ASTHO hopes to further unite and rally state health officials, affiliates, and partners to take action over the next year on this critical and urgent public health issue within states and communities. Since 2012, ASTHO has convened state agencies, healthcare and mental health professionals, third-party payers, researchers, and community-based partners to identify actionable steps to better understand and address prescription drug abuse. “This report marks an important turning point in our nation’s response to substance use disorders and addiction, and further exemplifies the need to support health departments in taking steps to address substance misuse through a comprehensive approach,” says Dr. Michael Fraser, ASTHO Executive Director. “We look forward to continued partnership with our members, federal agencies, local health departments, and other organizations working to address the many issues we face related to misuse and abuse of drugs and alcohol.” Substance misuse and addictions to alcohol, prescription drugs, and illicit substances are long-standing but growing problems in the United States. Over 20 million people have substance use disorders, and 12.5 million Americans reported misusing prescription pain relievers in the past year, according to HHS. Addressing drug and alcohol misuse has been a top priority for health officials across the nation. The Surgeon General’s report includes many ways that all Americans can get involved in preventing drug and alcohol misuse. Specific actions that state health leaders can take include: Providing leadership, guidance, and vision in supporting a science-based approach to addressing substance use-related health issues. Improving coordination between social service systems and the health care system to address the social and environmental factors that contribute to the risk for substance use disorders. Implementing criminal justice reforms to transition to a less punitive and more health-focused approach. “We aren’t going to treat our way out of this problem of misuse and addiction, nor are we going to arrest our way out of it,” says Fraser. “Instead, we have to focus on preventing misuse in the first place. The Surgeon General’s report is a great way for all Americans to get engaged on this issue and promote healthy behaviors at home, at work, in our communities, and in our states.” For more information about ASTHO’s 2017 President’s Challenge, visit www.astho.org/addictions. ASTHO Press Release Boilerplate website yes

Health Officials and Attorneys General Convene to Discuss Legal and Public Health Solutions to Opioid Epidemic ARLINGTON, VA—The Association of State and Territorial Health Officials (ASTHO) and the National Attorneys General Training and Research Institute, a branch of the National Association of Attorneys General, held an inaugural three-day summit with health officials and attorneys general on Nov. 14-16 to promote coordination across public health, law enforcement, and medical professionals to address opioid abuse and misuse, an epidemic that claims the lives of 78 people each day and has now become one of the nation’s most urgent public health threats. At the meeting, health officials and attorneys general discussed the importance of working together to change the conversation about people with substance use disorders, and the need to move from punitive approaches toward compassionate, evidence-based treatment. Health and law enforcement officials are intensifying efforts to improve prescribing practices, apply effective regulatory and enforcement measures, and eliminate stigma and misconceptions about individuals who seek addiction treatment. “We need to reframe the conversation about addiction, from one about bad choices and moral failings to one about chronic health conditions that affect the brain,” says Jay Butler, ASTHO president and chief medical officer for the Alaska Department of Health and Social Services. “Together, public health and law enforcement officials have a critical role to play in ending this epidemic that continues to devastate our families and communities.” ASTHO’s 2017 President’s Challenge, led by Butler, centers around public health approaches to preventing substance misuse and addictions. Through the challenge, ASTHO will unite and rally state health officials, affiliates, and other cross-sector partners to take action on this critical and urgent public health issue within states and communities. State health officials will work to expand primary prevention efforts in their states to educate consumers, prescribers, families, policymakers, and other partners about opioid use, and address risk factors in communities to reduce demand for drugs and other addictive substances. U.S. Surgeon General Vivek Murthy and Office of National Drug Control Policy Director Michael Botticelli also delivered remarks on Monday, calling for greater integration of substance use disorder services into the healthcare system so that addiction can be treated with the same precision and urgency as other health conditions like diabetes, heart disease, or cancer. Nationally recognized experts and thought leaders from the National Institute on Drug Abuse, CDC’s National Center for Injury Prevention and Control, the Substance Abuse and Mental Health Services Administration, the American Medical Association, and the Johns Hopkins Bloomberg School of Public Health also described federal and state policy options, strategies for engaging medical professionals, and promising community-based prevention initiatives. ASTHO Press Release Boilerplate website yes

State Health Officials to Congress: Act on Zika Funding Now ARLINGTON, VA—While Congress debates the future of federal funding for Zika preparedness and response, the Zika virus continues to spread. Rising case numbers and new information about long-term consequences of the infection highlight the urgency of mounting a major response. For the sake of our nation’s health, our representatives in Washington must come together and approve a bill to fund needed Zika preparedness response efforts and keep our nation’s public health infrastructure strong and secure. This national and state public health emergency requires a coordinated and properly resourced effort at the federal, state, and local levels. The nation’s state and territorial health officials stand ready to be part of that effort.   Zika virus is likely to continue to spread and is here to stay. While there is still much to learn about the virus and its health impacts, what we know already justifies an aggressive response. The virus has a potentially devastating impact on fetal development, and we are learning more about the risk of long-term health impacts for adults who become infected. We also know that federal agencies and state and territorial health departments are inadequately funded to respond to this crisis. There is an urgent need for additional resources to shore up mosquito control efforts, educate the public, increase public laboratory capacity, provide help to families with infants exposed to Zika, and follow up with pregnant women who may have been exposed to Zika at home or abroad. Due to the urgency of this threat, state and federal health agencies have been forced to divert resources from other critical public health programs to pay for Zika response. We agree that this robbing-Peter-to-pay-Paul approach, described by Centers for Disease Control and Prevention Director Dr. Tom Frieden and National Institute of Allergy and Infectious Diseases Director Dr. Anthony S. Fauci in their August 31 Washington Post editorial, is the wrong way to fight the Zika epidemic. We need a focused, coordinated, and adequately funded response to Zika while continuing to support the other essential work health agencies do to protect the public. For this to happen, Congress must act now. “We urge Congress to recognize that this is a serious, nonpartisan threat and to come together to pass emergency funding so that the public health system can effectively respond to Zika while simultaneously preparing for myriad other health threats like Ebola, natural disasters, and the upcoming influenza season,” said ASTHO President and Minnesota Commissioner of Health Edward P. Ehlinger, MD, MSPH. In the absence of dedicated funding for Zika response, public health officials must fund Zika efforts by redirecting funds away from other important functions such as the all-hazards preparedness efforts of state and territorial health agencies that enable them to rapidly respond to public health emergencies of all kinds. This approach leaves us in a precarious position as Zika will not be the only public health emergency that state and territorial health agencies face. States are tasked with minimizing and mitigating the health effects of hurricanes, tornadoes, terrorist attacks, chemical spills, and all kinds of other manmade and natural emergencies. Preparation and response to Zika is a massive undertaking, and Congressional inaction is handcuffing states, limiting their ability to prepare and respond to emergency situations. It has been months since public health officials first began calling for Zika funding, and Congressional delay lays bare the inadequacy of America’s piecemeal approach to funding public health emergency responses. In addition to properly funding a Zika response, we also need to create a permanent, FEMA-style Public Health Emergency Fund to facilitate an immediate response to public health emergencies. Public health crises arise independent of the Congressional calendar, and such a fund would allow for a rapid response rather than redirecting public health funding from other critical priorities. Federal and state health agencies are obligated to protect health and wellness nationwide. We believe Congress is similarly obligated to support the critical health protection efforts in partnership with the states. As Drs. Frieden and Fauci stated, we should be working tirelessly to respond to and slow the spread of Zika infections and support those families whose newborns have been affected by this virus. We are ready to do that, but we need support from Congress now to make it happen. ASTHO Press Release Boilerplate website yes

The Association of State and Territorial Health Officials Challenges Members to Promote Health Equity and Health in All Policies ARLINGTON, VA—The Association of State and Territorial Health Officials (ASTHO) and ASTHO President and Minnesota Department of Health Commissioner Edward Ehlinger have issued the 2016 ASTHO President’s Challenge: Advancing Health Equity and Optimal Health for All. The challenge is based on the Triple Aim of Health Equity, a framework weaving together three core elements of public health practice and policy which recognize that health status is influenced by a host of factors—most of them outside the healthcare system. The 2016 challenge calls upon states and territories to: (1) expand their understanding of what creates health, (2) implement a Health in All Policies (HiAP) approach with health equity as the goal, and (3) strengthen community capacity to create their own healthy future. The challenge encourages states and territories to broaden their approaches to advancing health equity and improving the health of all their residents by adopting the foundational public health practices embodied in the Triple Aim of Health Equity. The challenge will be to use these practices to address a policy, program, or activity issue within their jurisdictions in the next year. “The dominant narrative in America is that health is the responsibility of individuals until they get sick, and then health becomes the responsibility of the healthcare system,” Ehlinger says. “This outdated narrative allows little room for community or social influences, and its deficiency is clear when you look at the health disparities in this country and our overall health outcomes relative to other developed nations.” The challenge specifically targets health inequities that plague a number of groups that have been disadvantaged in America. As the nation becomes more diverse, the impact of unaddressed inequities will become more evident and alarming. According to the U.S. Census Bureau, 50.4 percent of children 1 year of age and younger belong to a minority group as of July 2011. By 2044, a majority of the entire U.S. population will belong to a minority group. Yet research shows that minority populations are disproportionately affected by higher rates of poverty, decreased graduation rates, and food and housing insecurity—factors that decrease their opportunities to be healthy. The new challenge will use three core elements of public health practice that make up the Triple Aim of Health Equity approach to elevate the profile of advancing health equity and creating optimal health for all. ASTHO will support state and territorial health officials and partners who accept the challenge by providing technical assistance and support, sharing best practices and success stories, and facilitating information exchange and opportunities for collaboration around health equity and HiAP approaches. Ehlinger has recently presented on the challenge to CDC, the Institute of Medicine Committee on Community Based Solutions to Promote Health Equity in the United States, and multiple professional groups around the country. “The 2016 ASTHO President’s Challenge recognizes that good health does not begin with treating illness. Our health status arises from our everyday environments, activities, and the people around us,” says Sharon Moffatt, ASTHO interim executive director. “We are proud to work with Dr. Ehlinger to promote health equity and optimal health for all. When we build healthier communities, we all benefit.” In November, U.S. Surgeon General Vivek Murthy joined Ehlinger during the Health Equity in All Policies panel at the American Public Health Association’s 2015 Annual Meeting, where Murthy voiced his support for the new President’s Challenge. “Reducing disparities in health will give everyone a chance to live a healthy life and improve the quality of life for all Americans,” says Murthy. To learn more about the 2016 ASTHO President’s Challenge, visit: www.astho.org/Health-Equity/2016-Challenge. ASTHO Press Release Boilerplate website yes

Association of State and Territorial Health Officials Announces New Leadership Appointments SALT LAKE CITY—Edward Ehlinger, commissioner of the Minnesota Department of Health, was elected president of the Association of State and Territorial Health Officials (ASTHO) during the association’s annual meeting. Brenda Fitzgerald, commissioner for the Georgia Department of Public Health, was elected as secretary-treasurer at the same meeting. Jay Butler, chief medical officer and director of the Division of Public Health at Alaska Department of Health and Social Services, became president-elect. All appointments take effect immediately. Ehlinger has served as Minnesota’s health commissioner since January 2011. Previously, he was the director and chief health officer for Boynton Health Service at the University of Minnesota, as well as director of personal health services for the Minneapolis Health Department. He has been honored with the Albert Justus Chesley Award from the Minnesota Public Health Association, the Advancement of Justice Award from the Hennepin County Bar Association, the first Ed Ehlinger Award from CityMatCH, and the Physician Communicator Award from the Minnesota Medical Association. In Minnesota, he is famous for his “Pitch the Commissioner” tours, where he travels to different counties and invites their citizens to join him in a game of horseshoes as they share ideas about what their communities need to be healthy. Fitzgerald is a board-certified obstetrician-gynecologist and a fellow in anti-aging medicine. Prior to her current role as George’s health commissioner, Fitzgerald served on the Georgia OB-GYN Society’s board and as its president. She also worked as a healthcare policy adviser with House Speaker Newt Gingrich and Sen. Paul Coverdell. As a major in the U.S. Air Force, Fitzgerald served at the Wurtsmith Air Force Base in Michigan and the Andrews Air Force Base in Washington, D.C. In 2012, Fitzgerald led the launch of Georgia SHAPE, a childhood fitness and obesity reduction program that received formal commendation from the President’s Council on Fitness, Sports & Nutrition in 2014. Butler was appointed chief medical officer and director of the Division of Public Health at Alaska Department of Health and Social Services in 2014. Previously, he was senior director for community health services at the Alaska Native Tribal Health Consortium in Anchorage, where he was also a clinical infectious diseases consultant and medical director for infection control and employee health. Butler served as a U.S. Public Health Service medical officer for more than 23 years, and participated in a number of emergency deployments, such as heading the H1N1 Vaccine Task Force at CDC and being a team co-leader during the CDC responses to the SARS outbreak of 2003, avian influenza in 2004, and Hurricanes Katrina and Rita in 2005. In 2010, he received ASTHO’s National Excellence in Public Health Award.    Jewel Mullen, commissioner of the Connecticut Department of Public Health, became immediate past president; and Terry Cline, commissioner of the Oklahoma State Department of Health, became past president. All ASTHO offices are one-year positions. ASTHO Press Release Boilerplate website yes

ASTHO Honors 2015 Public Health Heroes SALT LAKE CITY—The Association of State and Territorial Health Officials (ASTHO) is pleased to announce the winners of the 2015 ASTHO public health heroes awards. Anne Schuchat, director of CDC's National Center for Immunization and Respiratory Diseases and assistant surgeon general, was awarded the National Excellence in Public Health Award. Schuchat has made vital contributions to preventing infectious diseases in children. She led the development of CDC′s guidelines on perinatal group B streptococcal disease, which resulted in an 80 percent reduction in newborn infections and a 75 percent narrowing of racial disparities among sufferers. She previously worked in West Africa on meningitis vaccine studies, South Africa on surveillance and prevention projects, and China on SARS emergency response. Sylvia Pirani, director of the Office of Public Health Practice within the New York State Department of Health, received the State Excellence in Public Health Award. Pirani has been a driving force behind the New York State Prevention Agenda 2013-2017, the five-year state health improvement plan to make New York the healthiest state in the nation, and was instrumental to assembling a large network of partners across the state to improve understanding of the social determinants of health and promote the Health in All Policies approach. José T. Montero, vice president of population health and health systems integration at Cheshire Medical Center/Dartmouth-Hitchcock Keene, is the 2015 McCormack Award winner. Established in 1950 to honor Arthur T. McCormack, a Kentucky state health official, the McCormack Award is presented each year to a current or former public health official who has served for at least 10 years, been a chief state health official for at least five years, demonstrated excellence, and made a significant contribution to the knowledge and practice of the field. From 2008 to 2015, Montero was the public health director at the New Hampshire Department of Health and Human Services, Division of Public Health Services, and served as ASTHO president from 2012-2013. He is a leader in developing population health at the national level and integrating public health and healthcare to improve population health outcomes. The Noble J. Swearingen Award was awarded to Guthrie S. Birkhead, deputy director of New York State Department of Health. Since 1979, the Swearingen Award, named for a former ASTHO executive director, has been bestowed on one individual in public health administration who has five or more years of experience in a state health agency, and five or more years in service to the ASTHO Senior Deputies Committee or in some other capacity. Birkhead is a communicable disease epidemiology specialist whose work in New York includes directing the Center for Community Health, AIDS Institute, Center for Environmental Health, Wadsworth Center Laboratory, Office of Public Health Practice, Office of Health Emergency Preparedness, and Office of Public Health Informatics and Project Management. The Presidential Meritorious Service Award is given by the ASTHO president to honor a health leader who has made outstanding contributions to ASTHO and state public health. This year, ASTHO President Jewel Mullen recognized Joycelyn Elders, the sixteenth Surgeon General of the United States. Elders was the first African American and second woman to head the U.S. Public Health Service. Elders grew up in a rural, segregated, poverty-stricken pocket of Arkansas before becoming the first person in Arkansas to be board-certified in pediatric endocrinology. She is a professor emeritus at the University of Arkansas for Medical Sciences, and remains active in public health education. ASTHO’s Alumni Award is presented to a former chief state health official who has demonstrated his or her continued commitment to public health. This year’s Alumni Award winner is Bob Harmon, a physician executive at Cerner Corporation and director of the Missouri Department of Health from 1986 to 1990. Harmon has authored more than 70 publications dealing with health information technology, quality improvement, managed care, primary care, public health administration, and health policy. ASTHO in honored to recognize these public health leaders for their dedication and service to improving health and wellness. ASTHO Press Release Boilerplate website yes

New platform will provide forum for data exchange, analysis, and visualization to support public health work

Multistate Measles Outbreak Drives Up State Health Agency Costs and Points to Importance of Quality Immunization Communication ARLINGTON, VA—With the Disneyland measles outbreak up to 87 cases in seven states as of Jan. 26, state health departments are responding to the disease by educating primary care providers and the public about measles and conducting contact tracing. Measles is airborne and one of the most contagious diseases in existence-it can linger in a room for up to two hours after the infected person has left. It also remains pervasive around the world and can easily be imported into other countries. WHO reports that although measles deaths decreased by 73 percent worldwide between 2000 and 2013, measles still caused 145,700 deaths globally in 2013. "Measles was declared eliminated in the United States in 2000. Sadly, this status is endangered," says Paul Jarris, MD, MBA, Association of State and Territorial Health Officials (ASTHO) executive director. "Many parents and physicians have never seen a case of measles before. This outbreak demonstrates why we can never let our guard down against vaccine-preventable diseases." Due to its highly infectious nature, health departments have to respond rapidly and thoroughly to contain outbreaks and save lives. If a measles patient has traveled to school, the grocery store, or any other public space, a large group of people may have been exposed to the disease. State health departments are responsible for ensuring that patients are isolated to prevent further spread. They then identify potential contacts, educate them about measles symptoms, advise them on when to go to the doctor, and encourage them to become immunized if they aren't already. "At ASTHO, I'm proud of the work that the California Department of Public Health and other states are doing to protect our children by containing this outbreak, preventing future ones, and bringing us closer to maintaining full elimination status," Jarris says. In addition to the time spent containing a measles outbreak, responding to them is expensive for state and local governments. A March 2014 study found that there were 16 measles outbreaks in 2011 that resulted in 107 cases, which cost local and state public health departments an estimated $2.7 million to $5.3 million. However, these outbreaks and their time and economic burdens are preventable. Every dollar spent on the child measles, mumps, and rubella vaccine saves $23.30, according to CDC. "This is an important opportunity for public health to continue to articulate the benefits of immunization," says Kathy Talkington, ASTHO's senior director of immunization and infectious disease. "This measles outbreak illustrates that we live in a global world, and as long as these diseases exist in other countries, we must continue to protect ourselves in all communities through high immunization rates." See ASTHO's blog StatePublicHealth.org for the full article on the measles outbreak, as well as tips on how public health professionals can communicate with the public and primary care providers about how vaccines can prevent outbreaks and save lives. ASTHO Press Release Boilerplate website yes

Recording Available: State Health Leaders Outline Respiratory Virus Season Strategies During ASTHO Briefing ARLINGTON, VA — Ahead of the fall respiratory virus season, the Association of State and Territorial Health Officials (ASTHO) hosted a deskside media briefing with public health leaders to discuss the importance, efficacy and safety of vaccines and the role they play in reducing the burden of respiratory illness. "Reliable studies show that vaccines are critical tools which offer protection against serious respiratory illnesses such as seasonal influenza, COVID-19, and RSV. Vaccines and boosters strengthen protection and improve the chances that any infections will be less severe in children and adults this fall and winter,” says Scott Harris, MD, MPH, ASTHO president and state health officer, Alabama Department of Public Health. “Routine childhood vaccination has been proven safe and effective, flu shots are recommended for everyone age 6 months and older with a few exceptions, and RSV vaccine helps protect pregnant women and older adults against hospitalization and death.” “Connecticut ranked highest in the country for two-dose measles vaccination rate among kindergarteners and our other increasing immunization rates stand in contrast to the national decline," says Manisha Juthani, MD, ASTHO president-elect and Connecticut Department of Public Health commissioner. "Our high vaccination rates have helped Connecticut remain one of nine states that has not had a case of measles yet as cases continue to accumulate around the country. Staying up to date on routine vaccines, particularly as we head into back-to-school and cold and flu season, is crucial for protecting families from preventable diseases and maintaining community-level immunity. We cannot predict which respiratory viral infection will be most prevalent this season, but we can protect our families against them and potential severe complications by getting vaccinated this fall." “There are signs that disinformation and confusion have impacted how parents have vaccinated their kids both for regular school-based vaccines and for respiratory viruses. This is a trend we need to really be concerned about,” says Ayanna Bennett, MD, MSPH, director of the District of Columbia Department of Health. “Children have special vulnerabilities, and we want to be sure that if we have protection, we are delivering it to them.” View a recording of ASTHO’s deskside media briefing. ASTHO Press Release Boilerplate website yes

Recording Available: State Health Leaders Convene During ASTHO Deskside Briefing to Rally Behind Chronic Disease Prevention in U.S. ARLINGTON, VA — On June 24, the Association of State and Territorial Health Officials (ASTHO), convened state health officials for a deskside media briefing focused on the impact of nutrition on chronic disease prevention in the United States. The event highlighted how strategic public health investments can help reduce chronic disease nationwide and help Americans lead healthier lives. “We know chronic disease is a leading cause of death in the United States. It’s something that state health departments have particularly been working on for a long time," says ASTHO Chief Medical Officer Susan Kansagra, MD, MBA, who moderated the discussion. “Obesity makes every chronic disease harder, it just makes life harder. I’m thrilled that this is a national priority. I welcome it,” says James McDonald, MD, MPH, commissioner of health, New York State Department of Health. “I think if we can get our handle on obesity as a nation then this is just one of the ways you can make us all healthier again.” “I am ecstatic that we as a nation and here in the state of Indiana with our Make Indiana Healthy Again plan are talking about nutrition and physical activity,” says Lindsay Weaver, MD, state health commissioner, Indiana Department of Health. “Frankly, it’s going back to the basics. It’s educating new moms and families. It’s working closely with our schools and education.” “Our legislators see the problem in their communities and we are working with them to be a part of the solution. Here in Tennessee, the General Assembly recently passed a law to expand the amount of time children have to be physically active at school,” says Ralph Alvarado, MD, commissioner, Tennessee Department of Health. Dr. Alvarado also discussed valued partnerships with faith-based communities, volunteer Health Councils which exist in every county in Tennessee, and the growing interest in ‘Blue Zone’ concepts -including in many rural parts of the state.” View the recording of ASTHO’s deskside media briefing. ASTHO Press Release Boilerplate website yes

ASTHO Members Advocate for $1 Billion Investment in Public Health Infrastructure During Annual Spring Leadership Forum ARLINGTON, VA — The Association of State and Territorial Health Officials (ASTHO) will convene state, territorial and freely associated state health leaders in Washington, D.C., March 2-5 for its annual Spring Leadership Forum. Attendees will meet with members of Congress and federal partners to advocate for sustained funding and long-term investments in the nation’s public health infrastructure. During meetings, ASTHO members will stress the importance of a strong, resilient public health system. ASTHO urges Congress to invest $1 billion in FY27 in public health infrastructure — or about $3 per person nationwide — to ensure health agencies can maintain core capabilities such as disease surveillance, laboratory capacity, data modernization and workforce development. “This week, ASTHO members will meet with Congress to highlight the essential role federal funding plays in protecting the health of communities in every state and territory as well as the impact of grant pauses and terminations,” says Joseph Kanter, MD, MPH, ASTHO CEO. “Sustained, predictable investments allow health agencies to maintain the workforce, laboratories and data systems that keep the public healthy and safe.” As part of this convening, senior leadership from the U.S. territories and freely associated states (T/FAS) will participate in island-focused meetings. On Capitol Hill, ASTHO’s T/FAS members will discuss the impact of the recently renegotiated Compacts of Free Association, as well as emphasize the importance of territorial Medicaid funding and the challenges associated with the Section 1108b cap on territorial Medicaid funding. With federal agency partners, T/FAS members will discuss emerging and priority public health issues, including veterans' access to care. "ASTHO’s Spring Leadership Forum offers an invaluable platform for T/FAS health leaders to engage directly with decisionmakers in Washington, D.C. We welcome the opportunity to share island perspectives and collaborate with Congress and federal agencies on shared public health priorities," says Justa Encarnacion, RN, MBA, HCM, the commissioner of health in the U.S. Virgin Islands and director on the ASTHO Board. ASTHO Press Release Boilerplate website yes

A Blueprint for Establishing a Health Equity or Minority Health Office 30:37 minutes Learn how to form and manage an office of health equity or minority health, based on several firsthand experiences. Listen to the podcast episode now. <!-- Podcast Embed ep 93 --> There are many considerations when forming and managing an office of health equity or minority health. The National Association of State Offices of Minority Health shares how agencies across the United States have overcome common challenges and benefited from having a dedicated health equity office. In addition, the United States Virgin Islands Department of Health discusses initial successes and challenges experienced while establishing their office. Finally, the California Department of Public Health, with a well-established office of health equity, shares how their office utilized health equity liaisons and supported rural/tribal communities. This podcast episode complements the recently published ASTHOReport “Establishing an Office of Health Equity or Minority Health,” which examines different approaches to sustainability. Show Notes Guests Rohan Radhakrishna, MD, MPH, MS, Former Deputy Director and Chief Equity Officer, California Department of Public Health Justa Encarnacion, RN, MBA, HCM, Health Commissioner and Chief Public Health Officer, United States Virgin Islands Department of Health Veronica Halloway, Executive Director, National Association of State Offices of Minority Health Resources Establishing an Office of Health Equity or Minority Health | ASTHO Islands Health Equity Framework | ASTHO Office of Health Equity | California Department of Public Health United States Virgin Islands Department of Health National Association of State Offices of Minority Health Podcast Transcript ep 93 website yes

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