Public Health Review

Since 2016, 30 states have experienced hepatitis A outbreaks, primarily among individuals experiencing homelessness and/or those struggling with substance abuse. State health departments, with support from the CDC, have mounted a robust public health response, with vaccination as a cornerstone for prevention. Hear from our experts about the national perspective and on-the-ground action to stop the...

Sepsis is a life-threatening condition caused by the body's extreme response to an infection and can rapidly lead to tissue damage, organ failure, and death. Sepsis can be caused by a wide range of infections but is most commonly linked to infections of the lungs, kidneys, skin, and gut. Based on CDC estimates, at least 1.7 million American adults developed sepsis in 2014 and nearly 270,000 died a...

Pregnant women are particularly vulnerable to behavioral health issues, including depression and substance misuse. According to American Congress of Obstetricians and Gynecologists (ACOG), depression is the most common mental health disorder experienced during pregnancy, with estimates that 14% to 23% of women experience perinatal depression. Leaders in Louisiana discuss how they're providing more...

It's that time of year again… flu season. Each year, the United States battles seasonal influenza, leaving thousands of people sick, hospitalized, or worse. Public health professionals across the nation are on the front lines, doing their best to prepare for and respond to seasonal flu in the hopes of reducing the likelihood of a pandemic event. This episode will focus on the burden of seasonal an...

In the United States, three main types of fungi—coccidioidomycosis, histoplasmosis, and blastomycosis—can cause lung infections like pneumonia when people breathe in fungal spores from the air. Depending on where you live, you may be more likely to come in contact with one of these fungi. Some fungal diseases go undiagnosed and cause serious infections in people in the United States and around the...

Nearly 34 million U.S. adults smoke cigarettes. About two out of every three of them want to quit and more than half will try to quit each year. Quitting can be difficult, but if we come together and double down on our efforts, we can help people who smoke make 2019 the year they quit—and quit for good. CDC's Office on Smoking and Health (OSH) has designated 2019 the Year of Cessation, providing a...

Medicaid and public health partnerships play an important role in advancing a statewide approach to addressing chronic disease and population health. Collaboration and shared priorities between agencies play a significant role in addressing health conditions. In this episode, Deborah Fournier, senior director of Clinical to Community Connections at ASTHO, and Mark Larson, vice president of policy...

Adverse childhood experiences (ACEs) are stressful events, including child abuse and other household challenges, that can have a negative impact on early brain development and lifelong health. In this episode, Judy Cameron, a psychiatry professor at the University of Pittsburgh, discusses her research on how early life experiences shape brain development and brain plasticity. John Hellerstedt, com...

Each year, nearly 700 women in the United States die from complications related to pregnancy or delivery, with black women 3 to 4 times more likely than white women to die from a pregnancy-related cause. Three in five of these deaths can be prevented, but it involves a collaborative approach, including consistent care and cross-sector partnerships. In this episode, ASTHO's president and leadership...

The opioid epidemic is the biggest public health crisis we currently face, with an average of 130 Americans dying every day from an opioid overdose. Medication Assisted Treatment (MAT) is an evidence-based treatment for substance use disorder that combines FDA-approved medication with counseling and behavioral health therapy but is often associated with stigma therefore limiting access and availab...

Overview : In March 2018, Robert R. Redfield became the 18th director of CDC, bringing to the role more than 30 years of experience as a public health leader engaged in the clinical research and care of viral infections and infectious diseases, especially HIV. Since then, HHS and President Trump have announced an ambitious plan to end HIV in America, a cause which Redfield considers a prominent pa...

Overview:  Advocating on Capitol Hill for strong public health systems is critical to advancing the work of state and territorial health agencies. Earlier this month, the nation's top health officials came to Washington, D.C., to meet with members of Congress and raise awareness around key issues, including raising the caps on non-defense discretionary spending, supporting the 22x22 campaign to in...

In recognition of American Heart Month, this episode focuses on the important role that community health workers (CHWs) play in Virginia's statewide approach to addressing health disparities and heart disease, in particular. Across the nation, CHWs serve as linkages between patients and the healthcare system to address health disparities and provide social support. These individuals have a deep un...

This episode emphasizes the importance of addressing heart disease and stroke prevention through approaches that center on health equity, including systems-level changes, quality improvement, and community development. CDC's Division for Heart Disease and Stroke Prevention is partnering with ASTHO to support jurisdictions in successfully integrating efforts with healthcare and community partners a...

The midterm elections may be behind us, but how will our nation's political dynamics impact the public health agenda? On this episode, we examine opportunities for bipartisanship and forecast what the public health landscape may look like in the next Congress. Emily Holubowich joins us from the Coalition for Health Funding to point out key issues to watch as the federal budget process unfolds. For...

Overview : This episode introduces the new 2018-2023 Healthy Brain Initiative Road Map, which offers strategies for public health agencies to promote cognitive health and support people living with dementia and their caregivers. Co-authors from CDC and the Alzheimer's Association provide details about this initiative and a forthcoming companion guide for Indian Country. Jewel Mullen, former presid...

This episode highlights the nation's childhood obesity epidemic and discusses ways to reduce climbing obesity rates by increasing access to healthy foods and promoting physical activity through community planning and changes to the built environment. Tennessee shares how policies and programs at the local level are working to combat obesity, and CDC examines the landscape of childhood obesity rese...

This episode highlights ASTHO's President's Challenge, "Building Health and Resilient Communities," which is a multi-year campaign that calls on state, territorial, local, and tribal health officials to align strategic investments and promote community-driven, place-based solutions to empower communities to be as healthy as possible, reduce health disparities, and stimulate economic development. T...

This episode explores the rise of suicide rates across the United States and the need for a comprehensive public health approach to suicide prevention. Propelled by the recent CDC  Vital Signs  report on state suicide rates, the episode features a federal overview of the current landscape, Colorado's comprehensive suicide prevention strategy, and Utah's use of technology to improve crisis response...

Medicaid is a publicly-funded health insurance program that currently covers 74 million people in the US. Medicaid covers low-income people who are children, expectant mothers, people with disabilities, senior citizens, and some adults. Opportunities exist through Medicaid to address the social determinants of health through a variety of vehicles. ASTHO's senior director for clinical to community...

Antimicrobial resistance is a growing threat in the United States and containing its spread through action when even a single case of an antimicrobial resistant bacteria is identified is a priority public health strategy. In this episode, we will hear national and state perspectives on the prevention and containment of unusually resistant bacteria. The co-author of the April 2018 CDC Vital Signs r...

Healthy brain development in early childhood is the foundation for lifelong learning and optimal physical and behavioral health. This podcast traces early brain development science and practice, from cutting-edge research to implications for population health and implementation at the state level. In this episode, Ami Klin discusses early detection of developmental disabilities as a strategy to im...

Telehealth plays a unique role in addressing access to care issues in rural and remote areas. This podcast explores successful programs developed by the Eastern Aleutian Tribes and Alaska Department of Health and Human Services that serve both residents and migrant workers out of eight remote access clinics. In this episode, Marcus Plescia discusses how to apply telehealth strategies to existing h...

This podcast, the second in a two-part series, continues to explore the concept of "Chief Health Strategist" as a way to address the most pressing public health issues and advance population health activities. This discussion continues the conversation on moving from concept into practice, as well as how to apply ASTHO's three pillars for population health improvement to support clinical to commun...

The concept of "Chief Health Strategist" allows public health leaders to serve as a chief architect across their jurisdiction and align health systems transformation and population health activities. Chief health strategists ensure that population health activities are targeting community health needs and build effective working relationships with healthcare partners and other sectors that affect...