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Barishansky RM, Fraser MR. Understanding Factors Influencing Decision Making by State Health Officials in a Public Health Emergency. J Public Health Manag Pract 2023; 29:835-837. [PMID: 37104059 DOI: 10.1097/phh.0000000000001761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/28/2023]
Abstract
State and territorial health officials (STHOs) play a critical role in leading public health emergency response in their respective states. Through an exploratory qualitative study with 21 current or former STHOs, we sought to understand the issues that impact STHO decision making in public health responses. Initial findings suggest the need for structured decision making tools for use by leaders responding to public health emergencies, including COVID-19. Such tools could lead to more systematic responses by STHOs during public health crises.
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Affiliation(s)
- Raphael M Barishansky
- Association of State and Territorial Health Officials (ASTHO), Arlington, Virginia (Dr Fraser). Dr Barishansky is a consultant in Harrisburg, Pennsylvania
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Cruz C, Wheatley A, Ensign K, Fraser MR, Gilmartin S, Bailey A, Mendiola A. Weaving and Layering Funding: A Territorial Health Agency's Guide to Effective Health Financing. J Public Health Manag Pract 2023; 29:456-463. [PMID: 36943411 DOI: 10.1097/phh.0000000000001709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
CONTEXT State and territorial health agencies can optimize programmatic funding through braiding and layering strategies. IMPLEMENTATION The Commonwealth Healthcare Corporation, a territorial health agency located on the Pacific Island of Saipan, Commonwealth of the Northern Mariana Islands (CNMI), restructured its Non-Communicable Disease Bureau into 4 new units. Existing funding streams were braided and layered to support the restructuring. A shared vision of strengthening crosscutting connections to improve population health outcomes helped guide the restructuring process. Vision planning with leaders and funding partners, establishing buy-in within agency and external partners, and assessing immediate impacts were a few of the steps taken by the agency to ensure a successful restructuring. IMPACT The immediate impact of the restructure has been positive. In both the CNMI and select states that have undertaken similar efforts, braiding and layering funding has facilitated more streamlined processes, coordinated approaches across programs and funding partners, and provided deeper levels of trust in partnerships. Although it is still too early to draw long-term assessments in the CNMI, the agency projects that coordinated funds will strengthen its foundational capabilities and promote a more community-centered, collaborative, and effective approach to public health. Restructuring the Non-Communicable Disease Bureau through braiding and layering funds gives the agency the flexibility it needs to more effectively address the social determinants of health and local population health priorities through a client-centered approach, ultimately improving health outcomes for the commonwealth. LESSONS LEARNED AND IMPLICATIONS The agency experienced several challenges throughout the restructuring process that offer lessons learned for addressing effective health financing. For example, ample time is needed at the beginning of the braiding and layering process to establish policies and procedures for efficient accounting, documenting, and reporting. In addition, ongoing support and training opportunities for programmatic teams can smooth out the transition from siloed to braided and layered funding structures. These lessons, in addition to key elements mapped out by experienced state health agencies, can guide and prepare other agencies interested in implementing innovative funding mechanisms.
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Affiliation(s)
- Casierra Cruz
- University of Guam, Mangilao, Guam (Ms Cruz); Association of State and Territorial Health Officials, Arlington, Virginia (Ms Cruz, Messrs Wheatley and Ensign, and Dr Fraser); Safe States Alliance, Atlanta, Georgia (Mss Gilmartin and Bailey); and Commonwealth Healthcare Corporation, Saipan, Commonwealth of the Northern Mariana Islands (Ms Mendiola)
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Leider JP, Castrucci BC, Robins M, Hare Bork R, Fraser MR, Savoia E, Piltch-Loeb R, Koh HK. The Exodus Of State And Local Public Health Employees: Separations Started Before And Continued Throughout COVID-19. Health Aff (Millwood) 2023; 42:338-348. [PMID: 36877909 DOI: 10.1377/hlthaff.2022.01251] [Citation(s) in RCA: 24] [Impact Index Per Article: 24.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
Abstract
Understanding the size and composition of the state and local governmental public health workforce in the United States is critical for promoting and protecting the health of the public. Using pandemic-era data from the Public Health Workforce Interests and Needs Survey fielded in 2017 and 2021, this study compared intent to leave or retire in 2017 with actual separations through 2021 among state and local public health agency staff. We also examined how employee age, region, and intent to leave correlated with separations and considered the effect on the workforce if trends were to continue. In our analytic sample, nearly half of all employees in state and local public health agencies left between 2017 and 2021, a proportion that rose to three-quarters for those ages thirty-five and younger or with shorter tenures. If separation trends continue, by 2025 this would represent more than 100,000 staff leaving their organizations, or as much as half of the governmental public health workforce in total. Given the likelihood of increasing outbreaks and future global pandemics, strategies to improve recruitment and retention must be prioritized.
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Affiliation(s)
| | | | | | | | - Michael R Fraser
- Michael R. Fraser, Association of State and Territorial Health Officials, Arlington, Virginia
| | - Elena Savoia
- Elena Savoia, Harvard University, Boston, Massachusetts
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Hare Bork R, Castrucci BC, Fraser MR. PH WINS: Necessary, Actionable Public Health Workforce Data at a Pivotal Moment for the Field. J Public Health Manag Pract 2023; 29:S1-S3. [PMID: 36448746 PMCID: PMC10578511 DOI: 10.1097/phh.0000000000001676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Affiliation(s)
- Rachel Hare Bork
- de Beaumont Foundation, Bethesda, Maryland (Drs Hare Bork and Castrucci); and Association of State and Territorial Health Officials, Arlington, Virginia (Dr Fraser)
| | - Brian C. Castrucci
- de Beaumont Foundation, Bethesda, Maryland (Drs Hare Bork and Castrucci); and Association of State and Territorial Health Officials, Arlington, Virginia (Dr Fraser)
| | - Michael R. Fraser
- de Beaumont Foundation, Bethesda, Maryland (Drs Hare Bork and Castrucci); and Association of State and Territorial Health Officials, Arlington, Virginia (Dr Fraser)
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Ruebush E, Dennison A, Lane J, Harper-Hardy P, Poulin A, Prather B, Wright S, Harvey D, Fraser MR. Implementation of a Nationwide Knowledge-Based COVID-19 Contact Tracing Training Program, 2020. Public Health Rep 2022; 137:11S-17S. [PMID: 35786097 PMCID: PMC9357820 DOI: 10.1177/00333549221101327] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
In the United States, the public health response to control COVID-19 required rapid expansion of the contact tracing workforce from approximately 2200 personnel prepandemic to more than 100 000 during the pandemic. We describe the development and implementation of a free nationwide training course for COVID-19 contact tracers that launched April 28, 2020, and summarize participant characteristics and evaluation findings through December 31, 2020. Uptake of the online asynchronous training was substantial: 90 643 registrants completed the course during the first 8 months. In an analysis of a subset of course participants (n = 13 697), 7724 (56.4%) reported having no prepandemic public health experience and 7178 (52.4%) reported currently serving as case investigators, contact tracers, or both. Most participants who completed a course evaluation reported satisfaction with course utility (94.8%; 59 497 of 62 753) and improved understanding of contact tracing practice (93.0%; 66 107 of 71 048). These findings suggest that the course successfully reached the intended audience of new public health practitioners. Lessons learned from this implementation indicate that an introductory course level is appropriate for a national knowledge-based training that aims to complement jurisdiction-specific training. In addition, offering a range of implementation options can promote course uptake among public health agency staff. This course supported the emerging needs of the public health practice community by training a workforce to fill an important gap during the COVID-19 pandemic and could serve as a feasible model for enhancing workforce knowledge for future and ongoing public health threats.
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Affiliation(s)
- Elizabeth Ruebush
- Association of State and Territorial Health Officials, Arlington, VA, USA
| | | | - J.T. Lane
- Association of State and Territorial Health Officials, Arlington, VA, USA
| | - Paris Harper-Hardy
- Association of State and Territorial Health Officials, Arlington, VA, USA
| | - Amelia Poulin
- Association of State and Territorial Health Officials, Arlington, VA, USA
| | - Bill Prather
- Association of State and Territorial Health Officials, Arlington, VA, USA
| | - Shauntā Wright
- Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - David Harvey
- National Coalition of STD Directors, Washington, DC, USA
| | - Michael R. Fraser
- Association of State and Territorial Health Officials, Arlington, VA, USA
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Pliska ES, Barfield WD, Fraser MR. Connecting the Dots: Public Health, Clinical, and Community Connections to Improve Contraception Access. Am J Public Health 2022; 112:S508-S510. [PMID: 35767787 PMCID: PMC10490314 DOI: 10.2105/ajph.2022.306924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/29/2022] [Indexed: 11/04/2022]
Affiliation(s)
- Ellen S Pliska
- Ellen S. Pliska and Michael R. Fraser are with the Association of State and Territorial Health Officials, Arlington, VA. Wanda D. Barfield is with the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Ellen S. Pliska is also a guest editor for this supplement issue. Note. The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Wanda D Barfield
- Ellen S. Pliska and Michael R. Fraser are with the Association of State and Territorial Health Officials, Arlington, VA. Wanda D. Barfield is with the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Ellen S. Pliska is also a guest editor for this supplement issue. Note. The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
| | - Michael R Fraser
- Ellen S. Pliska and Michael R. Fraser are with the Association of State and Territorial Health Officials, Arlington, VA. Wanda D. Barfield is with the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Ellen S. Pliska is also a guest editor for this supplement issue. Note. The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
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Affiliation(s)
- Michael R Fraser
- Michael R. Fraser is Chief Executive Officer, Association of State and Territorial Health Officials (ASTHO), Arlington, VA, and Affiliated Faculty, George Mason University College of Health and Human Services, Departments of Global and Community Health and Health Administration and Policy, Fairfax, VA
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Fraser MR, Barishansky RM, Blumenstock JS. Twenty Years After 9/11: The Public Health Preparedness We Need Now. Am J Public Health 2021; 111:1562-1564. [PMID: 34383555 PMCID: PMC8589049 DOI: 10.2105/ajph.2021.306459] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/16/2021] [Indexed: 11/04/2022]
Affiliation(s)
- Michael R Fraser
- Michael R. Fraser and James S. Blumenstock are with the Association of State and Territorial Health Officials, Arlington, VA. Raphael M. Barishansky is with the Pennsylvania Department of Health, Harrisburg, PA
| | - Raphael M Barishansky
- Michael R. Fraser and James S. Blumenstock are with the Association of State and Territorial Health Officials, Arlington, VA. Raphael M. Barishansky is with the Pennsylvania Department of Health, Harrisburg, PA
| | - James S Blumenstock
- Michael R. Fraser and James S. Blumenstock are with the Association of State and Territorial Health Officials, Arlington, VA. Raphael M. Barishansky is with the Pennsylvania Department of Health, Harrisburg, PA
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Tewarson H, Greene K, Fraser MR. State Strategies for Addressing Barriers During the Early US COVID-19 Vaccination Campaign. Am J Public Health 2021; 111:1073-1077. [PMID: 33950715 PMCID: PMC8101562 DOI: 10.2105/ajph.2021.306241] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2021] [Indexed: 11/04/2022]
Affiliation(s)
- Hemi Tewarson
- Hemi Tewarson and Katie Greene are with the Duke-Margolis Center for Health Policy, Washington, DC. Michael R. Fraser is with the Association of State and Territorial Health Officials, Arlington, VA
| | - Katie Greene
- Hemi Tewarson and Katie Greene are with the Duke-Margolis Center for Health Policy, Washington, DC. Michael R. Fraser is with the Association of State and Territorial Health Officials, Arlington, VA
| | - Michael R Fraser
- Hemi Tewarson and Katie Greene are with the Duke-Margolis Center for Health Policy, Washington, DC. Michael R. Fraser is with the Association of State and Territorial Health Officials, Arlington, VA
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Abstract
Containing coronavirus disease 2019 (COVID-19) through case investigation and contact tracing is a crucial strategy for governmental public health agencies to control the spread of COVID-19 infection in the United States. Because of the recency of the pandemic, few examples of COVID-19 contact-tracing models have been shared among local, state, and federal public health officials to date. This case study of the Anne Arundel County Department of Health (Maryland) illustrates one model of contact-tracing activity developed early in the outbreak. We describe the contact-tracing effort's place within the broader county health agency Incident Command System, as well as the capabilities needed, team composition, special considerations, and major lessons learned by county health officials. Other local, state, tribal, territorial, and federal health officials and policy makers can use this case study to innovate, iterate, and further refine contact-tracing efforts to prevent the spread of COVID-19 infection and support community members in isolation or quarantine.
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Affiliation(s)
| | - Michael R Fraser
- 8281 Association of State and Territorial Health Officials, Arlington, VA, USA.,Department of Community and Global Health and Department of Health Administration and Policy, College of Health and Human Services, George Mason University, Fairfax, VA, USA
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Affiliation(s)
- Michael R Fraser
- Michael R. Fraser is chief executive officer at the Association of State and Territorial Health Officials and is affiliate faculty in the Departments of Community Health and Health Administration and Policy, College of Health and Human Services, George Mason University, Fairfax, VA
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Affiliation(s)
- Michael R Fraser
- Association of State and Territorial Health Officials, Arlington, Virginia
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Abstract
The nation's first broad-based, mandatory investment in public health and prevention, the Prevention and Public Health Fund (the Fund), has had a brief and controversial history. Advocates for the Fund have had to defend it from both Democratic and Republican threats, including being used as an offset for administration priorities, and from congressional efforts to repeal and replace the Patient Protection and Affordable Care Act. Lessons learned from efforts to sustain the Fund are instructive in addressing current and future challenges faced by advocates for public health programs and prevention policies.
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Affiliation(s)
- Michael R Fraser
- The author is with the Association of State and Territorial Health Officials, Arlington, VA; the Department of Global and Community Health, College of Health and Human Services, George Mason University, Fairfax, VA; and the Department of Health Policy and Management, Milken Institute School of Public Health, George Washington University, Washington, DC
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Staeheli GR, Fraser MR, Morgan SJ. The dangers of damage control orthopedics: a case report of vascular injury after femoral fracture external fixation. Patient Saf Surg 2012; 6:7. [PMID: 22443812 PMCID: PMC3340320 DOI: 10.1186/1754-9493-6-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2012] [Accepted: 03/26/2012] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Placement of external fixation frames is an expedient and minimally invasive method of achieving bone and joint stability in the setting of severe trauma. Although anatomic safe zones are established for placement of external fixation pins, neurovascular structures may be at risk in the setting of severe trauma. CASE REPORT We present a case of a 21-year-old female involved in a high speed motorcycle accident who sustained a Type IIIB open segmental femur fracture with significant thigh soft tissue injury. Damage control orthopedic principals were applied and a spanning external fixator placed for provisional femoral stabilization. Intraoperative vascular examination noted absent distal pulses, however an intraoperative angiogram showed arterial flow distal to the trifurcation. Immediately postoperatively the dorsalis pedis pulse was detected using Doppler ultrasound but was then non-detectable over the preceding 12-hours. Femoral artery CT angiogram revealed iatrogenic superficial femoral artery occlusion due to kinking of the artery around an external fixator pin. Although the pin causing occlusion was placed under direct visualization, the degree of soft tissue injury altered the appearance of the local anatomy. The pin was subsequently revised allowing the artery to travel in its anatomic position, restoring perfusion. CONCLUSION This case highlights the dangers associated with damage control orthopedics, especially when severe trauma alters normal local anatomy. Careful assessment of external fixator pin placement is crucial to avoiding iatrogenic injury. We recommend a thorough vascular examination pre-operatively and prior to leaving the operating room, which allows any abnormalities to be further evaluated while the patient remains in a controlled environment. When an unrecognized iatrogenic injury occurs, serial postoperative neurovascular examinations allow early recognition and corrective actions.
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Affiliation(s)
- Gregory R Staeheli
- Department of Orthopaedic Surgery, Naval Medical Center San Diego, San Diego, CA, USA.
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Abstract
Pseudopseudohypoparathyroidism (PPH) is a rare genetic disorder characterized by multiple musculoskeletal anomalies and normal serum calcium, phosphate, and parathyroid hormone levels. Although the musculoskeletal manifestations of PPH are well known, little has been reported on the management of orthopedic problems. We report a case of total knee arthroplasty (TKA) performed in a patient with PPH. To our knowledge, this case is not only unique to the arthroplasty literature but is the first report of its kind. This report illustrates the unique pathoanatomy of PPH, the medical and surgical management required, and a previously unreported musculoskeletal abnormality associated with PPH: synovial osteochondromatosis of the knee. Common musculoskeletal anomalies associated with PPH include shortening/bowing of long bones; shortening of metacarpals, metatarsals, and/or phalanges; exostoses; calcification/ossification of subcutaneous and/or periarticular soft tissues; a thickened calvarium; microcephaly; bony coalitions of the hand; vertebral column abnormalities; cubitus valgus; radius/ulna curvus; coxa vara; coxa valga; and genu valgum. This case is the first to report an association of synovial osteochondromatosis with PPH. Because synovial osteochondromatosis and PPH share a common disorder of soft tissue calcification/ossification, as well as abnormal bone formation, this clinical finding does not seem merely coincidental.
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Affiliation(s)
- Michael R Fraser
- National Association of County and City Health Officials, 1100 17th Str, NW, SEcond Floor, Washington, DC 20036, USA
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Estrada LC, Fraser MR, Cioffi JP, Sesker D, Walkner L, Brand MW, Kerby DS, Johnson DL, Cox G, Brewer L. Partnering for preparedness: the project public health ready experience. Public Health Rep 2005; 120 Suppl 1:69-75. [PMID: 16025710 PMCID: PMC2569991 DOI: 10.1177/00333549051200s114] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Effective partnerships between local and state public health agencies and schools of public health have tremendous potential to improve the health of communities nationwide. This article highlights successful collaboration between local public health agencies (LPHA), state health departments, and Academic Centers for Public Health Preparedness (ACPHP) in schools of public health developed through participation in Project Public Health Ready, a program to recognize LPHA emergency preparedness. The project's pilot phase illustrated that LPHAs, state health departments, and ACPHP can effectively work together to improve individual public health worker competency and organizational response capacity in local public health agencies nationwide.
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Affiliation(s)
- Librada C Estrada
- Project Public Health Ready, National Association of County and City Health Officials, Washington, DC 20036, USA.
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Abstract
There is a paucity of information about the nation's local governmental public health agency (LPHA) workforce. Without additional research, crucial questions about the individuals providing front-line public health services remain unanswered. Current national efforts to develop a public health workforce research agenda must include strategies for collecting basic data on local governmental public health workers. The work of enumerating and classifying LPHA staff is complicated, but not impossible. Projects to improve LPHA performance and discussions of the certification of public health workers are incomplete without current and accurate data on the individuals comprising our nation's public health system. The need to describe basic facets of the LPHA workforce is not trivial. As city and county budgets are cut and LPHAs are left scrambling to cover lost positions, data are needed to inform important decisions about what kinds of LPHA staff are needed to keep a community healthy.
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Affiliation(s)
- Michael R Fraser
- National Association of County and City Health Officials (NACCHO), 1100 17th Street NW, Floor 2, Washington, DC 20036, USA.
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Abstract
State and local collaboration is critical to effective preparedness and response planning. Through various assessments, the National Association of County and City Health Officials (NACCHO) is tracking the way in which local and state public health agencies are coordinating their planning efforts to ensure adequate bioterrorism and emergency response capacities. NACCHO's analysis of planning provides a case study of effective and ineffective collaboration. NACCHO intends to share these lessons to provide local and state public health agencies with strategies for enhancing collaboration in the future.
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Affiliation(s)
- Zarnaaz Bashir
- Bioterrorism and Emergency Preparedness, National Association of County and City Health Officials, Washington, DC 20036, USA.
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Abstract
Hepatitis C virus (HCV) infection is the most common bloodborne infection in the United States. To determine the capacity of local health departments to respond to concerns about HCV, local health officers were surveyed regarding HCV programs and needs. Of 612 respondents, fewer reported offering HCV services (education, counseling, testing) compared with those for HIV. Most respondents reported that technical assistance would be needed for HCV services and that such services should be integrated into existing HIV programs. Many local health departments may be unprepared for a growing need for public HCV services; integrated HCV-HIV programs should be considered.
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Affiliation(s)
- Michael R Fraser
- Bioterrorism Preparedness and Response Program, National Center for Infectious Diseases (NCID), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA
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Affiliation(s)
- M R Fraser
- Research and Development Division of the National Association of County and City Health Officials, Washington, DC 20036, USA.
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Abstract
Abstract
Research addressing “environmental equity” and “environmental racism” claims that facilities for treatment, storage, and disposal of hazardous wastes (TSDFs) are located disproportionately in minority areas. In the first comprehensive study of TSDFs to use census tract-level data, we find no nationally consistent and statistically significant differences between the racial or ethnic composition of tracts which contain commercial TSDFs and those which do not. TSDFs are more likely to be found in tracts with Hispanic groups, primarily in regions with the greatest percentage of Hispanics. Different geographic units of analysis elaborate on, but are consistent with, these results.
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Affiliation(s)
- Douglas L. Anderton
- Social and Demographic Research Institute, University of Massachusetts-Amherst, Box 34830, Amherst, MA 01003-4830
| | - Andy B. Anderson
- Social and Demographic Research Institute, University of Massachusetts-Amherst, Box 34830, Amherst, MA 01003-4830
| | - John Michael Oakes
- Social and Demographic Research Institute, University of Massachusetts-Amherst, Box 34830, Amherst, MA 01003-4830
| | - Michael R. Fraser
- Social and Demographic Research Institute, University of Massachusetts-Amherst, Box 34830, Amherst, MA 01003-4830
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Anderton DL, Anderson AB, Oakes JM, Fraser MR. Environmental equity: the demographics of dumping. Demography 1994; 31:229-48. [PMID: 7926187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Research addressing "environmental equity" and "environmental racism" claims that facilities for treatment, storage, and disposal of hazardous wastes (TSDFs) are located disproportionately in minority areas. In the first comprehensive study of TSDFs to use census tract-level data, we find no nationally consistent and statistically significant differences between the racial or ethnic composition of tracts which contain commercial TSDFs and those which do not. TSDFs are more likely to be found in tracts with Hispanic groups, primarily in regions with the greatest percentage of Hispanics. Different geographic units of analysis elaborate on, but are consistent with, these results.
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Affiliation(s)
- D L Anderton
- Social and Demographic Research Institute, University of Massachusetts-Amherst 01003-4830
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