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Seven Public Health Podcasts to Follow in 2022

Blog,

Public health is rapidly changing, especially during the COVID-19 pandemic. Public health professionals are having to navigate their way through these changes all while remaining steadfast in their ability to help their communities. With new information emerging every day, it's essential to have a backlog of sources you can reference that are trustworthy, up-to-date, and easy to access.

Forward Focus: The Urgent Need to Address Rising Cases of Viral Hepatitis

Blog,

In the background of the COVID-19 pandemic, cases of viral hepatitis continue to rise at alarming rates across the United States. Data from CDC highlights a 133% rise in cases of acute hepatitis C infection from 2012-2019 and new case counts four times higher than those seen a decade ago. State and territorial health officials play a crucial role in the planning and implementation of viral hepatitis elimination activities.

Embedded: When Disaster Strikes for People Living With Disabilities

Blog,

Over the past twenty years, the frequency and intensity of extreme weather events and natural disasters have increased and, by most accounts, this trend will continue. Certain disabilities and activity limitations make it more difficult to prepare for and evacuate from an incident, underscoring the importance of planning in advance. Read about ASTHO’s specialists Erin Dotten (Michigan), Brooke Riester (New Mexico), and Stephen Heck (South Dakota), who have extensive experience understanding and responding to the needs of people living with disabilities during natural disasters.

Joining Forces to Advance Resiliency to Complex Disasters

Blog,
PFAS,

In the face of a worldwide pandemic, an increase in natural disasters, and the unsettling specter of homeland security threats, it’s easy for public health and environmental officials to feel like the odds are stacked against us. But we have a powerful partnership to level the playing field: EPA has joined forces with ASTHO and the Environmental Council on States. Together, we are rising to meet the environmental and related public health challenges the nation faces today while increasing our capacity to help communities bounce back from adversity.

ASTHO’s Most Used Resources of 2021

News,
Blog,

ASTHO's mission is to support, equip, and advocate for state and territorial health officials in their work of advancing the public's health and well-being. To that end, here are the 12 most popular resources our members, partners, and email subscribers accessed in 2021.

ASTHO Policy Watch 2022: Health Equity and Rural Health

Blog,

ASTHO has identified health equity and rural health as issues that policymakers across the country will consider in 2022.

ASTHO Policy Watch 2022: Ending the HIV Epidemic

Blog,
STIs,
HIV,

As part of ASTHO’s annual Legislative Prospectus series, we are taking time this week to focus on efforts to end the HIV epidemic. Public health officials across all levels of government have been working to end the HIV epidemic, exploring new partnerships and efforts to implement evidenced based policies that could eliminate HIV.

Public Health and the Courtroom: How Health Officials Become Involved With Lawsuits

Blog,
Ohio,
Utah,

As leaders of their state agency, state and territorial health officials can be named parties in lawsuits alleging that an action taken by a public health agency was unlawful. These officials are typically sued in their “official capacity,” meaning the lawsuit is brought against them as the representative of the agency and not as an individual. This post contains three examples of state health officials who have found themselves named in lawsuits.

State Policy Can Reduce Systemic Racism in Public Health

Blog,
Ohio,

In 2020 and early 2021, state policymakers took action to raise awareness of the impacts of racism on health outcomes, to reverse the damage of racist polices, and to implement policy changes to ensure that future policies are enacted with a racial equity lens. In the past two years, many states introduced and adopted resolutions declaring racism a public health crisis. In the early weeks of 2022, there is notably less legislation that has been introduced as compared to the same time last year.

Embedded: Puerto Rico’s Public Health Emergency Preparedness Academy

Blog,

When Beatriz Vallejo, the disability and preparedness specialist in Puerto Rico, first joined the health agency, she took on planning a novel program to share knowledge and clarify each sectors’ roles and responsibilities during an emergency.

2022 Legislative Session Update: Part One

Blog,
Utah,

The ASTHO State Health Policy team provides brief updates on 5 of the ten state health policy issues to watch in 2022: public health authority, immunization, data privacy and modernization, public health workforce, and health equity.

Who Is Onesimus?

Blog,

The contributions of African Americans, some doctors, scientists, public health officials, and others have changed the way we practice medicine and health care for more than 400 years. Because of barriers like structural racism, implicit bias, and theories of intelligence, many U.S. history classes do not mention these pioneers. Without a concerted effort, their names and contributions will be lost.

Remembering Paul Farmer: When Public Health Doesn’t Back Down

Blog,
STIs,
HIV,

On Feb. 21, 2022, global health advocate Paul Farmer, MD, PhD, passed away. Farmer leaves behind a legacy of radical compassion, generosity, and a commitment to social justice. He will be remembered for his work making affordable, high-quality healthcare available in some of the world’s most impoverished communities.

ASTHO Policy Watch 2022: E-Cigarettes and Flavored Tobacco Products

Blog,
Utah,

Each year, ASTHO notes the top public health policy issues to watch in the upcoming year. ASTHO has published a prospectus on several issues, with more coming later this month. ASTHO kicked off its top 10 public health state policy issues to watch in 2022 with Immunization the first week in January. This week, we are focusing on e-cigarettes and flavored tobacco products.

ASTHO Policy Watch 2022: Mental Health

Blog,
Ohio,

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

ASTHO Policy Watch 2022: Polyfluoroalkyl Substances

Blog,
PFAS,

Each year, ASTHO notes the top public health policy issues to watch in the upcoming year. Per- and Polyfluoroalkyl substances are synthetic chemicals that can migrate into soil, water, and air during production and use, and can accumulate in the blood of people and animals over time from exposure.

Do Cottage Foods Really Come from a Cottage?

Blog,
Iowa,
Ohio,
Utah,

Do Cottage Foods Really Come from a Cottage? Beth Giambrone Even if you're not familiar with the term "cottage foods," chances are you have purchased them—think getting a loaf of bread from your weekend farmers market or cookies from a friend's home-based baking business. In some cases, they can also be sold online. So, what exactly are they? Cottage foods are home-based, home-made food products prepared outside a commercial kitchen and sold to the public. Cottage food producers operate at a small scale, often from a home kitchen, selling goods in the jurisdiction where they are created. Cottage foods are exempt from many state food and safety regulations, with supporters of expanding cottage food laws asserting that existing laws burden small business and restrict competition and consumer freedom. Those opposing the expansion of cottage foods argue the need to ensure food safety and to protect consumers from food borne illness. Here's a primer on cottage foods and how they're regulated. What's the difference between a cottage food kitchen and a commercial kitchen? Commercial kitchens (sometimes known as shared use kitchens) are large, industrial spaces where food can be produced in high volumes; they can also be rented out for shared use. While every state subjects commercial kitchens to food safety inspection and regulations, a few states require inspection of microenterprise or home kitchens producing cottage foods. Does the government have a role in regulating cottage foods? While several federal agencies regulate commercial food products—such as USDA for meat processing and FDA for produce—cottage foods are not subject to federal regulation because they are typically only sold within a state and not across state lines. At the state level, cottage food producers are subject to the health and safety laws and regulations of the state in which they are operating. Some states require cottage food producers to register their business or to have training and/or certification in safe food handling. Currently, all 50 states and Washington D.C. have some sort of cottage food law in place. Under most state laws, cottage food producers are exempt from food safety laws that apply to food establishments. These exempt rules are usually based on the type of food product produced, the point of sale, and the labeling requirements associated with the food. Although cottage food producers are exempt from certain requirements, all states allow the Department of Health to investigate complaints related to foodborne illness and fine producers if there are violations. Since the 2020 legislative sessions, at least 17 states (Alabama, Arkansas, California, Connecticut, Florida, Iowa, Illinois, Maryland, Missouri, Mississippi, New Hampshire, New Jersey, Oklahoma, Tennessee, Utah, West Virginia, and Wyoming) considered bills related to cottage foods, often centering around product sales, food products, and labeling. An overview of the conditions and a snapshot of the laws passed in states are below. What are common cottage food products? Most state laws limit which food products can be produced and sold as cottage foods. And while specific allowable foods vary state to state, some common restrictions on the type of food sold include foods requiring temperature control (e.g., meat and dairy products) and fermented or pickled foods. Foods such as dairy-free baked goods (e.g., breads and biscuits), candies, and jams are popular cottage food products. Over the last few years, states have expanded the types of foods that qualify to be a cottage food. In 2021, Illinois enacted SB 2007, amending the types of foods permissible under the cottage food law from a delineated list of canned foods (e.g. jams and syrups) to a general standard that mirrors the FDA definition of "low-acid canned food." The New Jersey legislature passed A 3991 in 2022 to exempt raw, unprocessed honey from the state's cottage food regulations. The bill is currently awaiting action by the governor. Oklahoma enacted its "Homemade Food Freedom Act" (HB 1032) in 2021. This new law allows any packaged food or beverage (excluding alcoholic beverages, unpasteurized milk, or cannabis products) to be considered a cottage food rather than only baked goods made without meat or fresh fruits. Additionally, the law allows beekeepers who produce less than 500 gallons of honey per year to qualify for the state's food freedom exemptions if the honey is produced from hives located in the state and sold directly to the consumer. Similarly, the 2022 "Tennessee Food Freedom Act" (HB 813/SB 693) broadly expands the types of homemade foods eligible for sale under the cottage food law to include any non-time/temperature-controlled food item or non-alcoholic beverage. What limitations do states place on cottage food sales? Most states limit cottage food producers to direct-to-consumer sales, such as at a farmers market or roadside stand. More than half of states allow online and direct-to-consumer sales as long as they are to in-state consumers only. While the producer is usually required to deliver the products, at least five states allow delivery by a third party. Several states have considered allowing the sale of cottage food in retail settings. In 2020, Wyoming enacted HB 84, which increased the gross sales cap for producers and allowed producers of non-temperature controlled foods (e.g., jams, vegetables, dried soup mixes) to use third-party vendors like a retail shop rather than solely relying on gross sales. Furthermore, the Wyoming legislature expanded the use of third-party vendors to include the sale of eggs in 2021 by enacting HB 118. A 2021 Arkansas law (HB 248) also allows for the sale of cottage food products at retail stores. Additionally, many states define cottage foods based on the number of items sold or the annual gross sales. The gross sales cap limits vary greatly across states, ranging from $3,000 to $250,000. At least twenty states have no gross sales limit. At least one state (Ohio) places a limit on meals sold per week from home kitchens. What are common labeling requirements for cottage foods? Most states require cottage food producers label their goods. While specific labeling requirements vary state to state, producers generally must provide the name of the product, a list of ingredients, known allergens (e.g., nuts), contact information of the producer, and a statement declaring the product was made in a kitchen exempt from licensing and inspection regulations. In some states, cottage food producers are allowed to use an identification number in place of contact information on product labels. Maryland enacted HB 1017 in 2020, which allows cottage food producers to use a unique identification number issued by the Department of Health in lieu of the business name and address. Arkansas HB 248 (referenced above) also allows producers to use an identification number. What's next? State policy surrounding cottage foods is constantly evolving, with more foodstuffs exempt from state food and safety regulations increasing the risk of foodborne illness outbreaks necessitating a public health response. ASTHO will continue monitoring these changes and provide relevant updates. website yes

Men and Firearms: Proven Public Health Interventions to Curb Violence

Blog,

The recent mass shootings in Buffalo, Uvalde, and elsewhere across the country, have drawn renewed attention to firearm violence as a major public health issue in our nation. It’s a particularly important issue to consider during Men’s Health Month because men are disproportionately victims and perpetrators of firearm violence.

States Stepping Up to Support Families and Reduce Adverse Childhood Experiences

Blog,
ACEs,

Research confirms that strengthening economic supports can improve parental mental health, children’s health, education, and social outcomes.