This episode highlights COVID-19’s impact on overdose-related deaths during the postpartum period, also known as the fourth trimester. There has been a significant increase in postpartum overdose-related deaths in recent years—a problem that has only been exacerbated by the COVID-19 pandemic.
Investing in Public Health Infrastructure: Indiana's Success Story website yes
State and Territorial Health Leaders Commend Nomination of Dr. Jerome Adams for U.S. Surgeon General ARLINGTON, VA—The Association of State and Territorial Health Officials (ASTHO) commends the Administration for nominating Indiana State Health Commissioner Dr. Jerome Adams to the position of U.S. Surgeon General. Adams has served as commissioner of the Indiana State Department of Health since 2014, where he oversees the public health protection and laboratory services, health and human services, healthcare quality and regulatory, and tobacco prevention and cessation commissions. “The Administration has nominated a true public health leader to serve as U.S. Surgeon General,” says Dr. Michael Fraser, executive director of ASTHO. “Dr. Adams understands the healthcare landscape, has first-hand experience dealing with serious public health issues, and will be a strong advocate for state public health, bringing a unique and valuable set of skills to the nation’s healthcare system. His knowledge of public health challenges and opportunities as Indiana State Health Commissioner will serve our nation well in the months and years ahead.” As a member of ASTHO, Adams has worked nationwide to address public health issues, including the challenges presented by the current opioid crisis. His clinical acumen combined with strong clinical and community-based experience make him a uniquely qualified candidate for the nation’s top physician. “Our nation needs a strong, experienced, and articulate public health champion, and Jerome is the right person at the right time to serve as our Surgeon General,” says Dr. Jay Butler, ASTHO president and chief medical officer for the Alaska Department of Health and Social Services. “This nomination recognizes his state and national leadership experience, his broad perspective, and his clinical expertise—he brings all this to the very important job of Surgeon General.” Adams earned a B.S. in biochemistry and a B.A. in biopsychology at the University of Maryland, Baltimore County. He has been a researcher at medical schools in both the Netherlands and Zimbabwe and has worked under Nobel Prize winner Dr. Tom Cech. He earned his Medical Doctorate at the Indiana University School of Medicine, and his Masters of Public Health at the University of California, Berkeley. He has been an active member of ASTHO, including representing ASTHO at the American Medical Society House of Delegates and participating in national initiatives to address significant public health challenges. ASTHO Press Release Boilerplate website yes
Investing in Indiana’s Public Health Infrastructure Through Community-Driven Policy Change public health infrastructure, community driven policy, indiana state health commissioner, public health system, indiana department of health, outpatient facilities, technical assistance, data and information integration, emergency preparedness, child and adolescent health, legislative action, state and local elected officials, health problems, health care, health system, health departments, federal agencies, essential public health services, centers for disease control, state and local levels, health outcomes, health organization, covid-19 pandemic, health infrastructure, promoting health, public health organizations, states public health, federal funding, astho, association of state and territorial health officials Maggie Davis, Keith Coleman Indiana enacts historic public health funding through community engagement and legislative support. In April 2023, Indiana passed bill SB 4, which was a historic investment in the state's public health funding and restructuring its public health system. This case study shares how the Governor's Public Health Commission and the Indiana Department of Health approached community listening sessions, formulated recommendations, and successfully built legislative support to reform the public health system in the state. Get the Report (PDF) website yes
Health Officials Combat Nation’s Maternal Mortality Rates ARLINGTON, VA—State and territorial health officials are assessing maternal care programs within their states to address the rise in maternal deaths across the nation. According to a new Centers for Disease Control and Prevention (CDC) Vital Signs report, each year more than 700 women in the United States die during pregnancy, delivery, or up to a year postpartum, with three out of every five of these deaths being preventable. The Association of State and Territorial Health Officials (ASTHO) and its members are committed to protecting the health of mothers through multidisciplinary efforts to address preventable deaths, such as closing gaps in access to quality preconception and prenatal care, care for chronic conditions, missed diagnoses, and maternal education. “Across the country, state and territorial health officials are continually analyzing women’s health data, programs, and outcomes to address and prevent maternal mortality and morbidity,” says Michael Fraser, CEO of ASTHO. “As with all public health issues, officials take this trend very seriously, and we know that tackling this issue involves addressing the unique social, economic, and healthcare challenges that impact women’s health on multiple levels in every state.” The causes of maternal mortality and morbidity vary widely, depending on many local factors and stage of pregnancy or post-pregnancy. For example, weakened heart muscles (cardiomyopathy) are the leading cause of death between one week and one year postpartum. Postpartum care, however, often focuses on the infant—not the mother. Providing and covering high-quality care for mothers the first year following birth would ensure prompt follow-up care and communication about issues like severe bleeding, high blood pressure, and infection. “The majority of deaths from pregnancy-related complications are absolutely preventable,” says Nicole Alexander-Scott, MD, MPH, director of the Rhode Island Department of Health and president of ASTHO. “We also know that significant racial and ethnic disparities exist in the rates of fatalities from pregnancy-related complications. Health systems, healthcare providers, and public health professionals need to continue taking measures to improve access to and coordination and delivery of quality care for all women, regardless of their ZIP code. We also need to engage patients and communities in this work so that everyone knows that their voice matters, and that they are being heard.” Many states are assessing maternal and perinatal levels of care and the standardized capabilities of individual hospitals to ensure pregnant women deliver at facilities equipped for a range of medical outcomes. Some of these efforts include: Indiana passed a perinatal levels of care law (SB 360) last year so the state health department could establish a program to certify perinatal levels of care designations for licensed hospitals and birthing centers. The Indiana State Department of Health also works alongside the Indiana Hospital Association, the Indiana Rural Health Association, and the Indiana Family and Social Services Administration’s Office of Medicaid Policy and Planning to investigate opportunities to keep rural hospitals and obstetric units open, as 35 of Indiana’s 92 counties either have no hospital or have a hospital without obstetric services. The Texas Department of State Health Services (DSHS) established a multidisciplinary Maternal Mortality and Morbidity Task Force to review cases of pregnancy-related deaths and severe maternal morbidity, identify trends and disparities, examine best practices, and make recommendations to reduce the incidence of pregnancy-related deaths and severe maternal morbidity. Additionally, Texas DSHS is leading the statewide TexasAIM initiative to help hospitals and clinics in Texas carry out maternal safety projects. The North Carolina Maternal Mortality Review Committee identified significant racial disparities in maternal deaths, causing the state to place a greater emphasis on addressing the non-medical issues responsible for exacerbating these disparities. These efforts led to a reduction in disparities in pregnancy-related deaths over a 10-year period. North Carolina continues to work to confront the remaining increased risk of pregnancy-related deaths among black women. 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