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This interview is part of ASTHO’s Leadership Trailblazers series, which shares outstanding public health leaders’ inspirations, motivations, and accomplishments. This post features Karyl Thomas Rattay, MD, MS, director of the Delaware Division of Public Health.

ASTHO Member and Delaware Health Official Karyl Rattay Testifies on Nation’s Opioid Epidemic ARLINGTON, VA—Karyl Rattay, MD, MS, director and state health officer at the Delaware Division of Public Health, testified today on the Administration’s response to the drug crisis before the United States House Committee on Oversight and Government Reform. The hearing, “The Trump Administration’s Response to the Drug Crisis, Part II,” continues the committee’s examination of national drug control efforts by ONDCP, including efforts to expand access to treatment for substance use disorder. “The opioid epidemic continues to evolve, and it remains a deadly and complicated issue. Fentanyl is now driving an alarming increase in deaths. In addition, many states are seeing emerging drug patterns and trends with methamphetamine, cocaine, and benzodiazepines, often in combination with opioids, and continue to face challenges with alcohol misuse and addiction. Addiction is plaguing our country, impacting individuals, families, schools, the workplace, and entire communities. We must address this like a chronic disease and apply evidence-based strategies to prevent addiction. Additionally, we must further expand access to effective treatment and ensure that the systems in place are engaging, comprehensive, coordinated, integrated, high-quality, and person-centered. In this respect, we need to redouble our efforts to meet people where they are in their communities, provide immediate connection to treatment following an overdose, and ensure a warm hand-off no matter the setting. We must also focus on saving more lives with naloxone and preventing the spread of infections with proven approaches like syringe service programs,” says Rattay. “Collectively, states, territories, and local health departments recognize the opioid crisis as a complex issue,” Rattay continued. “Our efforts to combat the issue cannot be accomplished without the support of federal grants. It is very important that Congress provide sustained and predictable federal funding so that states and territories can build infrastructure to combat and prevent addiction. Our work includes not only saving lives but improving the lives of people impacted by the disease of addiction.” For more information about the hearing, visit the committee’s website. ASTHO Press Release Boilerplate website yes

ASTHO Recognizes State, Territorial, and National Leaders in Public Health ARLINGTON, VA—The Association of State and Territorial Health Officials (ASTHO) presented several awards during its 2018 Annual Meeting this week to commend public health leaders for their service and dedication to improving our nation’s health. “On behalf of ASTHO, I am pleased to recognize this distinguished group of public health professionals who continuously strive to promote health and well-being in communities across the country,” says Karen McKeown, state health officer at the Wisconsin Department of Health Services and ASTHO past president and chair of ASTHO’s Nominations, Awards, and Membership Committee. “We admire their commitment to raising the bar and ensuring that state and territorial health agencies play an active role in creating the conditions that allow us all to be healthy. We are grateful for the work of these dedicated individuals and for their contributions to the field of public health.” The 2018 ASTHO awardees include: Anne Schuchat, MD, Principal Deputy Director, CDC Ed Thompson Lifetime Achievement Medal Schuchat has been CDC’s principal deputy director since September 2015 and has played key roles in CDC emergency responses including the 2009 H1N1 pandemic, the 2003 SARS outbreak in Beijing, and the 2001 bioterrorist anthrax response. Upon completing 30 years of service in 2018, Schuchat retired from the Commissioned Corps of the U.S. Public Health Service at the rank of Rear Admiral. Karyl Rattay, MD, MS, Director of the Delaware Division of Public Health Arthur T. McCormack Award Rattay leads over 600 employees as state health officer and director of the Delaware Division of Public Health. As a board-certified pediatrician, Rattay has practiced pediatrics for nearly 14 years. Between 2001-2004, she served as a senior public health advisor to the U.S. Surgeon General and HHS Assistant Secretary of Health. Joan Duwve, MD, MPH, Associate Dean for Practice, Indiana University Richard M. Fairbanks School of Public Health Noble J. Swearingen Award Duwve is the Associate Dean for Practice at the Indiana University Richard M. Fairbanks School of Public Health in Indianapolis and the former chief medical officer at the Indiana State Department of Health. Duwve was a private practice family physician for 11 years. Prior to medical school, she served in the Peace Corps and worked in international public health in North Africa and the Middle East. Grant Baldwin, PhD, MPH, Director, Division of Unintentional Injury Prevention, CDC Injury Center National Excellence in Public Health Co-Award Baldwin began his career at CDC in September 1996. In his nearly 10 years of leadership at the Injury Center, he has helped raise the profile of motor vehicle injury prevention and scaled up CDC’s response to the prescription drug overdose epidemic. He has also advanced the work in older adult fall prevention and CDC’s efforts in the prevention of traumatic brain injury. Patricia Mitchell, MPH, Deputy Director, Division of Unintentional Injury Prevention, CDC Injury Center National Excellence in Public Health Co-Award Mitchell joined CDC’s Division of Unintentional Injury Prevention as deputy director in March 2014. After over 20 years in the agency’s diabetes division, Mitchell quickly got up to speed on pressing and high priority unintentional injury prevention topics, including opioid overdose, traumatic brain injury, transportation safety, and older adult falls. Jennifer Clarke, MD, MPH, FACP, Medical Programs Director, Rhode Island Department of Corrections State Excellence in Public Health Award Clarke led a treatment program for opioid addiction launched by the Rhode Island Department of Corrections, which was associated with a significant drop in post-incarceration drug overdose deaths and, ultimately, resulted in an overall drop in overdose deaths statewide. The first-of-its-kind program screens all Rhode Island inmates for opioid use disorder and provides addiction treatment medications for those in need. Sen. Roy Blunt (R-MO) 2018 Legislative Champion Award Blunt was elected to the United States Senate in 2010. He serves on the Appropriations Committee; the Commerce, Science and Transportation Committee; the Select Committee on Intelligence; and the Senate Rules Committee. Before serving in Congress, he was a history teacher, a county official, and in 1984 became the first Republican elected as Missouri’s Secretary of State in more than 50 years. Sen. Patty Murray (D-WA) 2018 Legislative Champion Award Serving as a member of Senate Democratic leadership since 2007, Patty has established herself as a tireless and effective leader on education, transportation, budget issues, port security, healthcare, women, and veterans’ issues. She is currently Ranking Member of the Senate Health, Education, Labor, and Pensions Committee. Terry Dwelle, MD, FAAP ASTHO Alumni Award Dwelle served as the state health officer for the North Dakota Department of Health from 2001-2016. He was previously the clinical director for the Indian Health Service clinic at Fort Totten, an assistant professor of pediatrics, an infectious disease consultant, and a medical missionary to Central and East Africa. Dwelle is the founder and director of the North Dakota Public Health Training Network and serves as the alumni society representative on the ASTHO Board of Directors. de Beaumont Foundation ASTHO Partner Award The de Beaumont Foundation’s mission is to strengthen and transform public health in the United States. The foundation improves the effectiveness and capacity of local and state health departments through research, collaboration, and strategic grantmaking. Texas Department of State Health Services Model Policies and Practices Challenge Winner ASTHO, in partnership with the de Beaumont Foundation, recognizes Texas’ health department for its grand rounds program, an organization-wide strategy that encourages thought-provoking conversations around the science of public health. Since its inception in 2008, the program has hosted 132 presentations and engaged nearly 25,000 learners on topics ranging from human trafficking to food access/insecurity and Zika to illegal pain clinics.    San Francisco Department of Public Health Model Policies and Practices Challenge Winner ASTHO, in partnership with the de Beaumont Foundation, recognizes San Francisco’s health department for its trauma informed systems model, designed to create a healing public health system of care that fosters wellness and resilience for everyone in the system. In addition, ASTHO presented its 2018 Vision Awards to the Texas Department of State Health Services, Massachusetts Department of Public Health, Tennessee Department of Health, and the South Carolina Department of Health and Environmental Control. <!--Learn more about their award-winning programs here.--> ASTHO congratulates the 2018 award winners for demonstrating excellence in public health leadership and working tirelessly to protect and promote our nation’s health. ASTHO Press Release Boilerplate website yes

This bonus episode is taken from a virtual news conference on Thursday, July 29, 2021. In it, Nirav Shah (Maine), Karyl Rattay (Delaware), and Joseph Kanter (Louisiana), discuss the latest issues related to the COVID-19 pandemic—mask guidance, back to school issues, and the surging Delta variant.

Mixed Progress on Preventing Preterm Births Concerns State and Territorial Health Officials ARLINGTON, VA—Today, the March of Dimes released its 2017 Premature Birth Report Card, which found that few states have lowered prematurity rates, and in some states, prematurity rates have increased among all racial/ethnic groups. Preterm birth remains disproportionally higher among African-American women and minority groups. "Preventing preterm births is vital for healthier babies and mothers. Such births have both short-term and long-term negative impacts, and disproportionately impact women of color. We must do more to address this problem and think beyond simply the doctor's office or a prenatal visit. We must work to reach women in their communities and look at the social determinants of health—the conditions in which we live, work, and play,” says Karyl Rattay, MD, director of the Delaware Division of Public Health and chair of ASTHO’s Healthy Babies Subcommittee. “These determinants can have a significant impact not only on women's access to care, but also increase their risk for preterm birth." The Association of State and Territorial Health Officials (ASTHO) remains committed to helping states and territories reduce prematurity rates. Preterm birth, a complex, multifaceted issue without a single solution, is the largest contributor to infant death in the United States. “As a country, we have made many strides toward improving access to care for pregnant women and children and reducing non-medically necessary early elective deliveries. But the slight increase in some states’ preterm birth rate is a call for all of us to collectively redouble our efforts,” says Michael Fraser, ASTHO’s executive director. “This report card provides data that should spur continued efforts to reduce preterm birth and further address racial, ethnic, and socioeconomic disparities. As Congress debates funding for our nation’s public health and prevention programs, I hope they do not forget to prioritize the neediest among us—our children—as well as support state and territorial health programs.” Infants born before 37 weeks gestation are more likely to die or experience long-term negative health outcomes and lifelong morbidity. Most preterm infants have a low birth weight, which places the infant at greater risk for developing chronic health conditions as an adult, such as diabetes, which in turn becomes a future risk factor for preterm birth. Other potential health impacts of premature births include breathing problems, jaundice, vision loss, and intellectual delays. There are many reasons why preterm births occur, including access to healthcare, even in a time of expanded coverage, as well as unplanned or closely spaced pregnancies, and environmental concerns in communities. State and territorial health departments work daily to improve the health of mothers and babies and create conditions to achieve optimal health for all. To learn more about how states are working to improve birth outcomes, view ASTHO’s Healthy Babies map. ASTHO Press Release Boilerplate website yes

This episode highlights ongoing efforts and provides consideration for health officials to not only limit the impact of the pandemic on the economic security and housing needs of Americans but also to rebuild systems that create a healthier, more equitable post-COVID-19 world. This podcast is the first in a series that challenges state/territorial health officials to “Bounce Forward” instead of simply bouncing back to the way things were before.