The One Health approach recognizes the interconnection between human and animal health and their shared environment. There is an urgent need for a One Health approach now, especially in the prevention of outbreaks, not just response. Public health agencies and the animal agriculture industry play crucial roles in One Health, along with other stakeholders. In this episode, our guests tell us how they put One Health into practice in a state health department, how health departments can connect across agencies to address One Health issues, and what falls under the One Health umbrella.    Guests  Dr. Karen Smith, MD, MPH: Founding Partner, Healthy Community Partners, Inc  J.J. Jones: Executive Director of the National Institute for Animal Agriculture  Dr. Megin Nichols DVM, MPH, DACVPM: Deputy Division Director, Division of Foodborne, Waterborne, and Environmental Diseases, CDC  Resources  ASTHO One Health Case Studies  ASTHO One Health Webinars  ASTHO Responding to Emerging Food Safety Threats Policy Statement  CDC Division of Foodborne, Waterborne, and Environmental Diseases  CDC One Health Office  National Institute for Animal Agriculture Public Health Review Morning Edition

Public health has a workforce problem: the demand for a new generation of public health practitioners is higher than ever, but health agencies are having a hard time filling positions, either due to funding or lack of visibility. Luckily, there are solutions to bridge fresh graduates to public health careers. In this episode of Public Health Review, Dr. JP Leider from the University of Minnesota and Dr. Heather Krasna of Columbia University spoke with ASTHO about solutions to recruit new public health professionals and the partnerships forming around that endeavor. Guests: JP Leider, PhD: Director, Center for Public Health Systems, University of Minnesota School of Public Health Heather Krasna, PhD: Associate Dean, Career and Professional Development, Columbia University School of Public Health Resources: Public Health Careers Consortium for Workforce Research in Public Health

Successful overdose prevention efforts require support from public health, public safety, and community harm reduction programs. These partnerships are key to promoting sustainable and effective overdose prevention. On this episode of Public Health Review, we speak with representatives from each of these fields to discuss their perspectives, experiences, and the importance of maintaining strong relationships while also negotiating differing strategies and approaches: Brandon del Pozo, a former police officer and current assistant professor of medicine and public health at Brown University; Joy Rucker of the Black Harm Reduction Network; and Dr. Cathy Slemp, former state health commissioner of West Virginia and current vice chair of the West Virginia Hope in Action Alliance. Guests: Brandon del Pozo, PhD: Assistant Professor of Medicine and Health Services, Policy, and Practice, Brown University Joy Rucker: National Harm Reduction Consultant, JR Harm Reduction Consulting Cathy Slemp, MD, MPH (alumni-WV): Co-Founder and Vice Chair, West Virginia Hope in Action Alliance Resources: https://www.astho.org/globalassets/brief/od2a-public-health-public-safety-partnerships.pdf

ASTHO’s Essentials of Leadership and Management (ELM) training gives public health experts the skills they need to better perform their supervisory positions and support their teams. On this episode, we check in with ELM graduates in Kentucky: Shannon Rome at the Franklin County Health Department, and Elizabeth Anderson-Hoagland with the Kentucky Department of Public Health. They share how the program has improved their work and helped them grow as leaders. We also hear from ASTHO’s Avia Mason about ELM, its impact on public health practitioners, and how programs like ELM can improve organizational culture and workplace wellbeing. Guests: Shannan Rome, Health Access Nurturing Development Services (HANDS) Manager, Franklin County Health Department Elizabeth Anderson-Hoagland, Cabinet for Health and Family Services, Kentucky Department of Public Health Division of Prevention and Quality Improvement Avia Mason, Vice President of Leadership and Organizational Performance, ASTHO

American Indian and Alaska Native (AI/AN) populations experience profound health disparities in part due to significant social and economic barriers. Having solid data helps inform policies that can improve the systems that serve these populations and mitigate stigmas impacting the health of AI/AN mothers and infants. Centering community voices can produce more effective and equitable healthcare, reducing the disparities impacting AI/AN communities. In this episode, three experts—Ed Ehlinger (alumni-MN), a previous past president of ASTHO; Janelle Palacios, a nurse midwife and researcher; and Katelyn Strasser, administrator of the Office of Child and Family Services with the South Dakota Department of Health—discuss the Federal Advisory Committee on Infant and Maternal Mortality’s most recent report on AI/AN health outcomes and the data-focused recommendations for states and territories. Guests: ·       Edward P. Ehlinger, MD, MSP: former Minnesota Health Commissioner and past president of ASTHO ·       Janelle Palacios, PhD: Salish & Kootenai, originally from the Flathead Indian Reservation in Montana; Nurse Midwife, Researcher, and Storyteller ·       Katelyn Strasser, MPH: Administrator of the Office of Child and Family Services, South Dakota Department of Health Resources: ·       Making Amends: Recommended Strategies and Actions to Improve the Health and Safety of American Indian and Alaska Native Mothers and Infants ·       Strengthening Risk-Appropriate Care in American Indian and Alaska Native Communities ASTHO thanks the CDC for its support of this episode of Public Health Review.

Maternal mortality rates are disproportionally high in the United States and still increasing. The majority of maternal deaths are preventable, indicating the need for system improvements. Equitable access to risk appropriate care improves maternal health outcomes and can be achieved by engaging providers in the process of developing and implementing risk appropriate care strategies at a state systems level. In this episode, two maternal healthcare veterans share approaches for bringing providers into the process, as well as how state health officials can promote risk appropriate care strategies and address challenges in achieving equitable risk appropriate care.  Show Notes Guests ·       Eugene C. Toy, MD, FACOG, FABFM, Obstetrics & Gynecology, Medical Director of ACOG Texas Levels of Maternal Care Verification Program ·       Lily Lou (alumni-AK), MD, FAAP, Neonatal-Perinatal Medicine   Resources ·       Risk Appropriate Care Stakeholder Convenings ·       Strengthening Risk-Appropriate Care in American Indian and Alaska Native Communities ·       CDC Levels of Care Assessment ToolSM (CDC LOCATeSM) ·       Levels of Maternal Care (ACOG)

STIs are on the rise. Now more than ever, it is imperative to raise awareness of the current state of STIs, especially their disproportionate impact on marginalized populations. Whole person care and status-neutral approaches to STI treatment and prevention empower people to access resources and services, as well as increase engagement, outreach, and education, all of which are key components of these care models. Hear from Leandro Mena of CDC and Thomas Dobbs (alumni-MS) on the benefits of these approaches. Guests Leandro Mena, MD, MPH, Director of the Division of STD Prevention (DSTDP) in National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), CDCThomas Dobbs, MD, Dean of the John D. Bower School of Population Health at the University of Mississippi Medical Center and ASTHO Alumni  Resources ·       Innovative STD Prevention and Treatment Strategies Microlearnings ·       Blog on the rise of STIs ·       ASTHO and NCSD Joint Statement on Rise of Syphilis in the U.S. ·       Sexually Transmitted Infections: Strategies for Your State

Like other vulnerable populations, American Indian and Alaskan Native (AI/AN) communities faced greater risk for complications during the COVID-19 pandemic. One such complication was ensuring that AI/AN populations had access to the vaccine. Listen to three public health experts share how they prioritized vaccine equity for AI/AN communities on the local, state, and national levels during the pandemic. Guests   Anne Zink, MD, FACEP, Chief Medical Officer for Alaska Department of Health, ASTHO President      Gary Lankford, Program Director for the Advances in Indian Health Care, Association of American Indian Physicians    Johnny Delgado, Project Director, Bakersfield American Indian Health Project    Resources   New ASTHO Program Aims to Increase Equity in Adult Immunization  Partnering with Community Action Agencies Can Improve Trust in Vaccines  Public Health and Healthcare Partner to Promote Influenza Vaccination  10 KEY ACTIONS to Improve Immunization Uptake and Advance Health Equity: Community Engagement

This podcast focuses on the Washington State Department of Health’s (WA DOH) approach to understanding and addressing climate and equity concerns. Guests discuss the need to continuously make connections between climate change and public health, the role of community engagement and partnerships in advancing these efforts, the use of existing networks to reach at-risk populations, and how to stay grounded in the public health messaging on climate change. WA DOH discusses some of its recent initiatives for engaging environmental justice communities, shares its approach for training and coordinating resiliency planning, and highlights ways the department raises awareness of the climate’s impact on health.   Resources: • WA DOH Climate and Health Web Page • WA State Environmental Justice Task Force Final Report • ASTHOReport: Climate Change and Environmental Justice: A Snapshot of Jurisdiction Activities Guests:  Umair A. Shah, MD, MPH, Secretary of Health, Washington State Department of Health Rad Cunningham, MPH, MPA, Senior Epidemiologist, Washington State Department of Health

The Association of State and Territorial Health Officials was incorporated on March 23, 1942. For 80 years, ASTHO has worked to advance public health and create a healthier nation. What has that looked like in the past, and we where are we going in the years ahead? Join ASTHO’s leadership panel—including CEO Mike Fraser, President Anne Zink, Past President Nirav Shah, and Idaho Commissioner of Health Elke Shaw-Tulloch - for a discussion on the unique role ASTHO plays in the public health landscape, and how we can seize historic investments in health to create a more equitable future. Guests Mike Fraser, PhD, MS, CAE, FCPP, ASTHO CEO Anne Zink, MD, FACEP, Chief Medical Officer, Alaska Department of Health and Social Services, Division of Public Health Nirav Shah, MD, JD, ASTHO Past President, Director of the Maine Center for Disease Control and Prevention Elke Shaw-Tulloch, MHS, Public Health Administrator, Idaho Department of Health & Welfare Resources About Us | ASTHO Anne Zink, MD, Chief Medical Officer for Alaska Department of Health, Announced as ASTHO’s 80th President Thanking Our Public Health Workforce

Public health agencies had to rapidly innovate during COVID-19, and one of those innovations was virtual restaurant inspections. Beginning in March 2020, COVID-19 social distancing and stay-at-home orders required many food establishments to adopt takeout and/or food delivery models. To ensure that establishments were abiding by food safety rules and to protect the health of professionals who inspect these facilities, some state health agencies implemented virtual inspection protocols. This podcast showcases how one state health department pivoted during the pandemic and how they are continuing to use this innovation now and in the future. Guests Edward Simmer, MD, MPH, DFAPA, Agency Director, South Carolina Department of Health and Environmental Control.Susan Best, Program Manager, Division of Food and Lead Risk Assessment, South Carolina Department of Health and Environmental Control. Resources ASTHOBrief: Virtual Food Safety Inspections During the COVID-19 PandemicSouth Carolina Resource: DHEC COVID-19 Virtual Food Safety CheckASTHOBrief: Environmental Health Innovations During the COVID-19 PandemicSouth Carolina Resource: Food Safety & COVID-19

As Ebola cases grow in Uganda, state and island area health officials are preparing for the possibility of a case in the United States. While there are no U.S. cases currently, there was an outbreak of Ebola in Dallas in 2014 when Dr. David Lakey was Commissioner of the Texas Department of State Health Services. He joins this episode of Public Health Review to discuss his experience managing the outbreak and what lessons and advice he has as health officials prepare for potential cases of Ebola in the United States. Guests: David Lakey, MD, Vice Chancellor for Health Affairs and Chief Medical Officer, The University of Texas System, Alumni-TX Resources: ASTHO Podcast: Lessons From the Trenches: Leading During a Public Health CrisisCDC Webpage: Ebola (Ebola Virus Disease)

Building a comprehensive workforce response to the youth mental health crisis requires educators, traditional school behavioral health workers, and public health professionals to work collaboratively. A public health approach is needed to address youth mental health by supporting frontline staff through a “helping the helpers” model. Public health and education sectors can work in tandem to train frontline school staff and create systems of support for staff well-being. This episode highlights strategies for addressing youth mental health through the workforce and promising state practices for cross-sector collaborations. Guests: Sharon Hoover, PhD, Co-Director, National Center for School Mental Health Director, NCTSN Center for Safe Supportive Schools, University of Maryland School of MedicineAllison Budzinski, MSW, CAPSW, Trauma and Resilience Coordinator Wisconsin Department of Health ServicesJessica Frain, MSW, School Mental Health Consultant, Student Services/Prevention and Wellness, Wisconsin Department of Public Instruction Resources: Improving School Workforce Capacity to Address Youth Mental Health ASTHO Report: Improving Youth Behavioral Health Through School Based Strategies NCSMH Advancing Comprehensive School Mental Health Systems: Guidance from the FieldResilient WisconsinWisconsin Department of Public Instruction School Mental Health

Health equity is a top priority for many health agencies. In an ideal implementation, public health leaders can use performance management systems to advance health equity goals. These systems ensure that progress is being made toward department goals by systematically collecting and monitoring data to track results and identify opportunities for improvement. Our latest episode highlights how the current equity efforts can integrate with established performance management practices. It also discusses how health agencies can use planning documents to integrate equity in health assessments, health improvement plans, strategic plans, and performance management systems. Guests: Nicole Alexander Scott, MD, Former Director, Rhode Island Department of HealthHarry Chen, MD, Former Commissioner, Vermont Department for HealthAnna Bradley, MS, CHES, State Health Improvement Coordinator, Montana Department of Public Health and Human Services Resources: Data Visualization for Performance Improvement Learning SeriesRhode Island Health Equity MeasuresMontana State Health Improvement PlanCDC Webpage: Paving the Road to Health EquityASTHOReport Health Equity Metrics (coming soon to astho.org)

The Senior Leader Reserve Corps connects former government public health leaders with current state health officials in need of leadership-level technical assistance and support. ASTHO developed this program with CDC to support state health officials as they face their biggest professional challenges. In this episode, Dr. Greg Holzman (alum-MT), Paula Tran (SHO-WI), and Meredith Alexander (ASTHO) discuss this innovative program and highlight the work that Paula and Greg have done in Wisconsin to strengthen the statewide public health infrastructure. To request support for your health agency, or for more information on volunteering with the Senior Leader Reserve Corps, please reach out to the Performance Excellence team, at pe@astho.org.  Guests Greg Holzman: Alum-Montana, SLRC MemberPaula Tran: SHO-WIMeredith Alexander: Senior Analyst, Performance Excellence and Engagement, ASTHO Resources Senior Leader Reserve CorpsWisconsin Department of Health Services

Opioid use disorder (OUD) during pregnancy contributes to maternal death and poor birth outcomes. Although prenatal care can reduce these effects, pregnant individuals may delay care due to concerns about stereotyping and stigmatizing by providers. The relationship between a physician and their patient may also be strained by mandated reporting of substance use to law enforcement or social services, and related fears of parent-child separation and criminalization. Such fears may present additional barriers to receiving prenatal care. In this episode, Dr. Joseph Kanter, the current state health official of Louisiana, and Dr. Amy Ladley, Program Manager for the Louisiana Perinatal Quality Collaborative, discuss Louisiana’s approach to reducing stigma and fears of criminalization around opioid use in pregnant and postpartum individuals. They also highlight the importance of partnerships in these efforts. Resources: Stigma Reinforces Barriers to Care for Pregnant and Postpartum Women with Substance Use Disorder Supporting Pregnant and Postpartum Women with Opioid Use Disorder: An Infographic Series Opioid Use Disorder Toolkit: Supporting the Public Health Response in Maternal, Child and Adolescent Health

Since 2000, rates of suicide and substance overdose mortality have steadily increased in the United States. A prevailing theory within public health is that substance use disorder and suicide are both “deaths of despair” and a way to cope with socioeconomic infrastructure challenges, such as poverty, lack of social connection, housing instability, and discrimination—issues which have only been exacerbated by the COVID-19 pandemic. As a method of preventing suicide and substance use disorder, states turn to addressing upstream factors like creating healthy communities where individuals feel they matter. In this podcast episode, Sheila Nelson, a program manager for adolescent health and injury prevention at the Maine Center for Disease Control and Prevention, and Kini-Ana Tinkham, the executive director of the Maine Resilience Building Network, discuss how they are working in their communities to set youth up to thrive. Using behavioral health data from the Maine Integrated Youth Health Survey (MIYHS), they are collaborating on a Cultivating Mattering for Maine Youth Initiative where they build resilience, incorporate youth voices, and support communities in their suicide and substance use prevention efforts. Guests: Sheila Nelson, Program Manager, Adolescent Health and Injury Prevention, Maine Center for Disease Control and PreventionKini-Ana Tinkham, Executive Director, Maine Resilience Building Network Resources: Maine Integrated Youth Health SurveyMaine Resilience Building Network

COVID-19 has impacted the ways in which we prevent, detect, and treat tuberculosis (TB) infections. The pandemic presented challenges to public health and healthcare systems which may have caused delayed diagnoses, and increased new infections, however some COVID-19 mitigation measures may have positively impacted TB disease burden. What do the data tell us? What can public health do to improve TB prevention and treatment efforts? In this episode, Dr. José Romero (SHO-AR) and Dr. Philip LoBue (Director of the Division of Tuberculosis Elimination at CDC) discuss the current state of TB, and the challenges and areas of opportunity posed by the COVID-19 pandemic. Dr. LoBue also shares information about the latest CDC TB Campaign: Think. Test. Treat TB, which aims to raise awareness for TB among patients, providers, and partners. MMWR: Tuberculosis — United States, 2021 CDC Webpage: Tuberculosis Data and Statistics CDC Communications Campaign: Think. Test. Treat TB

Older-adult health has been increasingly on the radar of public health agencies over the course of the COVID-19 pandemic. For many, it prompted new or enhanced partnerships with their sibling agencies. As the population of older adults continues to grow, it is crucial for public health agencies to join partners in the aging network to create systems that support healthy aging. In this podcast episode, Jewel Mullen (alumni-CT) offers perspectives on the value of cultivating partnerships between state public health agencies and state units on aging. In addition, Elizabeth Head (Deputy Director, Injury Prevention Section, Georgia Department of Public Health) and Aline Stone (Georgia Alzheimer’s and Related Dementias Coordinator, Division of Aging Services, Georgia Department of Human Services) describe their collaboration to improve the health of older adults in Georgia. They share their experience participating in a pilot project with ASTHO and Trust for America’s Health to cross reference their state health improvement and aging plans. Guests Jewel Mullen, Former Public Health Commissioner, Connecticut Department of Public HealthElizabeth Head, Deputy Director, Injury Prevention Section, Georgia Department of Public HealthAline Stone, Georgia Alzheimer’s and Related Dementias Coordinator, Division of Aging Services, Georgia Department of Human Services Resources Age-Friendly Public Health Systems - Trust for America’s Health (afphs.org) Healthy Aging and Brain Health | ASTHO ASTHO Learning: Integrating Healthy Aging into Public HealthASTHO Learning: Healthy Brain Initiative (HBI) Road Map Module

The expansion of federal and state telehealth flexibilities throughout the COVID-19 pandemic loosened policy restrictions and improved access to telehealth for millions of people, although challenges remain for certain under resourced populations. As telehealth continues to take off, there are questions around how public health agencies are engaging in telehealth activities. Each public health department operates differently and offers a varying perspective on how they implement and support telehealth to increase access to care for communities. In this podcast episode, Scott Harris (SHO-AL) and Mei Kwong (executive director, Center for Connected Health Policy) explore the current state of telehealth during COVID-19 and how it’s being used as a tool to access care, spotlighting examples from public health. Guests: Scott Harris, MD, MPH, State Health Officer, Alabama Department of Public HealthMei Kwong, JD, Executive Director, Center for Connected Health Policy Resources: State, Federal Policies Increase Virtual Access to Behavioral Health Care States Leverage Telehealth to Respond to COVID-19 What’s Next for Telehealth: States Try to Make COVID-19 Telehealth Options Permanent Telehealth: An Opportunity for State and Territorial Health Agencies to Improve Access to Needed Health Services