ASTHO’s podcast series, the Public Health Review, features health officials and public health leadership who are on the front lines of state and territorial public health. The series capitalizes on current public health issues and delivers timely, thoughtful perspectives on the value of public health through the lens of state/territorial health officials and other subject matter experts.
44: Using Prevention Strategies to Help Families Thrive
If there’s one major lesson we can learn from the COVID-19 pandemic, it’s the stark structural inequities among communities of color and low-income families. Though public health and human services organizations have similar goals to close these gaps, there are lots of opportunities to improve collaboration in order to eliminate some of the root causes of disparities across the country. However, that is beginning to change as investments in prevention-based work continue to get buy-in from policymakers.
ASTHO and the American Public Human Services Association (APHSA) are now in partnership to support the transformation of the child welfare system through a prevention first model. In this episode, ASTHO’s CEO Michael Fraser, along with ASPHSA’s CEO Tracy Wareing Evans, discuss the intersection of public health and human services and why it’s so important for these two sectors to work together to achieve a shared vision of thriving families.
Michael Fraser, PhD, CEO, ASTHO
Tracy Wareing Evans, President, CEO, APHSA
Creating a 21st Century Legacy Toward Thriving Families (ASTHO and APHSA)
Policy and Practice Magazine (APHSA)
Adverse Childhood Experiences (ACEs) (CDC)
43: Communicating During an Emergency - Cyanotoxin Lessons from Oregon
Cyanotoxins can be a major summertime public health concern for freshwater bodies. The rapid growth of blue-green algae in these waters can be harmful to humans and animals, particularly children, and it is difficult to decide if an algal bloom is toxic just by looking at it. Officials from the Oregon Health Authority (OHA) had to handle this the hard way when there was an outbreak of cyanotoxins found in the drinking water supply of the state’s capital city, Salem, in 2018.
This podcast will focus on lessons learned from the OHA’s cyanotoxin education and outreach efforts, and how a water contamination emergency caused by cyanotoxins can quickly become a public information emergency. Three guests from OHA will share how they used science-based health messaging as part of their risk communication strategy, and how important partnerships are in tackling cyanotoxins. In addition, OHA staff will discuss tools on the horizon to help conduct surveillance for cyanotoxins and prepare for future events.
Curtis Cude, Environmental Public Health Surveillance Program Manager, Environmental Public Health, Oregon Health Authority Kari Salis, Drinking Water Services Technical Services Unit Manager, Oregon Health Authority Lillian Shirley, Public Health Director, Oregon Health Authority Resources:
Risk Communication of Waterborne Contaminants- HAB Case Studies (ASTHO and ECOS) Communicating the Risks of Harmful Algal Blooms: Case Studies from State Health and Environmental Agencies(webinar)(ASTHO) State of Water Preparedness: A 2018 Scan of Water Preparedness and Response Infrastructure in State and Territorial Health Agencies (ASTHO) State and Territorial Preparedness for Drinking Water Emergencies (ASTHO) Harmful Algal Bloom-Associated Illness (CDC) Cyanobacterial Harmful Algal Blooms in Water Bodies (EPA)
42: Improving Care to Address Maternal and Child Lead Exposure
In 2017, nearly 64,000 children under six had elevated blood levels as defined by the CDC. There is no safe blood lead level in children, and even low levels of lead have been shown to affect IQ, ability to pay attention, and academic achievement. To decrease maternal and child morbidity and mortality associated with lead exposure, families need access to systems of coordinated care in order to address their needs related to lead exposure.
This episode will discuss how Louisiana and Iowa have used quality improvement strategies and innovative partnerships to improve systems of care related to maternal and child lead exposure. Our guests also discuss the racial disparities that exist in populations with high lead exposure, and how addressing this is critical to achieving overall health equity.
Alexander Billioux, MD, DPhil, Assistant Secretary of Health, Louisiana Department of Health Trina Evans-Williams, ScD, MPH, State Program Coordinator, Louisiana Healthy Homes and Childhood Lead Poisoning Prevention Program, Louisiana Department of Health Analisa Pearson, MSN, RN, Child and Adolescent Health Team Lead, Bureau of Family Health, Iowa Department of Public Health
Maternal and Child Environmental Health Collaborative Improvement and Innovation Network (AMCHP) Louisiana Healthy Homes and Childhood Lead Poisoning Prevention Program website Iowa Childhood Lead Poisoning Prevention Program website National Childhood Blood Lead Surveillance Data (CDC) Lead Exposure and Early Brain Development (ASTHO) Rhode Island Coordinates Statewide Efforts to Address Lead Exposure in Maternal and Child Health Populations (ASTHO) Arizona Department of Health Services Creates Coalition for Lead Poisoning Prevention National Center for Healthy Housing, Health in All Policies and Lead Resources
41: Healthy People 2030: A National Blueprint for Health Improvement
Initially started after the 1979 Surgeon General’s Report, Healthy People began as a way achieve health improvement through a national commitment to disease prevention and health promotion.
Now in its fifth iteration, which kicked off last week, Healthy People 2030 charts the course for public health over the next decade. In this episode, public health leaders share their perspectives about where state and territorial health agencies intersect with Healthy People 2030 and why it should be treated as a ‘North Star’ in public health.
Paul Halverson, DrPH, Founding Dean and Professor at Indiana University Richard M. Fairbanks School of Public Health
Former Secretary, Arkansas Department of Health
Jill Hunsaker Ryan, MPH, Executive Director of Colorado Department of Public Health and Environment
Preparing for Healthy People 2030 (ASTHO)
Healthy People 2020 and 2030: Conversation and Cup of Joe ASTHOConnects webinar (ASTHO)
From Healthy People 2020 to Healthy People 2030 ASTHOBrief (ASTHO)
40: Addressing Rural Health Disparities in a Pandemic
In the past decade, 120 rural hospitals have closed—leaving many vulnerable Americans without care. As communities age, medical care is becoming harder to find due to the shortage of physicians in rural areas. On top of that, the COVID-19 pandemic is shining even more of a light on the growing health disparities faced by rural communities and the emerging needs of the rural health workforce.
On this episode, speakers will discuss the impact of COVID-19 on rural health infrastructure and workforce, and how to improve these conditions in rural communities. We hear from three leaders who work in states with high rural healthcare needs and vast provider shortages to learn how to increase access to quality healthcare in rural areas, barriers that exist, and innovative strategies for rural health workforce recruitment and retention.
Lee Norman, MD, MHS, MBA, Secretary, Kansas Department of Health & Environment Benjamin Anderson, MBA, MHCDS, Vice President, Rural Health and Hospitals of the Colorado Hospital Association Margaret Brockman, RN, MSN, Director of Rural Health, Nebraska Department of Health and Human Services
Transformational Leadership: A Vaccine for Rural Healthcare Delivery (ASTHO) National Organization of State Offices of Rural Health The Impact of Rural Hospital Closures and State Responses (ASTHO) Using Telebehavioral Health to Increase Access to Care for Rural and Vulnerable Populations Amid COVID-19 (ASTHO) State Policy Approaches to Address Healthcare Workforce Shortages (ASTHO) States Offer Flexibility to Shore Up Healthcare Workforce (ASTHO) Nebraska Office of Rural Health
39: Fostering Equitable Change During COVID-19
COVID-19 is amplifying why systemic racism in America is a public health issue. Communities of color are being disproportionately burdened by this pandemic due to persistent inequities that increase their risk to more severe bouts of COVID-19 and death. America is currently engaged in dual crises to stop the spread of COVID-19 and to advance racial justice.
On this episode, speakers will address both issues and highlight the importance of public health agencies leading with and integrating equity in their COVID-19 response. We hear from three leaders managing their COVID-19 response by prioritizing areas with the greatest need and supporting community-led decision-making to ensure the most socially vulnerable populations have increased access to treatment, testing, isolation options, and resources.
Joneigh Khaldun, MD, Chief Medical Executive and Chief Deputy Director for Department of the Michigan Department Health and Human Services Nicole Alexander-Scott, MD, MPH, Director of the Rhode Island Department of Health; ASTHO Board Member and Past-President Rudy Macklin, Director of the Bureau of Minority Health Access, Louisiana Department of Health; Board Member, National Association of State Offices of Minority Health (Louisiana)
How to Address COVID-19 in Communities of Color [ASTHO]
Promoting Health Equity through State Orders for COVID-19 Testing [ASTHO]
Health Equity During COVID-19: Top Strategies for an Equity-Focused Recovery Strategy [ASTHO]
Why We Need Race and Ethnicity Data to Beat COVID-19 [ASTHO]
COVID-19 Response Health Equity Strategy: Accelerating Progress Towards Reducing COVID-19 Disparities and Achieving Health Equity [CDC]
CDC Health Equity Considerations and Racial and Ethnic Minority Groups [CDC]
The House Ways and Means Committee Hearing on The Disproportionate Impact of COVID-19 on Communities of Color [United States House of Representatives]
The COVID Racial Data Tracker [The Atlantic]