Public Health Resources


            can also keep you informed about developments in public health.

+ Series  Series designed for any organization committed to fighting HIV stigma and HIV, regardless of where they are located in the United States. Visitors can download materials that show their commitment to ending HIV stigma and HIV, using them to educate and raise public awareness about stopping HIV transmission.

12 new APHA policy statements now available online  Twelve policy statements adopted during the 2018 APHA Annual Meeting and Expo in San Diego in November are now available online. (American Public Health Association (APHA))

2015 Indian Health Surveillance Report: Sexually Transmitted Diseases (December 2018)  Report presents statistics and trends for sexually transmitted diseases (STDs) among American Indians and Alaska Natives (AI/AN) in the United States. (Centers for Disease Control and Prevention (CDC), HHS)

2017 BRFSS Survey Data and Documentation  The CDC has just released the 2017 edition of the BRFSS, a unique, state-based surveillance system active in all 50 states, the District of Columbia, Puerto Rico, and Guam. Reaching participants on both landline and cellular telephones, the survey collects information on health risk behaviors, clinical preventive health practices, and health care access (primarily related to chronic disease and injury) from a representative sample of noninstitutionalized adults aged 18 years or older in each state. (Centers for Disease Control and Prevention (CDC), HHS)

2017 Hurricanes and Wildfires: Initial Observations on the Federal Response and Key Recovery Challenges  GAO analyzed FEMA policies, procedures, guidance, and data specific to disaster response and recovery programs. GAO focused on the busiest period of disaster response activity for the federal government—August 2017 through January 2018. (U.S. Government Accountability Office)

2018 Annual Surveillance Report of Drug-Related Risks and Outcomes (August 2018)  This is the second annual surveillance report summarizing the latest information at the national level for prescribing patterns, drug use, and nonfatal and fatal overdose related to the current drug overdose epidemic in the United States. This report is intended to serve as a resource for persons charged with addressing this ongoing national crisis. (Centers for Disease Control and Prevention (CDC), HHS)

2018 Public Health Law and Policy Review  Blog post provides a state-level look at public health legislation and policies enacted over the course of 2018. (Association of State and Territorial Health Officials (ASTHO))

2018 Report of the Lancet Countdown  The Lancet Countdown's 2018 report tracks 41 indicators across five key domains in health and climate change. (The Lancet)

2018 The Forces of Change in America's Public Health System  Local health departments (LHDs) face both challenges and opportunities as the public health environment evolves, and NACCHO has periodically surveyed LHDs to assess the impact of this changing environment on their budgets, workforce, and activities. The 2018 Forces of Change survey was distributed to a stratified random sample of 966 LHDs in the United States; 591 completed it for a response rate of 61%. The survey included six topics: Budget Cuts and Job Losses, Response to Opioid Use and Abuse, Population Health Activities, Influenza Preparedness and Response, Informatics Capacity, and Environmental Health Activities. (National Association of County and City Health Officials (NACCHO))

2018 in Review: CDC Looks Back at the Year’s Most Pressing Health Threats  From the opioid overdose epidemic to foodborne disease outbreaks and antimicrobial resistance to the Ebola virus outbreak in the Democratic Republic of Congo (DRC), CDC worked around the clock – and around the globe – to protect Americans from health threats in 2018. Here’s a closer look at some of the biggest health issues that CDC tackled in 2018. (Centers for Disease Control and Prevention (CDC), HHS)

2019 Health Disparities Research Institute (HDRI) Applications Now Open  Applications are due March 11, 2019. Institute will take place August 12-16, 2019 in Bethesda, MD. More information can be found here. (National Institute on Minority Health and Health Disparities (NIMHD), NIH)

2019 National HIV Prevention Inventory (NHPI) Survey Report  Report works to better understand HIV prevention programs/services delivered through CDC-funded health departments. (National Alliance of State and Territorial AIDS Directors (NASTAD))

2019 National Prevention Week Planning Guide and Resource Calendar  This planning guide and resource calendar helps communities plan and implement their National Prevention Week (NPW) 2019 activities. (Substance Abuse & Mental Health Services Administration (SAMHSA), HHS)

2019 Nevada Rural and Frontier Health Data Book - Ninth Edition  Data book contains a wide range of current county-level information on the resident population, economy, social environment, population health, health workforce, and the health care delivery system. It includes important data for public policy makers, health care professionals and administrators, rural health care advocates, and residents of rural and frontier Nevada. (University of Nevada Reno)

2019 Vector Control Technical Assistance  Applications are now open for NACCHO’s 2019 Vector Control Technical Assistance Program. The goal of the program is to help local health departments improve mosquito surveillance and control to prevent vector-borne diseases like Zika and the West Nile Virus. (National Association of County and City Health Officials (NACCHO))

2019-2020 Update to the Texas State Health Plan  Proposes strategies to improve the efficiency of the healthcare delivery system in Texas with a particular emphasis on health literacy, access to care for rural areas, and the healthcare workforce. Addresses oral health, trauma care, and the availability of clinical training sites. (Texas Department of State Health Services)

2020 Census Barriers, Attitudes, and Motivators Study (CBAMS) Focus Group Final Report (January 2019)  This report presents the findings from the 2020 Census Barriers, Attitudes, and Motivators Study (CBAMS) Focus Groups conducted among racial and ethnic minorities, those with low internet proficiency, young people who recently moved, rural residents, and audiences at risk of low self response. (U.S. Census Bureau)

2020 Dietary Guidelines Advisory Committee Call for Nominations  USDA and HHS are currently asking for nominations to the 2020 Dietary Guidelines Advisory Committee. The Committee will be established to provide an independent, science-based review of specific topics and supporting scientific questions related to nutrition and health – from birth into older adulthood. Applications are open until October 6, 2018. (U.S. Department of Agriculture (USDA))

3rd Annual Children’s Environmental Health Day: October 11, 2018  Thursday, October 11th, 2018 is Children’s Environmental Health (CEH) Day. The Children’s Environmental Health Network (CEHN) established CEH Day in 2016, to be observed on the second Thursday of every October, to raise awareness and incite action regarding the importance of safe and healthy environments for all children. (Children's Environmental Health Network)

7 States Now Report Obesity at or Above 35%  Today, CDC released new data on self-reported adult obesity prevalence for all 50 states, the District of Columbia, Guam, and Puerto Rico. The 2017 Adult Obesity Prevalence Maps show that adult obesity prevalence across the country remains high and differs by race, ethnicity, and education. (Centers for Disease Control and Prevention (CDC), HHS)

A Call for Papers: Writing for Public Health (2018)  Public Health Reports (PHR) invites submitted articles on the general topic of writing in public health. The journal seeks articles on public health writing quality, writing environment, writing for different genres, teaching students to write in public health, writing pedagogy, the history of writing training in educational settings, commentaries on public health writing, or other related topics. (Public Health Reports)

A Case for Solidarity: Common Challenges Involving Health and Health Care in the United States (October 2018)  Families USA recently commissioned original analysis of national longitudinal data documenting the prevalence of serious health problems and barriers to health care access. To shed light on claims about class, race, and ethnicity that have stoked divisions between communities, report examined selected measures to learn what happens at the intersection of race, ethnicity, class, gender, and place. (Families USA)

A Closer Look at the Senate’s Bipartisan Legislation Targeting the Opioid Epidemic  Next week the United States Senate is poised to pass its sweeping response to the opioid crisis. The bipartisan legislation includes more than 70 individual bills that fall within the jurisdiction of five Senate committees (Health, Education, Labor, and Pensions; Finance; Judiciary; Commerce; and Banking). (Commonwealth Fund)

A Comparative Analysis of Affected Residents’ Views of the Response to Hurricanes Maria, Harvey and Katrina  Survey (Kaiser Family Foundation (KFF))

A Legal and Practical Guide for Designing Sugary Drink Taxes  Guide for local officials and advocates who are interested in pursuing sugary drink taxes and for anyone interested in learning more about this strategy. (ChangeLab Solutions)

A Portrait of American Indian and Alaska Native Children and Families  This brief summarizes findings from the implementation of the first design for the American Indian and Alaska Native Early Childhood Needs Assessment, which used existing data to create a national picture of the AI/AN population of young children and their families, and their access to and participation in early childhood services using the 2010–2014 American Community Survey. (Mathematica Policy Research, Inc.)

A Program for Local Health Departments to Adapt and Implement Evidence-Based Emergency Preparedness Programs  The goal of this project was to enhance the capacity of local health departments to translate and implement evidence-based programs in emergency preparedness by using the Getting To Outcomes approach. (American Public Health Association (APHA))

A Proposed Approach for Implementing Genomics-Based Screening Programs for Healthy Adults  Paper covers the optimal genes to include in genomics-based screening programs, the complexity of identifying a point in time at which to begin screening, who should perform the screening, where the programs should be administered, along with ethical and economic considerations. (National Academy of Medicine)

A Qualitative Evaluation of the United States Department of Agriculture’s Food Insecurity Nutrition Incentive (FINI) Grant Program (October 2018)  In early 2018, the Gretchen Swanson Center for Nutrition conducted a series of interviews with United States Department of Agriculture (USDA) 2015 and 2016 Food Insecurity Nutrition Incentive (FINI) Grant Program grantees and stakeholders in order to gain a better understanding of policy implications and to inform the future of healthy food incentive programs. (U.S. Department of Agriculture (USDA))

A Rural Community Decided To Treat Its Opioid Problem Like A Natural Disaster  Snohomish County in Western Washington is taking a unique approach to tackle the opioid epidemic. Last year, leaders declared the opioid epidemic a life-threatening emergency. The county is now responding to the drug crisis as if it were a natural disaster, the same way it would mobilize to respond to a landslide or flu pandemic. (National Public Radio (NPR))

A community-based approach to rural health research  The Collaborative for Rural Primary Care, Research, Education, and Practice (Rural PREP) is dedicated to making research more accessible through its community of practice activities. Rural PREP programs bring people together in a community of practice around education, training, and research. (National Rural Health Association (NRHA))

ACA Reduces Racial/Ethnic Disparities in Health Coverage  This brief examines health care coverage rates and sources of coverage among nonelderly (under age 65) Californians based on the 2017 California Health Interview Survey (CHIS), with 2013 and 2016 CHIS data used for comparisons before and after expansion of the Patient Protection and Affordable Care Act. (University of California Los Angeles (UCLA))

AIDSVu Adds 2017 State-Level Data Visualizing PrEP Users Across the U.S.  AIDSVu just released new data and interactive state-level maps visualizing PrEP use in 2017, showing a 56% average annual increase in PrEP use across the U.S. from 2012 to 2017 — including a nearly 30% increase from 2016 to 2017. (Emory University, Rollins School of Public Health)

AIDSinfo Releases Brief Versions of the HIV/AIDS Medical Practice Guidelines  AIDSinfo is pleased to announce the release of brief versions of the federally approved HIV/AIDS medical practice guidelines. Health care providers have requested shorter versions of the guidelines that are easier to use at the point of care, and AIDSinfo used this feedback to produce brief versions of specific guidelines. (U.S. Department of Health and Human Services (HHS))

AJPH Podcast: Who Cares about the Health of Healthcare Workers  This podcast discusses a paper by Himmelstein and Venkataramani about the prevalence of low income and of poverty among female health care workers in the US and estimates the ability of a minimum wage of $15 to improve the condition of the currently 1.7 million female health care workers who live in poverty. (American Public Health Association (APHA))

AJPH Special Supplement: Building a Medical Home for HIV-Positive, Multiply Diagnosed Homeless Populations  Open-access supplement of the American Journal of Public Health highlighst best practices and lessons learned for providing patient-centered care, coordinated health care, housing, and social service system changes that are necessary to reduce homelessness and promote access to HIV, substance use, and mental health services for PLWH with multiple comorbidities. (American Public Health Association (APHA))

AJPH Supplemental Issue: New Perspectives to Advance Minority Health and Health Disparities Research  This special open access supplement of the American Journal of Public Health focuses on defining, standardizing, and measuring minority health and health disparities research. (American Public Health Association (APHA))

Abortion Coverage in the ACA Marketplace Plans: The Impact of Proposed Rules for Consumers, Insurers and Regulators  This brief provides an overview of current ACA-related abortion coverage policies and analyzes the potential impact of the proposed changes. (Kaiser Family Foundation (KFF))

Abortion Surveillance — United States, 2015  A total of 638,169 abortions for 2015 were reported to CDC from 49 reporting areas. Among these 49 reporting areas, the abortion rate for 2015 was 11.8 abortions per 1,000 women aged 15–44 years, and the abortion ratio was 188 abortions per 1,000 live births. From 2014 to 2015, the total number of reported abortions decreased 2%, the abortion rate decreased 2%, and the abortion ratio decreased 2%. From 2006 to 2015, the total number of reported abortions decreased 24%, the abortion rate decreased 26%, and the abortion ratio decreased 19%. In 2015, all three measures reached their lowest level for the entire period of analysis (2006–2015). (Morbidity and Mortality Weekly Report (MMWR))

Abstract Digest on Maternal and Child Nutrition Research – Issue 26  Digest provides abstracts on recent articles on maternal and child nutrition, obesity, undernutrition, and climate change. (International Food Policy Research Institute)

Access by Design, Benefits if Convenient: A Closer Look at the Pandemic Influenza Preparedness Framework’s Standard Material Transfer Agreements  Paper analyzed WHO's Pandemic Influenza Preparedness Framework, its standard material transfer agreements, and secondary sources to determine whether the PIP Framework will effectively function as an access and benefit-sharing (ABS) instrument during an influenza pandemic. (Milbank Memorial Fund)

Access in Brief: Rural and Urban Health Care (October 2018)  Using data combined from the 2013-2015 National Health Interview Surveys, this brief examines characteristics of individuals with Medicaid coverage - children and adults - in rural areas, as well as their access to care and use of services, comparing their experience to their privately insured and uninsured counterparts. (MACPAC)

Access to Care for MH/SUDs is a Challenge for Many in Massachusetts (December 2018)  Brief examines the health care experiences of adults 19 to 64 who sought care for MH conditions and/or SUDs in Massachusetts. (Blue Cross Blue Shield Association)

Access to Rural Maternity Care (January 2019)  The majority of rural women give birth at their local hospitals and therefore rely on local maternity services. ii However, women have lost access to local services with over 10% of rural counties losing these services in the past fifteen years. Initial studies show a doubling of Infant mortality rate where counties have lost OB services, compared with a decrease in infant mortality rate where services are available. 39 Additionally, out of hospital birth, preterm birth and deliveries in hospitals lacking OB units increased. (National Rural Health Association (NRHA))

Achieving Equity in Lead Poisoning Prevention Policy Making  A report synthesizing deliberations from a national meeting to improve the consideration of equity in lead poisoning prevention policy making. (Human Impact Partners)

Actions in Support of Newborn Screening for Critical Congenital Heart Disease — United States, 2011–2018  By 2018, all U.S. states and the District of Columbia had implemented newborn CCHD screening policies. Opportunities for program improvement, particularly around data collection, persist. Not all jurisdictions collect screening data or share data among relevant programs. (Morbidity and Mortality Weekly Report (MMWR))

Actions to Improve Physical Activity Surveillance in the United States  Discussion paper highlights discussion from a January 2017 roundtable to identify specific actions that could improve physical activity surveillance in the United States and to suggest approaches for moving forward on those actions. (National Academies of Science, Engineering, and Medicine (NASEM))

Active People, Healthy Nation  Active People, Healthy Nation is a national initiative by CDC and its partners, with the goal of saving lives and protecting health by helping 25 million Americans become more physically active. (Centers for Disease Control and Prevention (CDC), HHS)

Acute Flacid Myelitis (AFM) Investigation  Since August 2014, CDC has seen an increased number of people across the United States with AFM. They have not confirmed the cause for the majority of these cases. CDC has been actively investigating these AFM cases, and we continue to receive information about suspected AFM cases. (Centers for Disease Control and Prevention (CDC), HHS)

Addressing Incidents of Bias in Schools: A Guide for Preventing and Reacting to Discrimination Affecting Students  This guide is designed to bring together a school community in order to address and prevents incidents of bias, discrimination and hate crimes. It includes suggestions for facilitating the discussions so that they are safe, illuminating and productive, as well as for organizing the process so that it fits in the daily rhythm of the school community. (Public Agenda)

Addressing Social Isolation To Improve the Health of Older Adults: A Rapid Review  Brief reviews recent literature evaluating the effectiveness of interventions that target social isolation and loneliness to improve health and/or health care utilization. (Agency for Healthcare Research and Quality (AHRQ), HHS)

Addressing the Opioids Crisis: Data Sources and Linking Strategies  This report highlights key research questions and identifies opportunities to use existing data sources and implement data-linking strategies that can support the HHS five point strategy to combat the opioid crisis. (Office of the Assistant Secretary for Planning and Evaluation (ASPE), HHS)

Adolescent Beliefs About Hookah and Hookah Tobacco Use and Implications for Preventing Use  Hookah tobacco use is popular among youths and there is evidence that perceived risks and normative beliefs are associated with hookah use. The aim of this study was to further examine associations between perceived risks of hookah use, normative beliefs, and lifetime hookah use among youths. (Centers for Disease Control and Prevention (CDC), HHS)

Adolescent and Young Adult Substance Use: Federal Grants for Prevention, Treatment, and Recovery Services and for Research  GAO identified 12 federal grant programs within three federal agencies that funded substance use prevention, treatment, and recovery services in fiscal year 2017 and targeted adolescents' and young adults' use of illicit substances such as marijuana and nonmedical use of prescription opioids. (U.S. Government Accountability Office)

Adults with diabetes residing in “food swamps” have higher hospitalization rates  Open access article published in Health Services Research examines the relationship between food swamps and hospitalization rates among adults with diabetes. (Wiley Interscience)

Advancing Health and Well-Being: Using Evidence and Collaboration to Achieve Health Equity  This volume is the second in RWJF's Culture of Health series, spanning a broad range of topics related to current public discourse, including the role of place, race, opportunity, and class in health and well-being; mass incarceration; health and climate change; new methods and approaches for research and dissemination of evidence; and a deep dive on health and well-being in Kentucky. Users can request a free hardcover copy. (Kaiser Health News (KHN))

Advancing Tobacco Prevention and Control in Rural America  This comprehensive report examines rates and patterns of commercial tobacco use across rural subpopulations; explores aspects of the rural context that may affect tobacco prevention and control efforts; and presents challenges and opportunities for improving rural health through tobacco prevention and control. The report highlights a variety of examples of tobacco prevention and control efforts underway in rural communities across America that can be replicated and scaled to reduce the prevalence of commercial tobacco use and improve public health. (National Network of Public Health Institutes)

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older — United States, 2019  In addition to incorporating new ACIP recommendations on influenza, hepatitis A, and hepatitis B vaccinations, each vaccination section in the 2019 adult immunization schedule was revised for clarity, brevity, and, for vaccines that also appear in the 2019 child and adolescent immunization schedule, consistency between the two schedules. (Morbidity and Mortality Weekly Report (MMWR))

Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger — United States, 2019  Vaccine changes in the 2019 immunization schedule for children and adolescents aged ≤18 years include new or revised ACIP recommendations for hepatitis A vaccine (HepA) (2), hepatitis B vaccine (Hep B) (3), influenza vaccine (4), and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap) (5), as well as clarification of the recommendations for inactivated poliovirus vaccines (IPV). (Morbidity and Mortality Weekly Report (MMWR))

Affordable Health Care Keeps Children and Families Healthy (June 2018)  Study explored the relationship between parents’ and young children’s health when parents had to: forego needed medical care or prescriptions for themselves or other members of the household due to cost; forego needed health care or prescriptions for young children due to cost; sacrifice paying for basic household expenses, such as rent or mortgage payments, food, utilities or transportation, in order to pay for medical care or prescriptions. (Children's HealthWatch)

Age-Associated Trends in Diagnosis and Prevalence of Infection with HIV Among Men Who Have Sex with Men — United States, 2008–2016  During 2008–2016, the number of HIV diagnoses increased 3% annually among men who have sex with men (MSM) aged 13–29 years. The number of HIV diagnoses among MSM aged 13–29 years was four times that of MSM aged ≥50 years. Racial/ethnic inequities in HIV persisted, particularly among younger black/African American and Hispanic/Latino MSM. (Morbidity and Mortality Weekly Report (MMWR))

Airport Roles in Reducing Transmission of Communicable Diseases (2019)  Report summarizes an event held from March 6-7, 2018 in Washington, D.C. that discussed the roles of airports in reducing transmission of communicable diseases. Speakers represented the federal government, domestic and foreign airports, local public health agencies, an international aviation organization, and academia. The proceedings focused largely on strategies, best practices, and suggestions that pertain specifically to airports, as identified by the invited speakers. (National Academies Press)

America's Health Rankings Annual Report 2018  America’s Health Rankings® presents its 29th Annual Report, continuing the United Health Foundation’s dedication to providing data that can help build healthier communities nationwide. The longest-running annual assessment of the nation’s health on a state-by-state basis provides updated data to serve as a benchmark for states and spark data-driven discussions on opportunities to promote the health and well-being of our country. (United Health Foundation)

American Cancer Society and Community Health Centers Partner to Increase Colorectal Cancer Screening (2019)  The Community Health Centers of South Central Texas, Inc. (CHCSCT) and the New Orleans East Louisiana Community Health Center (NOELA) found colorectal cancer screening rates for their populations were below the national average. They partnered with the American Cancer Society to implement the Community Preventive Services Task Force (CPSTF) recommendation for multicomponent interventions to increase colorectal cancer screening rates. (Community Preventive Services Task Force (CPSTF))

American Indians and Alaska Natives must be included in research on adverse childhood experiences  Adverse Childhood Experiences (ACEs) are an increasing area of interest among researchers, practitioners, and policymakers. As this field of study grows, an equity lens can facilitate a greater understanding of the structural, historic, and systemic contexts that relate to limited ACEs data for American Indians and Alaska Natives (AI/ANs), as well as disparate exposures to ACEs among this population. Three factors are important to consider in support of more equitable outcomes: AI/AN population characteristics, historical trauma and resilience, and tribal sovereignty. (Child Trends)

America’s Eating Habits: Food Away From Home (September 2018)  This report takes a comprehensive look at the role of food away from home (FAFH) in American diets, exploring nutritional composition of FAFH and key Federal programs that may influence FAFH. The report also discusses how FAFH choices and availability relate to diet quality, income, age, and other socioeconomic factors. (Economic Research Service (ERS), USDA)

An Oral Health Benefit in Medicare Part B: It's Time to Include Oral Health in Health Care (2018)  This white paper discusses the need and support for adding comprehensive oral health coverage to Medicare and proposes how a comprehensive oral health benefit could be integrated into Medicare Part B. (Oral Health America)

An Underused Strategy For Surge In STDs: Treat Patients’ Partners Without A Doctor Visit  Federal health officials have recommended expedited partner therapy for chlamydia and gonorrhea since 2006. It allows doctors to prescribe medication to their patients’ partners without examining them. (Kaiser Health News (KHN))

Analysis of Express Legal Authorities for Mosquito Control in the United States, Washington, D.C., and Puerto Rico (October 2018)  A brief overview of the types of legal authority for mosquito control activities, a set of considerations for better understanding the legal authority, a summary of the findings on the express legal authorities for mosquito control found in state law, and a state-by-state summary of the express legal authority for mosquito control in the United States, Washington, D.C., and Puerto Rico. (Association of State and Territorial Health Officials (ASTHO))

Announcing the National Center on Advancing Person-Centered Practices and Systems  The Administration for Community Living and the Centers for Medicare & Medicaid Services announce the launch of the National Center on Advancing Person-Centered Practices and Systems (NCAPPS). The goal of NCAPPS is to promote systems change that makes person-centered principles not just an aspiration, but a reality in the lives of people who require services and supports across the lifespan. (Administration for Community Living (ACL), HHS)

Another Drug Crisis: Methamphetamine Use By Pregnant Women  A study published Thursday in the American Journal of Public Health confirms the rise in meth use among pregnant women and provides new data illustrating the scope of the problem. The research, which analyzed hospital discharge records between 2004 and 2015, found that as opioid use among pregnant women has grown in recent years, so has their use of amphetamines, and particularly methamphetamine. (National Public Radio (NPR))

Any Use and Frequent Use of Opioids among Non-Elderly Adults in 2015-2016, by Socioeconomic Characteristics (September 2018)  Brief presents estimates from the 2015 and 2016 Medical Expenditure Panel Survey Household Component (MEPS-HC) of fills of prescriptions for opioid medications that are commonly used to treat pain. (Agency for Healthcare Research and Quality (AHRQ), HHS)

Apply Now: Free Training for New and Potential HIV Prevention Program Managers  Capacity for Health, a national project funded by the Centers for Disease Control and Prevention to provide free training and capacity building to organizations involved in HIV prevention services, with support from the Urban Coalition for HIV/AIDS Prevention Services (UCHAPS), is offering a FREE two-day training for new and potential HIV prevention program managers. (Centers for Disease Control and Prevention (CDC), HHS)

Applying New Methods to Estimate Viral Suppression: The “Last 90”  Guidelines describe an operational protocol for applying new methods to estimate viral suppression—the “last 90” of the 90-90-90 cascade—at the clinical, programmatic, regional, or national level. (University of North Carolina at Chapel Hill, MEASURE Evaluation)

Applying Population Estimation Methods in Rural America Toolkit  Toolkit for population size estimation with specific emphasis on applying population estimation methods among people who inject drugs in rural communities. (Johns Hopkins University, Bloomberg School of Public Health)

Approaches for Improving Oral Health Outcomes for Low Income Americans  Blog post highlights state strategies to improve oral health outcomes. (Association of State and Territorial Health Officials (ASTHO))

Are Marketplace Premiums Higher in Rural Than in Urban Areas? (November 2018)  Analysis of federal data shows insurance plans in urban areas had significantly lower premiums than plans in rural areas for the most commonly purchased coverage under the Affordable Care Act. (Robert Wood Johnson Foundation (RWJF))

As Awareness Around the Importance of Social Determinants of Health and Health Equity Increases, State Legislation Follows Suit  As of mid-February, 29 bills in 11 states have been introduced in the current session that explicitly mention the social determinants of health or health-related social needs. These bills originate from Delaware, Hawaii, Illinois, Massachusetts, New Hampshire, New York, Oregon, Pennsylvania, Utah, Washington, and West Virginia. (Association of State and Territorial Health Officials (ASTHO))

Assessing the Relationship Between a Composite Score of Urban Park Quality and Health  Combining 3 nationwide public data sets, this study modeled the relationships between a composite score of urban park system quality effects on physical activity and self-reported health while controlling for demographic and lifestyle variables. (Centers for Disease Control and Prevention (CDC), HHS)

Assessment of Child Health and Health Care in Ohio  Assessment identifies Ohio’s top child health and healthcare-related priorities and provides a starting place for a child-focused health policy agenda that can pave the way for a healthier Ohio. (Health Policy Institute of Ohio)

Assessment of Epidemiology Capacity in State Health Departments — United States, 2017  From 2013 to 2017, the number of state epidemiologists increased by 22%. Several emerging program areas remain seriously understaffed. The federal government continues to fund most (77%) state epidemiology activities and personnel. Capacity in four assessed Essential Public Health Services has remained stable or has declined in all areas except evaluation. (Morbidity and Mortality Weekly Report (MMWR))

Assessment of State, Local, and Territorial Zika Planning and Preparedness Activities — United States, June 2016–July 2017  Among 53 jurisdictions, Zika planning and response activities increased from June 2016 to July 2017, with the largest increases in percentage of jurisdictions reporting fully completed actions for the operations and planning, communications and community education, outreach to pregnant women, and blood safety domains. (Morbidity and Mortality Weekly Report (MMWR))

Assessment of dietary patterns, physical activity and obesity from a national survey: Rural-urban health disparities in older adults  Open-access study assesses rural-urban differences in obesity rates in older adults, and the potential for the associations between obesity and physical activity and dietary patterns to vary by rural-urban status. (Public Library of Science)

Availability of the National Diabetes Prevention Program in United States Counties, March 2017  Study assessed the presence of publicly available in-person lifestyle change program (LCP) classes, as of March 1, 2017, by diabetes incidence and socioeconomic status at the county level, because higher diabetes incidence and lower socioeconomic status are correlated and may be useful in targeting type 2 diabetes prevention efforts. (Centers for Disease Control and Prevention (CDC), HHS)

Awareness of Heart Attack Symptoms and Response Among Adults — United States, 2008, 2014, and 2017  Analysis of National Health Interview Survey data for 2008, 2014, and 2017 found that knowledge of five common signs and symptoms of a heart attack and the appropriate emergency response increased significantly (from 40% to 50% and from 92% to 95%, respectively); however, sociodemographic disparities in knowledge persist. (Morbidity and Mortality Weekly Report (MMWR))

Behavioral Health Conditions in Children and Youth Exposed to Natural Disasters (September 2018)  This issue of the Supplemental Research Bulletin focuses on mental health and substance use (behavioral health) conditions in children and adolescents following exposure to natural disasters such as hurricanes, tornadoes, and earthquakes. (Substance Abuse & Mental Health Services Administration (SAMHSA), HHS)

Behavioral and Clinical Characteristics of American Indian/Alaska Native Adults in HIV Care — Medical Monitoring Project, United States, 2011–2015  Among adults receiving HIV care from 2011 to 2015, AI/AN patients had high poverty levels (51%), depression (27%), HIV stigma (78%), and suboptimal sustained HIV viral suppression (64%). (Morbidity and Mortality Weekly Report (MMWR))

Behavioral and Clinical Characteristics of Persons with Diagnosed HIV Infection Medical Monitoring Project, United States 2016 Cycle (June 2016–May 2017) (February 2019)  Report describes the characteristics of adults with diagnosed HIV infection who are living in the United States or Puerto Rico. (Centers for Disease Control and Prevention (CDC), HHS)

Best Practices and Innovative Solutions to Overcome Barriers to Delivering Policy, Systems and Environmental Changes in Rural Communities  To better understand the barriers to implementing policy; systems; and environmental (PSE) change initiatives within Supplemental Nutrition Assistance Program-Education (SNAP-Ed) programming in U.S. rural communities; as well as strategies to overcome these barriers, this study identifies: (1) the types of nutrition-related PSE SNAP-Ed programming currently being implemented in rural communities; (2) barriers to implementing PSE in rural communities; and (3) common best practices and innovative solutions to overcoming SNAP-Ed PSE implementation barriers. (Robert Wood Johnson Foundation (RWJF))

Best Practices for Rapid Syphilis Testing in Outreach and Non-Clinical Settings  Report is based on lessons learned from an evaluation of rapid syphilis testing (RST) demonstration projects in four local health departments: Crater Health District (Virginia), Pima County Health Department (Arizona), Salt Lake County Health Department (Utah), and San Joaquin County Public Health (California). The goal of this project was to better understand implementation practices for rapid syphilis testing and identify optimal uses and considerations in non-clinical or outreach settings. This report outlines the lessons learned from the experiences of the four local health department sites and provides questions to consider regarding implementation of RST in outreach and non-clinical settings. (National Association of County and City Health Officials (NACCHO))

Better Clinical Care for Obesity and Diet-Related Diseases Requires a Focus on Social Determinants of Health  The complications of obesity and diet-related diseases challenge the traditional model of health care delivery, in which care primarily rests with physicians, nurses, and other health professionals. These conditions instead require health systems to restructure care delivery to consider underlying drivers, which have traditionally fallen to professionals outside of the health care delivery system. Key among these underlying drivers are the social determinants of health. (New England Journal of Medicine)

Better for You Foods: A Guide to Evaluating the Quality of Nutrition Standards  This report details the process used to review and evaluate “Better for You” nutrition standards, and the results from a preliminary implementation of this tool to review existing standards. It highlights the three standards that scored highest with this initial use, and explains why these standards scored the highest. (Robert Wood Johnson Foundation (RWJF))

Beverage Consumption Among Youth in the United States, 2013–2016  In 2013–2016, water accounted for 43.7% of total beverage consumption among U.S. youth, followed by milk (21.5%), soft drinks (19.9%), 100% juice (7.3%), and other beverages (7.6%). The contribution of milk and 100% juice to total beverage consumption decreased with age, while the contribution of water and soft drinks increased with age. (National Center for Health Statistics, CDC)

Bicycling and Walking in the United States: 2018 Benchmarking Report  What the 2018 Benchmarking Report shows is there is a public health crisis facing America due to bicyclist and pedestrian deaths and physical inacivity. With continued advocacy and leadership at the federal, state, and local levels to address this urgent crisis, we can build a more Bicycle Friendly America in which more people feel encouraged and safer biking or walking.

Big Ideas for HIV Prevention and Treatment  In advance of World AIDS Day on December 1st, the O’Neill Institute for National and Global Health Law has released two new reports on emerging HIV issues in the United States, including policy ideas for states and local communities and for the Ryan White HIV/AIDS Program. (Georgetown University)

Building Cultures of Preparedness: Report for the Emergency Management Higher Education Community (January 2019)  This report highlights the vast diversity of American communities and households, indicating that a one-size-fits-all strategy is not well-suited to the specific demands of variable and distinctive environments – our Culture of Preparedness will have to be built one community at a time. (Federal Emergency Management Agency (FEMA), DHS)

Building Public Health Capacity to Advance Equity: A National Environmental Scan of Tribal, State, and Local Governmental Public Health (January 2019)  An environmental scan to explore governmental public health’s role in advancing health equity with racial equity as a major priority and community engagement as a central strategy. (National Collaborative for Health Equity (NCHE))

Building Sustainable Financing Structures for Population Health Insights from Non-Health Sectors: Proceedings of a Workshop (2018)  The results of an October 2016 workshop, which examined the use of financing strategies from other sectors in population health. (National Academies of Science, Engineering, and Medicine (NASEM))

Building The Evidence Base For Global Health Security Implementation  Special supplemental issue of Health Security outlines how the CDC and its partners are working to develop a scientifically grounded evidence base of effective and measurable global health security interventions that can help guide future efforts.

Business Engagement to Promote Healthy Communities Through Child and Family Well-Being  Paper explains how businesses can significantly bolster efforts to promote the well-being of children and families and why they should. (National Academy of Medicine)

CDC Earns Reaccreditation for Emergency Management  The Centers for Disease Control and Prevention’s emergency management program, which includes the emergency operations center, has been accredited again by the Emergency Management Accreditation Program (Centers for Disease Control and Prevention (CDC), HHS)

CDC Food Safety Alert: E. coli Outbreak Linked to Romaine Lettuce  CDC is advising consumers, restaurants, and retailers not to eat, serve, or sell any romaine lettuce as it investigates an outbreak of E. coli O157:H7 infections linked to romaine. (Centers for Disease Control and Prevention (CDC), HHS)

CDC Grand Rounds: New Frontiers in Workplace Health  Article provides an overview of current workplace health promotion programs and evidence and best practice for programs, and introduces the CDC Workplace Health Resource Center. (Morbidity and Mortality Weekly Report (MMWR))

CDC Health Alert Network (HAN) Health Update - Outbreak of Life-threatening Coagulopathy Associated with Synthetic Cannabinoids Use  CDC is providing information on: 1) the current status of a multistate outbreak of coagulopathy from exposure to synthetic cannabinoid products containing a vitamin K-epoxide cycle antagonist, brodifacoum; 2) the emergence of 2 new clinical scenarios; and 3) recommendations to help clinicians make decisions related to these 2 new clinical scenarios. (Centers for Disease Control and Prevention (CDC), HHS)

CDC Issues Guidance on Shingrix Vaccine Delays  The Centers for Disease Control and Prevention (CDC) has issued guidance to providers who are experiencing difficulty receiving sufficient supplies of the Shingrix vaccine to meet demand. (National Association of County and City Health Officials (NACCHO))

CDC Provides First In-Season Estimates of Flu Illnesses, Medical Visits, and Hospitalizations  So far during the 2018-2019 season between about 6 and 7 million people have been sick with flu, up to half of those people have sought medical care for their illness, and between 69,000 and 84,000 people have been hospitalized from flu. (Centers for Disease Control and Prevention (CDC), HHS)

CDC Public Health Surveillance Strategy Report: 2014-2018  Report chronicles CDC’s efforts to improve its surveillance systems and approaches and sets the stage for a more transformative data and IT modernization strategy. (Centers for Disease Control and Prevention (CDC), HHS)

CDC Update on Investigation of Multistate Outbreak of E. coli O157:H7 Infections Linked to Romaine Lettuce  CDC and the Food and Drug Administration (FDA) are now advising that U.S. consumers not eat and retailers and restaurants not serve or sell any romaine lettuce from the Central Coastal growing regions of northern and central California. (Centers for Disease Control and Prevention (CDC), HHS)

CDC Update: Outbreak of E. coli O157:H7 Infections Linked to Romaine Lettuce  Nine additional people have been reported since the last update on November 26, 2018. This brings the total to 52 cases from 15 states. (Centers for Disease Control and Prevention (CDC), HHS)

CDC activates Emergency Operations Center for Hurricane Florence  The Centers for Disease Control and Prevention activated its Emergency Operations Center (EOC) yesterday to coordinate 24/7 all CDC activities for public health needs before, during, and after Hurricane Florence, including the deployment of resources and personnel, as requested. (Centers for Disease Control and Prevention (CDC), HHS)

CDC launches new pneumococcal vaccination app: PneumoRecs VaxAdvisor  CDC recently launched an app to help vaccination providers quickly and easily determine which pneumococcal vaccines a patient needs and when. (Centers for Disease Control and Prevention (CDC), HHS)

CDC provides new funds to battle the opioid overdose epidemic  To address the opioid overdose epidemic, the CDC is increasing support to states, territories, tribes, and non-governmental organizations working to prevent opioid-related overdoses, deaths, and other outcomes. CDC has awarded $155 million in new funding to states and four U.S. territories to advance the understanding of the opioid overdose epidemic and to scale-up prevention and response activities, including improving the timeliness and quality of surveillance data. (Centers for Disease Control and Prevention (CDC), HHS)

CDC’s National Violent Death Reporting System now includes all 50 states  The CDC just announced new state grants for the National Violent Death Reporting System (NVDRS). A total of $3.2 million in FY 2018 funds will go to the 10 new states to become part of NVDRS: Arkansas, Florida, Idaho, Mississippi, Montana, North Dakota, South Dakota, Tennessee, Texas and Wyoming. NVDRS will now receive data on violent deaths from all 50 states; Washington, DC; and Puerto Rico. (Centers for Disease Control and Prevention (CDC), HHS)

COP24 Special report: Health & Climate Change  Report aims to provide global knowledge on the interconnection between climate change and health; an overview of the initiatives and tools with which public health communities are supporting and scaling up actions to implement the Paris Agreement; and recommendations on maximizing the health benefits of tackling climate change. (World Health Organization (WHO))

California County Health Status Profiles 2018  Annual report presents public health data that can be directly compared with clearly established benchmarks, such as national standards, and populations of similar composition. (California Department of Health)

Call for Abstracts: Tobacco and Health Equity  Health Promotion Practice (HPP) is calling for short article abstracts on issues regarding health equity and tobacco for a special collection to be published in 2019.Abstracts should contribute new knowledge from tobacco-related research and/or interventions that contributes to better understanding equity-related disparities among racial/ethnic minority and underserved populations. The submission deadline is March 22, 2019. (Society for Public Health Education)

Call for Nominations: Assessment of Long-Term Health Effects for Antimalarial Drugs  The National Academies of Sciences, Engineering, and Medicine's Board on Population Health and Public Health Practice is seeking nominations of experts to serve on a new consensus committee that will review the long-term health effects that might result from the use of antimalarials by adults. Nominations are due by November 2, 2018. (National Academies of Science, Engineering, and Medicine (NASEM))

Call for Papers: Indigenous Food Sovereignty in North America  JAFSCD and the Journal of American Indian Education announce a joint call for papers and commentaries on Indigenous Food Sovereignty in North America. The deadline for manuscript submissions is January 15, 2019.

Call for Papers: Public Health Reports Supplement on “Policy Approaches to Reduce the Morbidity, Mortality, and Incidence of HIV, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis”  Public Health Reports (PHR), a peer-reviewed journal of public health research and practice and the official journal of the Office of the Surgeon General and US Public Health Service, is inviting submissions for a supplement on policy approaches to reduce the morbidity, mortality, and incidence of HIV, viral hepatitis, sexually transmitted diseases (STDs), and tuberculosis (TB) (collectively referred to as “diseases of interest” for purposes of this supplement) in the United States. (Public Health Reports)

Call for Papers: Special Section on Community-Driven Solutions to Mitigate Adolescent Obesity and Its Co-Morbidities within Rural Appalachia  The Journal of Rural Health is looking for paper submissions that describe current and historical social factors affecting youth obesity within rural Appalachia. Submissions are due by June 28, 2019. (National Rural Health Association (NRHA))

Call for Papers: “Public Health and Pharmacy: Collaborative Approaches to Improve Population Health”  Preventing Chronic Disease (PCD) invites authors to submit manuscripts describing innovative and effective work to link public health and pharmacy in ways that improve population health. PCD seeks manuscripts that provide timely information on effective ways the disciplines of public health and pharmacy can collaborate to improve the nation’s health and/or improve population health globally. Submissions are due by October 31, 2019. (Centers for Disease Control and Prevention (CDC), HHS)

Call for Research Papers: Physical Activity Among Women & Girls  Public Health Reports is calling for manuscripts in the following areas: critical periods during the life course (e.g. puberty, marriage, educational transitions, pregnancy, and menopause) that impact physical activity levels among women and girls; organized sports participation among women and girls; and effective policies and/or programs that promote physical activity among women and girls. Abstracts are due November 3, 2018. (Public Health Reports)

Cancer Mortality in Rural America 1999-2016 (November 2018)  Study analyzed mortality associated with some of the most common cancer types in the U.S.—breast, cervical, lung, prostate, and colon—over an eighteen-year period from 1999- 2016 and explored the roles played by rurality and region in this process. (Southwest Rural Health Research Center)

Cancer statistics for African Americans, 2019  Report provides data and information on cancer occurrence among the African American/black community in the United States, including incidence, survival, mortality, and the estimated numbers of new cases and deaths in 2019, as well as the prevalence of cancer risk factors and screening. It also estimates the total number of cancer deaths averted among blacks as a result of the continuous decline in cancer mortality since the early 1990s. (American Cancer Society)

Case Study: Harris County BUILD Health Partnership  The Harris County BUILD partners leveraged each of their individual strengths and created a shared vision to address food insecurity and high rates of childhood obesity. Follow their journey over the course of two years as they worked to restructure the local food system in Pasadena, TX, and make it healthy, sustainable, and community-supported in this new case study. (BUILD Health Challenge)

Case Study: How Alaska Addresses Its Health Care Workforce Challenges (November 2018)  Brief highlights the Alaska Health Workforce Coalition, which has facilitated many of the state’s workforce initiatives. (National Academy for State Health Policy (NASHP))

Case Study: How Indiana Addresses Its Health Care Workforce Challenges (November 2018)  Indiana has achieved a number of successes to meet specific health care workforce development needs, such as providing Medicaid reimbursement for community health worker (CHW) services, a pre-nursing certificate pathway for certified nursing assistants (CNAs), and a framework for comprehensive review of state licensing. Many of these successes have been supported by the Indiana Governor’s Health Workforce Council, a cross-agency funded body that serves as a forum to convene stakeholders, establish priorities, and develop policy recommendations. This case study highlights how Indiana has utilized these types of cross-agency approaches to bolster health care workforce development. (National Academy for State Health Policy (NASHP))

Casino Ownership and Health-Related Community Resources Among Native American Tribes in California  To investigate the association between casino ownership and health-related community resources among Native Americans, researchers surveyed 81 of California’s 110 federally recognized tribes about casino ownership and health-related community resources during 2015 and 2016. (Centers for Disease Control and Prevention (CDC), HHS)

Center for Optimizing Rural Health Technical Advisory Center  The Center for Optimizing Rural Health is excited to partner with communities and facilities to identify opportunities to improve health outcomes, reduce costs and increase access to care. The first step will be for communities/facilities to apply to be a part of the Center’s outreach. Applications will be accepted October 30-November 30. (Health Resources and Services Administration (HRSA), HHS)

Change in Children's Physical Activity: Predictors in the Transition From Elementary to Middle School  The purpose of this study is to identify, from a comprehensive, multidomain set of factors, those that are associated with change in objectively measured physical activity in children as they transition from elementary to middle school. (American Journal of Preventive Medicine)

Changes to the Nutrition Facts Label  On May 20, 2016, the FDA announced the new Nutrition Facts label for packaged foods to reflect new scientific information, including the link between diet and chronic diseases such as obesity and heart disease. The new label will make it easier for consumers to make better informed food choices. FDA published the final rules in the Federal Register on May 27, 2016. (U.S. Food & Drug Administration (FDA), HHS)

Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016  In an effort to understand the opioid epidemic dynamics and perhaps predict its future course, researchers analyzed records of 599,255 deaths from 1979 through 2016 from the National Vital Statistics System where unintentional drug poisoning was identified as the main cause of death. (American Association for the Advancement of Science)

Characteristics of Deceased Solid Organ Donors and Screening Results for Hepatitis B, C, and Human Immunodeficiency Viruses — United States, 2010–2017  The number and proportion of increased risk donors have increased since 2010, likely because of the epidemic of opioid overdose deaths. Compared with standard risk donors, IRDs were significantly more likely to have HBV and HCV infection. Rates of nucleic acid testing have reached nearly 100%. (Morbidity and Mortality Weekly Report (MMWR))

Characteristics of School-Associated Youth Homicides — United States, 1994–2018  Single-victim homicide rates remained stable overall during 1994–2016. School-associated single-victim homicides share characteristics with youth homicides in the community, often involving racial/ethnic minorities, males aged 15–18 years, and occurring in urban areas. Firearm-related injuries were the cause of death in 247 (62.8%) and 115 (95%) single- and multiple-victim homicides, respectively. Multiple-victim incidence rates increased significantly from July 2009 to June 2018. (Morbidity and Mortality Weekly Report (MMWR))

Characterizing the Roles and Skill Gaps of the Environmental Health Workforce in State and Local Health Departments  Data from the 2014 Public Health Workforce Interests and Needs Survey were used to describe the self-reported roles, important daily work tasks, and skill gaps of environmental health workers and to compare and contrast these characteristics between state health agencies and local health departments. (National Environmental Health Association)

Child Trauma and Opioid Use: Policy Implications  Provides policymakers and other stakeholders with an overview of how substance use and trauma effects children, adolescents, and families; substance use-related impaired caregiving; and the impact of the opioid crisis on children and families. This policy brief offers recommendations for clinical interventions and training, as well as prevention efforts. (National Center for Child Traumatic Stress Network)

Chronic Disease After Natural Disasters: Public Health, Policy, and Provider Perspectives  Report highlights how agencies and other stakeholders can better address the unique needs of individuals with chronic diseases in disasters by providing a resource to aid in planning for this population, analyzing the results of 15 interviews with public health, public policy, and emergency management officials as well as direct service providers. (Columbia University, Mailman School of Public Health)

Chronic illnesses: UN stands up to stop 41 million avoidable deaths per year  “Heart disease, stroke, cancer, diabetes, chronic Lyme disease, depression” – just some of the illnesses outlined by World Health Organization (WHO) chief Dr. Tedros Ghebreyesus, who drove home the danger by asking delegates to stand up, when they heard the name of an illness that had killed someone they loved: One by one, every single person in the room, got to their feet. (United Nations (UN))

City-Specific Check-Up for Children Reports  These five Check-Up for Children reports for Baltimore, Boston, Little Rock, Minneapolis, and Philadelphia show that hardship-free children and caregivers are healthier and are more likely to thrive. (Children's HealthWatch)

CityHealth Gives Local Communities Evidence-Based Tools to Improve Health  CityHealth provides city leaders with a package of evidence-based policy solutions that will help people live longer, better lives. Community Preventive Services Task Force recommendations are among the evidence-based resources CityHealth considered in their selection of policy solutions. (Community Preventive Services Task Force (CPSTF))

Clarity Across Languages  Blog post discusses how the National Library of Medicine works to improve health literacy and cultural competence in MedlinePlus. (National Library of Medicine (NLM), NIH)

Clinical Perspectives on Obesity Treatment: Challenges, Gaps, and Promising Opportunities  This discussion paper highlights the challenges, remaining gaps, and promising opportunities in advancing obesity treatment. The authors discuss challenges facing children and adults with obesity, including access to treatment, risks involved with treatment, responsiveness to treatment, and the importance of multidisciplinary care teams. (National Academy of Medicine)

Closing the Gap on Dental HPSAs: Louisiana Oral Health Workforce Assessment (August 2018)  In order to understand the challenges and successes related to oral health in Louisiana and trying to identify how the entire health care community can more effectively address oral health needs, the Bureau of Primary Care and Rural Health (BPCRH) undertook a comprehensive assessment of the oral health system in Louisiana. (Louisiana Department of Health)

Communications Toolkit: National Influenza Vaccination Week 2018  From December 2-8, 2018, we observe National Influenza Vaccination Week (NIVW) to remind people six months and older that it’s not too late to get a flu vaccine. To help promote this important information in your communities, check out resources from the Centers for Disease Control and Prevention (CDC). (National Association of County and City Health Officials (NACCHO))

Community Health Centers' Experiences in a More Mature ACA Market  This brief summarizes findings from the Kaiser Family Foundation/Geiger Gibson Program in Community Health Policy 2018 Health Center Survey to provide a snapshot of health centers’ outreach and enrollment activities as well as changes in service capacity, and overall financial condition since implementation of the ACA. (Kaiser Family Foundation (KFF))

Community-Wide Efforts to Improve the Consumer Food Environment and Physical Activity Resources in Rural Kentucky  Study describes a Kentucky community project that consisted of collaborating with grocery store managers to improve the consumer food environment and partnering with community members to improve walking trails, bicycle racks, and other physical activity resources. (Centers for Disease Control and Prevention (CDC), HHS)

Comparison of US County-Level Public Health Performance Rankings With County Cluster and National Rankings: Assessment Based on Prevalence Rates of Smoking and Obesity and Motor Vehicle Crash Death Rates  Study compares county-level percentile rankings on outcomes of smoking, motor vehicle crash deaths, and obesity within sociodemographic peer clusters vs nationwide rankings. (American Medical Association (AMA))

Compendium of NACCHO Policy Recommendations (2018)  The 2018 Compendium of Policy Recommendations includes recommendations from more than 100 policy statements approved by the NACCHO Board of Directors. Topics added or updated in 2018 include the following: HIV Prevention, Care and Treatment, Immigrant Health, Medical Countermeasures Programs, Medical and Recreational Cannabis and Cannabinoids, Opioid Epidemic, and Youth Violence Prevention. (National Association of County and City Health Officials (NACCHO))

Connecting the Dots Selector  Tool makes it easier for users to connect the dots and explore the relationships between multiple types of violence and the risk and protective factors they share at each level of the social-ecological model (SEM). (Centers for Disease Control and Prevention (CDC), HHS)

Continuing Education: HIV Testing Intervals for At-Risk Adults  CDC’s MMWR and Medscape are proud to introduce a new FREE continuing education (CE) activity that describes compliance with recommendations from the Centers for Disease Control and Prevention (CDC) for HIV infection screening among persons at increased risk, based on an analysis of 2006-2016 data from the General Social Survey (GSS). (National Association of County and City Health Officials (NACCHO))

Cost-effective Screening and Treatment of Hepatitis C  Issue Brief reviews recent evidence on the cost-effectiveness of screening and treatment strategies, and makes the case for universal, one-time HCV screening for all US adults. (University of Pennsylvania, Leonard Davis Institute of Health Economics (LDI))

Cost-effectiveness of financial incentives and disincentives for improving food purchases and health through the US Supplemental Nutrition Assistance Program (SNAP): A microsimulation study  Study aimed to estimate the health impact, program and healthcare costs, and cost-effectiveness of food incentives, disincentives, or restrictions in SNAP. (Public Library of Science)

County By County, Researchers Link Opioid Deaths To Drugmakers’ Marketing  A study recently published in JAMA Network Open looked at county-specific federal data and found that the more opioid-related marketing dollars were spent in a county, the higher the rates of doctors who prescribed those drugs and, ultimately, the more overdose deaths occurred in that county. (Kaiser Health News (KHN))

Coverage for Obesity Prevention and Treatment Services: Analysis of Medicaid and State Employee Health Insurance Programs  This study examined changes in coverage for adult obesity treatment services in Medicaid and state employee health insurance programs between 2009 and 2017. (Obesity Society)

Critical Access Hospitals’ Community Health Needs Assessments and Implementation Plans: How Do They Align? (October 2018)  Issue brief provides a snapshot of how CAHs are using the CHNA process and information to address community needs. (Flex Monitoring Team)

Cross-Sector Partnerships to Improve Health and Housing Outcomes: Resource Guide (October 2018)  CDC, HUD, and the Association of State and Territorial Health Officials (ASTHO) brought together public, private, and nonprofit leaders on Nov. 29-30, 2016 to explore how they could work together to improve health and housing outcomes. This convening identified existing partnership, financing, and data-sharing approaches for cross-sector partnerships among healthcare, housing providers, and other sectors that improve health and housing outcomes. This resource guide synthesizes the lessons learned from the 2016 convening and provides public health leaders with strategies to build effective partnerships. (Association of State and Territorial Health Officials (ASTHO))

Crossing the Global Quality Chasm: Improving Health Care Worldwide  Study examines the global impacts of poor-quality health care and recommends ways to improve quality while expanding universal health coverage, particularly in low-resource areas. (National Academies of Science, Engineering, and Medicine (NASEM))

Culture of Health Prize 2018 Winners Announced  The Culture of Health Prize honors and elevates American communities making great strides in their journey toward better health. Learn more about this year's winners.

Current Status and Response to the Global Obesity Pandemic: Proceedings of a Workshop–in Brief  Summary of a October 2018 workshop which examined the status of the global obesity pandemic and explored approaches used to manage the problem in different settings around the world. (National Academies of Science, Engineering, and Medicine (NASEM))

Current Tobacco Smoking, Quit Attempts, and Knowledge About Smoking Risks Among Persons Aged ≥15 Years — Global Adult Tobacco Survey, 28 Countries, 2008–2016  Across 28 countries, the median prevalences of tobacco smoking and smokers making a quit attempt were 22.5% and 42.5%, respectively. The median prevalences of knowing that tobacco smoking causes stroke, heart attack, and lung cancer were 73.6%, 83.6%, and 95.2%, respectively. (Morbidity and Mortality Weekly Report (MMWR))

Data Maps the Impact of Where a Child Grows Up  The Opportunity Atlas allows users to interactively explore data on children’s outcomes into adulthood for every Census tract in the United States. This can inform local efforts to build equitable, prosperous, and healthier communities. (Robert Wood Johnson Foundation (RWJF))

Data Release: Beverage Tax Revenue and Expenditures  Information about the revenue and spending for the Philadelphia Beverage Tax. This release offers an update on the Beverage Tax through the end of the first quarter of Fiscal Year 2019

Data Sharing and the Law: Deep Dive on Consent  Proceedings from a 2018 workshop which explored when consent may or may not be the key to sharing data and how policies and regulations governing health care, education, and behavioral health data like HIPAA, FERPA, and 42 CFR Part 2 impact consent. (Data Across Sectors for Health (DASH))

Data Sharing in Public Health Emergencies: Ebola Outbreak (West Africa 2014-2016) and Yellow Fever Outbreak (Angola, DRC, Kenya, China 2016)  The EVD and YFV epidemics demonstrated two radically different models for data sharing during epidemic response - a routine data sharing environment, as compared to an extraordinary event classified as a Public Health Emergency of International Concern. Business as Usual vs. PHEIC. (UK Department for International Development)

Data Sources and Data-Linking Strategies to Support Research to Address the Opioid Crisis (September 2018)  This report presents findings from a scoping study to assess the types of data sources and data-linkage efforts that are currently being used or could potentially be leveraged to support research and evaluations relevant to the U.S. Department of Health and Human Services Strategic Priorities to combat the opioids crisis. (Office of the Assistant Secretary for Planning and Evaluation (ASPE), HHS)

Data sources to support local services tackling health risks of cold homes  This guidance will: help local areas to estimate the number of people who may be at risk of cold-home-related death and illness in a particular population, using a range of housing, vulnerability and health indicators; and help local areas to identify individuals who may be at risk of experiencing health effects associated with living in a cold home, using data on housing and personal characteristics, as well as opportunistic approaches. It is aimed at public health teams, housing professionals and others with a role in local communities to prevent deaths and illness associated with cold homes. (Public Health England)

Days’ Supply of Initial Opioid Analgesic Prescriptions and Additional Fills for Acute Pain Conditions Treated in the Primary Care Setting — United States, 2014  For 10 acute pain conditions commonly managed in primary care settings, the probability of obtaining a refill after an initial 7-day opioid analgesic prescription ranged from 11% (headache) to 41% (musculoskeletal injury), with refill probability <25% for most conditions. (Morbidity and Mortality Weekly Report (MMWR))

Demographics Dashboard  The team recently launched a new demographics dashboard. This interactive tool combines population, income, age, and other Census data with HRSA grant funding, shortage areas, loan repayment, and scholarship awards. (Health Resources and Services Administration (HRSA), HHS)

Despite Infectious Disease Outbreaks Linked To Opioid Crisis, Most Substance Abuse Facilities Don’t Test For HIV Or HCV  To better understand what regions may not be adequately offering STD testing services, researchers conducted an analysis of substance abuse facilities to assess the availability of HIV and HCV testing nationally. (Health Affairs)

Developing an Equity-Focused Policy Research Agenda for Low-Income Families with Young Children  This brief summarizes an equity-focused policy research agenda for low-income families with young children, in the areas of nutrition, income supports, and early care and education (ECE). (Mathematica Policy Research, Inc.)

Diabetes Quality of Care and Maintenance in New England: Can Cross-State Collaboration Move Us Forward?  State efforts to identify subpopulations at higher risk for inadequate diabetes maintenance are sometimes hampered by small sample size. Study provides a model of a cross-state collaboration that might provide the foundation for identifying political and economic forces underlying inter- and intra-state variability in chronic disease care. (Centers for Disease Control and Prevention (CDC), HHS)

Diabetes: Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among People at Increased Risk  Based on the evidence, combined diet and physical activity promotion programs are effective across a range of counseling intensities, settings, and implementers. Programs commonly include a weight loss goal, individual or group sessions (or both) about diet and exercise, meetings with a trained diet or exercise counselor (or both), and individually tailored diet or exercise plans (or both). Higher intensity programs lead to greater weight loss and reduction in new-onset diabetes. Economic evidence indicates that these interventions are cost-effective. (Community Preventive Services Task Force (CPSTF))

Diagnoses of HIV Infection in the United States and Dependent Areas, 2017 (November 2018)  This annual surveillance report summarizes information about diagnosed HIV infection in the United States and dependent areas. (Centers for Disease Control and Prevention (CDC), HHS)

Differences in Characteristics and Clinical Outcomes Among Hispanic/Latino Men and Women Receiving HIV Medical Care — United States, 2013–2014  During 2013–2014, among Hispanics/Latinos with HIV infection in care, women were significantly more likely than were men to live in poverty, have English language difficulties, and receive ancillary services. Prescription of antiretroviral therapy and sustained viral suppression did not significantly differ by sex. (Morbidity and Mortality Weekly Report (MMWR))

Disaster Preparedness Toolkit for State Medicaid Agencies (August 2018)  This memorandum which provides a high-level summary of the types of Medicaid and CHIP strategies that can be deployed by states and Territories. It is organized by operational area—eligibility and enrollment, benefits and cost sharing and provider workforce—and provides examples of how the strategies were used by other states and Territories. (Centers for Medicare & Medicaid Services (CMS), HHS)

Discreetly Tracking Down Sex Partners To Stop A Surge In STDs  The U.S. is in the middle of a steep and sustained increase in sexually transmitted diseases. So how are public health officials responding? In northwest Oregon’s Clackamas County, health officials have decided to ask anyone who comes in with an STD who their sexual partners are — and then track those partners down.

Disease Intervention Specialist Education for the Future: An Analysis of Public Health Curricula  The objectives of this open-access study were to (1) determine the degree of alignment between an existing public health curricula and disease intervention specialist (DIS) workforce training needs, (2) assess the appropriateness of public health education for DISs, and (3) identify existing curriculum gaps to inform future DIS training efforts. (Public Health Reports)

Disparities in Diabetes Prevalence Among Native Hawaiians/Other Pacific Islanders and Asians in Hawai‘i  Study examined diabetes prevalence by age and race/ethnicity and assessed how socioeconomic status and lifestyle behaviors affected prevalence among Japanese, Filipino, Chinese, NHOPI, and white populations in Hawai‘i. (Centers for Disease Control and Prevention (CDC), HHS)

Disparities in Health Care Access and Health Among Lesbians, Gay Men, and Bisexuals in California  This policy brief examines differences in health care access, health behaviors, and health outcomes by sexual orientation among California adults. (University of California Los Angeles (UCLA))

Dissemination and Implementation Science for Public Health Professionals: An Overview and Call to Action  Article highlights the sustained relevance of the evidence-based public health (EBPH) work of some of the giants in the field, provides descriptions of the importance of explanatory, process, and outcome models, and outlines the common systems-focused basis for dissemination and implementation science and EBPH. (Centers for Disease Control and Prevention (CDC), HHS)

Domestic and Intimate Partner Violence: Some Do’s and Don’ts for Health Providers  From the “do’s and don’ts” of screening to the “do’s and don’ts” when violence is disclosed, rural providers need to be prepared to meet the challenges of this ongoing public health crisis. (Rural Health Information Hub)

Draft Guidance for Industry: Serving Sizes of Foods That Can Reasonably Be Consumed At One Eating Occasion, Reference Amounts Customarily Consumed, Serving Size-Related Issues, Dual-Column Labeling, and Miscellaneous Topics  Guidance on the definition of a single-serving container, reference amounts customarily consumed, which are used by companies to determine serving size, dual-column labeling, and miscellaneous issues, such as requirements relating to chewing gum and to multi-unit retail food packages. (U.S. Food & Drug Administration (FDA), HHS)

Draft Research Plan for Hepatitis B Virus Infection: Screening in Nonpregnant Adolescents and Adults  The US Preventive Services Task Force is soliciting public comment for their draft research plan for " Hepatitis B Virus Infection: Screening in Nonpregnant Adolescents and Adults." Comments are open until January 2, 2019. (U.S. Preventive Services Task Force (USPSTF))

Drug Overdose Deaths Among Women Aged 30–64 Years — United States, 1999–2017  From 1999 to 2017, the death rate from drug overdose among women aged 30–64 years increased by 260%. Drug overdose deaths involving antidepressants, benzodiazepines, cocaine, heroin, prescription opioids, and synthetic opioids all increased. Among women aged 30–64 years, the average age at death for drug overdose deaths increased by nearly 3 years. (Morbidity and Mortality Weekly Report (MMWR))

Drug and Opioid-Involved Overdose Deaths — United States, 2013–2017  In 2017, among 70,237 drug overdose deaths, 47,600 (67.8%) involved opioids, with increases across age groups, racial/ethnic groups, county urbanization levels, and in multiple states. From 2013 to 2017, synthetic opioids contributed to increases in drug overdose death rates in several states. From 2016 to 2017, synthetic opioid-involved overdose death rates increased 45.2%. (Morbidity and Mortality Weekly Report (MMWR))

Drug, Opioid-Involved, and Heroin-Involved Overdose Deaths Among American Indians and Alaska Natives — Washington, 1999–2015  During 2013–2015, total drug and opioid-involved overdose mortality rates for AI/AN were 2.7 times higher than those of whites in Washington. Misclassification of AI/AN race in death certificates underestimated Washington AI/AN overdose mortality by approximately 40%. (Morbidity and Mortality Weekly Report (MMWR))

Drugs Most Frequently Involved in Drug Overdose Deaths: United States, 2011–2016 (December 2018)  This report identifies the specific drugs involved most frequently in drug overdose deaths in the United States from 2011 through 2016. (National Center for Health Statistics, CDC)

E coli cases prompt ground chuck recall from Publix stores  An investigation into Escherichia coli O26 illnesses, mostly in Florida, has prompted the Publix supermarket chain to voluntarily recall ground chuck shipped to stores in two dozen Florida counties, the US Department of Agriculture's (USDA's) Food Safety and Inspection Service (FSIS) announced last week. (University of Minnesota, Center for Infectious Disease Research & Policy (CIDRAP))

E-Cigarettes and Similar Devices  Article highlights e-cigarette use by children and young adults and provides clinician and policy recommendations. (American Academy of Pediatrics (AAP))

Early Childhood Education and Care  This report summarizes 17 selected federal programs that are particularly important for early childhood education and care. (Robert Wood Johnson Foundation (RWJF))

Early Childhood Education to Promote Health Equity: A Community Guide Economic Review  Economic review examines how the economic benefits of center-based early childhood education programs compare with their costs. (Journal of Public Health Management and Practice)

Eating Veggies Is Fun! An Implementation Pilot Study in Partnership With a YMCA in South Los Angeles  A pilot study to assess the feasibility of implementing an evidence-based intervention to promote liking of initially disliked vegetables among children enrolled in a YMCA summer camp. (Centers for Disease Control and Prevention (CDC), HHS)

Economic Modeling for HIV/AIDS, Viral Hepatitis, STD, and TB  This notice of funding opportunity announcement is to support epidemiologic and economic modeling of disease transmission to facilitate prevention effectiveness of public health interventions and support state and local disease prevention efforts. (National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), CDC)

Effectively Communicating About Mosquito Control: A Guide for Mosquito Control Partners (October 2018)  Based on research and expert communications guidance, this guide is intended to further on-the-ground mosquito control efforts and provide tools that mosquito control partners can use to educate others about the need for adequate mosquito protection. (Association of State and Territorial Health Officials (ASTHO))

Effects of Medication-Assisted Treatment (MAT) for Opioid Use Disorder on Functional Outcomes: A Systematic Review  This systematic review addresses the question: What are the effects of medication-assisted treatment (MAT) that use buprenorphine, buprenorphine combined with naloxone, methadone, or naltrexone for opioid use disorder (OUD) on functional outcomes compared with wait-list, placebo, treatment without medication, any other comparator, or each other (e.g., buprenorphine versus naltrexone)? (RAND Corporation)

Effects of Minimum Wages on Population Health  A new issue brief examines the minimum wage, its effects on unemployment, poverty, and the health of low-wage workers and their families. (Robert Wood Johnson Foundation (RWJF))

Efforts to Expand Access to Oral Health Care to Continue in 2019  In 2019, many states are likely to continue efforts to expand access to dental care to more of their residents through multiple approaches, including extending dental coverage to those newly eligible for Medicaid and making greater use of dental therapists. (Pew Charitable Trusts)

Eighth Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services  In this annual report, the USPSTF highlights seven recent topics related to cancer prevention and cardiovascular health, the leading causes of death among adults in the United States, for which more research is needed. The report also calls for more research in populations who are disproportionally affected by these conditions, yet often underrepresented in studies. Future research in these areas can help fill these gaps and could result in important new recommendations that will help to improve the health of Americans. (U.S. Preventive Services Task Force (USPSTF))

Ending the HIV Epidemic in the United States: A Roadmap for Federal Action  For the first time since the National HIV/AIDS Strategy in 2010, the domestic HIV community has come together to call on the U.S. government to declare an official goal of ending the domestic HIV epidemic by 2025 and urging it to enact legislative and regulatory policies and sufficient appropriations to achieve this goal. The Act Now: End AIDS coalition, with a process managed by AIDS United, solicited input from the larger HIV, public health and reproductive health communities to develop the policy paper, titled Ending the HIV Epidemic in the United States: A Roadmap for Federal Action. To date, 250 HIV and community organizations from across the U.S. have provided their endorsement. (AIDS United)

Ending the HIV Epidemic: A Plan for America  Blog post outlines the President's initiative to end the HIV epidemic in the next ten years. (U.S. Department of Health and Human Services (HHS))

Ending the HIV Epidemic: A Plan for the United States  HHS has proposed a new initiative to address the ongoing HIV public health crisis with the goals of first reducing numbers of incident infections in the US by 75% within 5 years, and then by 90% within 10 years. This initiative will leverage critical scientific advances in HIV prevention, diagnosis, treatment, and care by coordinating the highly successful programs, resources, and infrastructure of the CDC, NIH, HRSA, SAMHSA, and the Indian Health Service (IHS). (American Medical Association (AMA))

Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop (2018)  To identify and understand approaches to aligning health care system incentives with the American public’s need for a health care system that is prepared to manage acutely ill and injured patients during a disaster, public health emergency, or other mass casualty event, the National Academies of Sciences, Engineering, and Medicine hosted a 2-day public workshop on March 20 and 21, 2018. This publication summarizes the presentations and discussions from the workshop. (National Academies of Science, Engineering, and Medicine (NASEM))

Environmental Biodetection and Human Biosurveillance Research and Development for National Security  This report examines the Department of Homeland Security's chemical and biological defense research and development portfolio to identify priorities for future investments to effectively address biological threats. (RAND Corporation)

Environmental Engineering for the 21st Century: Addressing Grand Challenges (2018)  Report identifies the biggest global challenges over the next several decades for which the expertise of environmental engineers will be needed. The study also describes how the environmental engineering field—and colleges and universities—might evolve to better address those challenges. (National Academies of Science, Engineering, and Medicine (NASEM))

Environmental justice and drinking water quality: are there socioeconomic disparities in nitrate levels in U.S. drinking water?  The goals of this study are to identify determinants of nitrate concentrations in U.S. community water systems (CWSs) and to evaluate disparities related to wealth or race/ethnicity. (Springer)

Epidemiology of Imported Infectious Diseases, China, 2005–2016  Researchers collected data related to imported infectious diseases in mainland China from the National Information Reporting System of Infectious Diseases and analyzed demographic, temporal, and spatial distributions. The number of types of imported infectious diseases reported increased from 2 in 2005 to 11 in 2016. A total of 31,740 cases of infectious disease were imported to mainland China during 2005–2016; most of them were found in Yunnan Province. The cases were imported mainly from Africa and Asia. (Centers for Disease Control and Prevention (CDC), HHS)

Estimated Change in Prevalence and Trends of Childhood Blood Pressure Levels in the United States After Application of the 2017 AAP Guideline  This study estimated the prevalence of hypertension and high blood pressure among children aged 8 to 17 years in the United States per the 2017 American Academy of Pediatrics (AAP) guideline and compared that with the 2004 National Institutes of Health/National Heart, Lung, and Blood Institute (NIH/NHLBI) guideline’s prevalence estimate during 2005–2008 and 2013–2016. (Centers for Disease Control and Prevention (CDC), HHS)

Estimating the Number of People Who Inject Drugs in A Rural County in Appalachia  Study demonstrates how to apply the capture–recapture method for population estimation directly in a rural Appalachian county (Cabell County, WV) to estimate the number of people who inject drugs (PWID). (American Public Health Association (APHA))

Estimating the cost of vaccine development against epidemic infectious diseases: a cost minimisation study  Study estimates the minimum cost for achieving vaccine research and development preparedness targets in a portfolio of 11 epidemic infectious diseases, accounting for vaccine pipeline constraints and uncertainty in research and development preparedness outcomes. (The Lancet)

Evaluation of State-Mandated Reporting of Neonatal Abstinence Syndrome — Six States, 2013–2017  Among six identified states with mandated NAS reporting laws during 2013–2017, NAS incidence could be quantified to inform programs and services. However, differences in reporting methods and case definitions might influence states’ abilities to monitor NAS incidence.

Evaluation of an HIV-Related Mortuary Surveillance System — Nairobi, Kenya, Two Sites, 2015  In 2015, a pilot HIV-related mortuary surveillance system was implemented in the two largest mortuaries in Nairobi, Kenya. CDC conducted an evaluation to assess performance attributes and identify strengths and weaknesses of the surveillance system pilot. (Morbidity and Mortality Weekly Report (MMWR))

Evaluation of the Preventive Health and Health Services Block Grant  The evaluation assesses the Preventive Health and Health Services Block Grant's value (i.e., its benefits and contributions) and describes and measures select outputs and outcomes, with the aim of strengthening performance and accountability.

Event registration opens for National Drug & Alcohol Facts Week  National Institute on Drug Abuse (NIDA) and the National Institute on Alcohol Abuse and Alcoholism (NIAAA) announced recently that event registration is open for the next National Drug & Alcohol Facts Week (NDAFW), to be held on Jan. 22-27, 2019. NDAFW is an annual, week-long series of educational events that link teens with scientific experts to SHATTER THE MYTHS about substance use and addiction. (National Institutes of Health (NIH), HHS)

Evidence-Based Interventions for Adolescent Opioid Use Disorder  Report provides evidence-based strategies to help develop county-specific plans for addressing OUD in adolescent populations.

Evolution of the U.S. Overdose : Understanding China's Role in the Production and Supply of Synthetic Opioids  Testimony presented before the House Foreign Affairs Subcommittee on Africa, Global Health, Global Human Rights, and International Organizations on September 6, 2018. (RAND Corporation)

Examining protective and buffering associations between sociocultural factors and adverse childhood experiences among American Indian adults with type 2 diabetes: a quantitative, community-based participatory research approach  The purpose of this study was to determine the frequency of select adverse childhood experiences (ACEs) among a sample of American Indian (AI) adults living with type 2 diabetes (T2D) and the associations between ACEs and self-rated physical and mental health. It also examined associations between sociocultural factors and health, including possible buffering processes. (BMJ Group)

Executive Action as a Tool for Promoting Evidence-Based Public Health Decision-Making  Gubernatorial executive orders and directives can serve as powerful tools for furthering public health goals. In addition to directing public health agency activities, establishing policies and priorities, and responding to emergencies, executive orders or directives can also play a role in shaping agency culture to promote effective public health decision-making. (Network for Public Health Law)

Explore Your Environment with the Updated Data Explorer  CDC’s Environmental Public Health Tracking Network (Tracking Network) is a Web-based system that connects people with a wide variety of vital public health information that can be used to plan, apply, and evaluate actions to prevent and control environmentally-related diseases. The Program’s recently redesigned Data Explorer is one available tool that provides easy-to-use data tools and visualizations, allowing users to stay informed and quickly share environmental health information. (Centers for Disease Control and Prevention (CDC), HHS)

Exploring Tax Policy to Advance Population Health, Health Equity, and Economic Prosperity: Proceedings of a Workshop (2018)  The National Academies of Sciences, Engineering, and Medicine’s Roundtable on Population Health Improvement has been focused on the subject of dependable resources for population health since its inception in 2013. On December 7, 2017, the roundtable convened a workshop to explore tax policy as it relates to advancing population health, health equity, and economic prosperity. This publication summarizes the presentations and discussions from the workshop. (National Academies of Science, Engineering, and Medicine (NASEM))

Exploring the Potential of Tax Credits for Funding Population Health  This paper reports the outcomes of research exploring the potential of tax credits as both a sustainable financing source for population health and a sound investment for taxpayers. (National Academy of Medicine)

Exposure to Secondhand Smoke Among Nonsmokers — United States, 1988–2014  Although secondhand smoke exposure among U.S. nonsmokers declined from 87.5% to 25.2% during 1988–2014, one in four nonsmokers, including 14 million children, were exposed to secondhand smoke during 2013–2014. (Morbidity and Mortality Weekly Report (MMWR))

FDA Releases Five-Year Plan for Supporting Antimicrobial Stewardship in Veterinary Settings  The U.S. Food and Drug Administration’s Center for Veterinary Medicine (CVM) has just unveiled its five-year action plan for supporting antimicrobial stewardship in veterinary settings. (U.S. Food & Drug Administration (FDA), HHS)

FDA launches new, comprehensive campaign to warn kids about the dangers of e-cigarette use as part of agency’s Youth Tobacco Prevention Plan, amid evidence of sharply rising use among kids  “The Real Cost” Youth E-Cigarette Prevention Campaign will target nearly 10.7 million at-risk youth through digital platforms, social media, and in-school ads nationwide (U.S. Food & Drug Administration (FDA), HHS)

Facing Addiction in America: The Surgeon General's Spotlight on Opioids  The Spotlight on Opioids assembles opioid-related information from the Surgeon General’s Report on Alcohol, Drugs, and Health into one document to better inform the general public, especially family and friends of people with an elevated risk of opioid overdose, opioid misuse, and/or opioid use disorder. (Office of the Surgeon General, HHS)

Factors Affecting Obesity and Waist Circumference Among US Adults  Physical activity, sedentary activity, and food intake affect waist circumference and obesity among adults; however, the relationship is unclear. The objective of this study was to explore how these factors affect waist circumference and obesity prevalence among adults. (Centers for Disease Control and Prevention (CDC), HHS)

Factors Contributing to Congenital Syphilis Cases — New York City, 2010–2016  During 2010–2016, 578 New York City women with syphilis infection were noted to be pregnant, and in 510 (88.2%) pregnancies congenital syphilis did not occur. In the majority of the 68 congenital syphilis cases, maternal syphilis diagnosis occurred too late to prevent congenital syphilis. (Morbidity and Mortality Weekly Report (MMWR))

Fast Food Consumption Among Adults in the United States, 2013–2016  This report presents data on the percentage of adults who consumed fast food on a given day in the United States during 2013–2016. (National Center for Health Statistics, CDC)

Federal Resources for Rural Communities to Help Address Substance Use Disorder and Opioid Misuse (October 2018)  A listing of Federal programs that can be used to build resilient communities and address opioid misuse in rural communities. (U.S. Department of Agriculture (USDA))

Federal report on health, well-being of America's children and youth now available  The latest annual report of federal statistics on the health and well-being of America's children and youth is now available. The 2018 America's Children in Brief: Key National Indicators of Well-Being, highlights six measures on the status of children and youth who face heightened risks to their well-being. (Federal Interagency Forum on Child and Family Statistics)

Few California Children and Adolescents Meet Physical Activity Guidelines  ​This policy brief describes physical activity among California children and adolescents. Using data from the California Health Interview Survey (CHIS) from 2013-14, the study found that only 31 percent of children ages 5-11 and 18 percent of adolescents ages 12-17 meet the physical activity guidelines of engaging in at least one hour of physical activity every day. (University of California Los Angeles (UCLA))

Final Recommendation Statement: Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: Screening  The USPSTF has published its final recommendations on clinician screening for intimate partner violence, elder abuse, and abuse of vulnerable adults. (U.S. Preventive Services Task Force (USPSTF))

Final Research Plan for Healthful Diet and Physical Activity to Prevent Cardiovascular Disease in Adults With Risk Factors: Behavioral Counseling Interventions  This systematic review will examine the evidence on the effectiveness of behavioral counseling interventions to promote a healthful diet and physical activity for cardiovascular disease (CVD) prevention among adults with hypertension, elevated blood pressure, or dyslipidemia, or in populations identified as at increased risk of CVD due to multiple risk factors. (U.S. Preventive Services Task Force (USPSTF))

Final Research Plan for Illicit and Nonmedical Drug Use in Children, Adolescents, and Young Adults: Preventive Interventions  The U.S. Preventive Services Task Force posted today a final research plan on interventions to prevent illicit and nonmedical drug use in children, adolescents, and young adults. (U.S. Preventive Services Task Force (USPSTF))

Firearm Homicides and Suicides in Major Metropolitan Areas — United States, 2012–2013 and 2015–2016  Recently, firearm homicide rates in large metro areas and the nation overall began increasing, reaching levels comparable to those a decade ago. Firearm suicide rates have continued to increase in large metro areas and the nation overall. (Morbidity and Mortality Weekly Report (MMWR))

Five Things to Know About CDC's 6|18 Initiative  This blog post, authored by CHCS along with CDC and the Robert Wood Johnson Foundation for the Journal of Public Health Management and Practice blog, highlights five things to know about the 6|18 Initiative now underway in 34 states, territories, and localities across the country. (Center for Health Care Strategies (CHCS))

Five-Year Trends Available for Median Household Income, Poverty Rates and Computer and Internet Use  The U.S. Census Bureau just announced the release of the 2013-2017 American Community Survey (ACS) five-year estimates, which features more than 40 social, economic, housing and demographic topics, including homeownership rates and costs, health insurance, and educational attainment. (U.S. Census Bureau)

Flu vaccine reduces risk of flu hospitalization among pregnant women  Over the course of six flu seasons, getting a flu shot reduced a pregnant woman’s risk of being hospitalized from flu by an average of 40 percent. The findings come from a multi-country, CDC-coauthored study published today in Clinical Infectious Diseases. This is the first study to show vaccination protected pregnant women against flu-associated hospitalization. Previous studies have shown that a flu shot can reduce a pregnant woman’s risk of flu illness. (Centers for Disease Control and Prevention (CDC), HHS)

Food Safety Education Month  September is National Food Safety Education Month. It provides an opportunity to raise awareness about steps you can take to prevent food poisoning. (Centers for Disease Control and Prevention (CDC), HHS)

Food Safety Scares Are Up In 2018. Here's Why You Shouldn't Freak Out  Post highlights the improvements in foodborne disease surveillance. (National Public Radio (NPR))

Foodborne Illness Outbreak Response Community of Practice  NACCHO is launching a new Foodborne Illness Outbreak Response Community of Practice (CoP), bringing together food safety professionals from across the country to share tips and best practices across jurisdictions. To join the CoP and find out about the first call, email Amy Chang at (National Association of County and City Health Officials (NACCHO))

Foodborne Illness Outbreaks at Retail Establishments — National Environmental Assessment Reporting System, 16 State and Local Health Departments, 2014–2016  During 2014–2016, a total of 16 state and local public health departments reported data to the National Environmental Assessment Reporting System (NEARS) on 404 foodborne illness outbreaks at retail establishments. The majority of outbreaks with a suspected or confirmed agent were caused by norovirus (61.1%). The majority of outbreaks with identified contributing factors had at least one factor associated with food contamination by a worker who was ill or infectious (58.6%). (Morbidity and Mortality Weekly Report (MMWR))

Foodborne illness source attribution estimates for 2016 for Salmonella, Escherichia coli O157, Listeria monocytogenes, and Campylobacter using multi-year outbreak surveillance data,United States (November 2018)  The Interagency Food Safety Analytics Collaboration (IFSAC), a collaboration between the USDA, FDA, and CDC, developed a method to estimate the sources of foodborne illness using outbreak data from 1998 through the most recent year for four priority pathogens: Salmonella, Escherichia coli O157, Listeria monocytogenes, and Campylobacter. (Centers for Disease Control and Prevention (CDC), HHS)

For Beating the Opioid Crisis, America has Better Weapons than Fentanyl Test Strips  Blog post from the Assistant Secretary for Mental Health and Substance Use discusses using fentanyl test strips as a bandaid on the opioid epidemic. (Substance Abuse & Mental Health Services Administration (SAMHSA), HHS)

Free CE: HIV Care and Sexual Health Assessment for American Indian and Alaska Native Patients  Cardea is offering a free online continuing education opportunity on “HIV Care and Sexual Health Assessment for American Indian and Alaska Native Patients.” The course features four modules: Culturally Proficient Sexual Health Care for People of all Genders and Sexual Orientations, Sexual Health Assessment, and Biomedical Prevention of HIV (ART, PEP and PreP).

Frequency of Use Among Middle and High School Student Tobacco Product Users — United States, 2015–2017  During 2015–2017, the proportion of students currently using cigarettes, cigars, e-cigarettes, smokeless tobacco, or hookahs who used each product ≥20 of the past 30 days ranged from 14.0% of cigar smokers to 38.7% of smokeless tobacco users among high school students and from 13.1% of e-cigarette users to 24.5% of hookah smokers among middle school students. (Morbidity and Mortality Weekly Report (MMWR))

From Local Action to National Progress on 5 Major Health Challenges: The Bloomberg American Health Initiative  The articles in this supplemental issue of Public Health Reports provide insight into what it will take for the field of public health to tackle 5 of the most complex and difficult health problems of our time: (1) large numbers of adolescents disconnected from work and school; (2) violence (including gun violence), intimate partner and sexual violence, and suicide; (3) opioid addiction and overdose; (4) a dysfunctional food system associated with obesity; and (5) threats to the environment. (Public Health Reports)

GW Health Workforce Institute Announces $1.8 Million Grant  The George Washington University (GW) Health Workforce Institute, based at the Milken Institute School of Public Health just announced a $1.8 million grant from HRSA to support a new Health Workforce Research Center focused on increasing diversity in health workforce education and training. The Health Workforce Research Center (HWRC) on Health Equity in Health Workforce Education will identify how pipeline programs, health profession schools and ongoing professional training contribute to workforce diversity, address maldistribution and prepare trainees to address social determinants of health. (George Washington University, Milken Institute School of Public Health)

Gear Up for U.S. Antibiotic Awareness Week 2018!  U.S. Antibiotic Awareness Week (USAAW) kicks off on Monday, November 12. Post highlights specific CDC USAAW activities, along with data and resources focused on improving antibiotic prescribing and use in human healthcare, that you can use and promote during the week. (National Association of County and City Health Officials (NACCHO))

Genesee County Health Equity in All Policies Workshop Report (October 2018)  In 2016, in response to the ongoing lead water crisis, the Genesee County Board of Health in Michigan proposed a Health Equity in All Policies (HEiAP) Resolution to address inequitable health outcomes. Taking steps to implement the resolution, the Genesee County Health Department (GCHD) worked with community groups to offer trainings and host public health conferences that incorporate aspects of HiAP. Building off these actions, GCHD decided to host a HEiAP workshop for community members, local government officials, and legislators. Report summarizes this workshop. (National Association of County and City Health Officials (NACCHO))

Geographic Variation in Substance-Related Inpatient Stays Across States and Counties in the United States, 2013-2015  From 2013 to 2015, there was an average of 1 substance-related inpatient stay annually for every 100 people in the United States. Alcohol, opioids, cannabis, and stimulants were the most common substances. (Agency for Healthcare Research and Quality (AHRQ), HHS)

Geographic differences in obesity prevalence and its risk factors among Asian Americans: findings from the 2013–2014 California Health Interview Survey  This study aimed to examine the geographic differences in obesity prevalence and its risk factors among Asian Americans in California.

Gestational Diabetes and Health Behaviors Among Women: National Health and Nutrition Examination Survey, 2007–2014  Women with gestational diabetes are at 7 times greater risk of developing type 2 diabetes than are women without gestational diabetes. The objectives of this study were to examine recent changes in the prevalence of gestational diabetes mellitus among women of reproductive age in the United States and assess the prevalence of factors associated with participating in healthy lifestyle behaviors. (Centers for Disease Control and Prevention (CDC), HHS)

Getting to Zero Alcohol-Impaired Driving Fatalities  Report identifies many evidence-based and promising policies, programs, and systems changes to accelerate national progress in reducing deaths from alcohol-impaired driving. (National Academies of Science, Engineering, and Medicine (NASEM))

Global HIV & Tuberculosis  CDC plays a unique role, bringing scientific know-how and on-the-ground expertise to bring about significant impact in the fight against these diseases. Just last year, their efforts accounted for 50 percent or more of key PEPFAR outcomes to treat and prevent HIV and TB. (Centers for Disease Control and Prevention (CDC), HHS)

Global Handwashing Day - October 15  Established by the Global Handwashing Partnership in 2008, Global Handwashing Day is celebrated each year on October 15 as a way to increase awareness and understanding of the benefits of handwashing with soap. Global Handwashing Day is an opportunity to get involved in creative ways to encourage people to wash their hands with soap at critical times. (Centers for Disease Control and Prevention (CDC), HHS)

Global Routine Vaccination Coverage — 2017  Global coverage with the third dose of diphtheria and tetanus toxoids and pertussis-containing vaccine (DTP3), third dose of polio vaccine, and first dose of measles-containing vaccine has remained at 84%–85% since 2010. In 2017, 62% of children who did not receive DTP3 lived in 10 countries; positive trends in vaccination coverage (2007–2017) were observed in seven of these countries. (Morbidity and Mortality Weekly Report (MMWR))

Great American Smokeout — November 15, 2018  The American Cancer Society’s 43rd annual Great American Smokeout will be held on November 15, 2018. The Great American Smokeout is an annual event that encourages smokers to make a plan to quit smoking ( (Morbidity and Mortality Weekly Report (MMWR))

Greener Guidance: Innovative Funding  This is the fifth edition of NACCHO’s Greener Guidance environmental health advice column, which discusses non-grant funding opportunities. (National Association of County and City Health Officials (NACCHO))

H.R.2422 - Action for Dental Health Act of 2018  Legislation that allows HHS to award grants or enter into contracts to collaborate with state, county, or local public officials and other stakeholders to develop and implement initiatives to: (1) improve oral health education and dental disease prevention; (2) reduce geographic barriers, language barriers, cultural barriers, and other similar barriers in the provision of dental services; (3) establish dental homes for children and adults; (4) reduce the use of emergency departments by individuals who seek dental services more appropriately delivered in a dental primary care setting; or (5) facilitate the provision of dental care to nursing home residents. (U.S. House of Representatives)

HHS Awards Over $1 Billion to Combat the Opioid Crisis  This week, the U.S. Department of Health and Human Services awarded over $1 billion in opioid-specific grants to help combat the crisis ravaging our country. The awards support HHS's Five-Point Opioid Strategy, which was launched last year and enhanced this week. New data unveiled recently by HHS suggests that efforts are now yielding progress at the national level. (U.S. Department of Health and Human Services (HHS))

HHS Sponsors Development of Intranasal Form of Long-acting Opioid Overdose Drug  To help save lives in the current opioid epidemic or following a deliberate attack, the U.S. Department of Health and Human Services (HHS) will work with Opiant Pharmaceuticals of Santa Monica, California, to develop a fast-acting, long-lasting intranasal, potentially improved form of an opioid overdose drug. (U.S. Department of Health and Human Services (HHS))

HHS announces $6.2 million in new grants in Fairbanks focusing on opioid and mental health services  Yesterday, HHS Deputy Secretary Eric D. Hargan announced three new grants to combat opioid addiction and improve access to mental health services for youth and young adults. The grants funding by HHS’s Substance Abuse and Mental Health Services Administration (SAMHSA) were awarded to Fairbanks Native Association and Tanana Chiefs Conference, Inc., are expected to total over $6.2 million over the next few years. (U.S. Department of Health and Human Services (HHS))

HHS awards $2.34 billion in grants to help Americans access HIV/AIDS care and medication  HHS just announced that approximately $2.34 billion in Ryan White HIV/AIDS Program grants were awarded to cities, counties, states, and local community-based organizations in fiscal year (FY) 2018. This funding through the Health Resources and Services Administration (HRSA) supports a comprehensive system of HIV primary medical care, medication, and essential support services to more than half a million people living with HIV in the United States. (U.S. Department of Health and Human Services (HHS))

HHS awards $50 million to assist American Indian and Alaska Native tribal efforts combating the opioid overdose epidemic  The Department of Health & Human Service’s Substance Abuse and Mental Health Services Administration (SAMHSA) has awarded grants of about $50 million to American Indian and Alaska Native tribes Tuesday to strengthen their efforts to combat the opioid overdose epidemic. (Substance Abuse & Mental Health Services Administration (SAMHSA), HHS)

HIV Infection Risk, Prevention, and Testing Behaviors Among Men Who Have Sex With Men-National HIV Behavioral Surveillance, 23 U.S. Cities, 2017 (February 2019)  Report summarizes findings from the fifth NHBS data collection among men who have sex with men (MSM), which was conducted in 2017. The surveillance report provides descriptive, unweighted data that can be used to describe HIV infection among MSM, risk behaviors, HIV testing, and participation in prevention programs. (National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), CDC)

HIV Partner Service Delivery Among Blacks or African Americans — United States, 2016  In 2016, 78% of black index patients were interviewed for partner services. However, among black partners, fewer than half were tested for HIV infection, 17% received a new diagnosis of HIV infection, and 9% were previously infected. The prevalence of newly diagnosed HIV infection was particularly high among black partners who were gay, bisexual, and other men who have sex with men (MSM) (37%) and transgender persons (38%). (Morbidity and Mortality Weekly Report (MMWR))

HIV Preexposure Prophylaxis, by Race and Ethnicity — United States, 2014–2016  In 2016, among 78,360 persons who filled prescriptions for PrEP in the United States, women accounted for only 4.7%. Among PrEP users with available race/ethnicity data, 68.7%, 11.2%, 13.1%, and 4.5% were white, black, Hispanic, and Asian, respectively. (Morbidity and Mortality Weekly Report (MMWR))

HIV Prevention for Hispanic / Latino Gay and Bisexual Men (October 2018)  CDC recently reported that the estimated annual number of HIV infections among Hispanic/Latino men who have sex with men (MSM) have increased over the past five years, despite having stabilized for MSM overall. CDC, along with its partners, is actively working to reverse this alarming trend. (Centers for Disease Control and Prevention (CDC), HHS)

HIV, STI, and Viral Hepatitis Sentinel Network  The HIV, STI, and Viral Hepatitis Sentinel Network (Sentinel Network) was formed to increase NACCHO’s understanding of local health department efforts, needs, challenges, and successes. The Network is comprised of more than 100 LHDs from over 40 states and the District of Columbia who complete brief surveys on an approximately quarterly basis. The Sentinel Network is open to all local health departments and NACCHO aims to expand Sentinel Network membership to include at least two local health departments from each state and ensure a spectrum of jurisdiction sizes and geographic locations and settings are represented. (National Association of County and City Health Officials (NACCHO))

HRSA releases new data on child health across the U.S.  HRSA has released the 2017 National Survey of Children’s Health data from nearly 21,000 households across the U.S. This voluntary survey, funded and directed by HRSA's Maternal and Child Health Bureau, provides annual national- and state-level estimates of key measures of child health and well-being. (Health Resources and Services Administration (HRSA), HHS)

HRSA’S Home Visiting Program: Supporting Families Impacted by Opioid Use and Neonatal Abstinence Syndrome (October 2018)  This resource for Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program awardees provides essential information about the opioid epidemic, opioid use disorder (OUD), and neonatal abstinence syndrome (NAS). (Maternal and Child Health Bureau (MCHB), HRSA, HHS)

Health Care, Family, and Community Factors Associated with Mental, Behavioral, and Developmental Disorders and Poverty Among Children Aged 2–8 Years — United States, 2016  Parent-reported data from 2016 showed that a higher percentage of children in lower-income households had ever received a diagnosis of an MBDD and a lower percentage had seen a health care provider in the previous year, compared with children in higher-income households. Most children in lower-income households were in families receiving public assistance benefits. (Morbidity and Mortality Weekly Report (MMWR))

Health Care: Unlocking the Value of Data Sharing  Paper provide a basic method for reaching out to those in your community who may share your interest in collaborating and sharing data. (Data Across Sectors for Health (DASH))

Health Disparities Among American Indians/Alaska Natives — Arizona, 2017  Analysis of 2017 Behavioral Risk Factor Surveillance System data from Arizona found significantly higher prevalences of sugar-sweetened beverage consumption, being overweight or having obesity, diabetes, hypertension, fair or poor health status, and leisure-time physical inactivity and a lower prevalence of having a personal doctor among AI/AN compared to whites. (Morbidity and Mortality Weekly Report (MMWR))

Health Literacy and Older Adults: Reshaping the Landscape: Proceedings of a Workshop  Proceedings of a one-day workshop focused on changing the health needs of older adults, chronic disease and medication management, health communication challenges for older adults, health literacy needs and challenges for caregivers, and other topics related to health literacy for older people. (National Academies of Science, Engineering, and Medicine (NASEM))

Health Services Research Special Issue: Putting Patients First: Today's Disparities Research Leading to Health Equity Tomorrow  Open access issue of Health Services Research is focused on identifying groups of people who do not benefit equally from our health system and identifying root causes of these differences. (Wiley Interscience)

Health eBulletin - Domestic Violence Awareness Month 2018.  In this issue, contributors discuss the how experiences of violence and trauma intersect with substance use and addiction, how domestic violence advocates can support survivors who use drugs, and ways that we can use healing-centered policy and programs to address the current opioid epidemic. (Futures Without Violence)

Health, United States 2017 (2018)  The annual report on the health status of the nation, prepared by the National Center for Health Statistics and submitted by the Secretary of HHS to the President and Congress. This year’s Health, United States Special Feature focuses on selected trends in mortality. Measures of mortality (numbers and death rates), together with life expectancy, describe the burden of illness and assess the health of a population. (National Center for Health Statistics, CDC)

Healthy Pregnancy Healthy Baby Factsheets  This series of four fact sheets emphasizes the importance of continuing a mother's treatment for opioid use disorder (OUD) throughout pregnancy. The series includes information on OUD and pregnancy, OUD treatment, neonatal abstinence syndrome, and considerations to address before hospital discharge. (Substance Abuse & Mental Health Services Administration (SAMHSA), HHS)

Hepatitis A Virus Outbreaks Associated with Drug Use and Homelessness — California, Kentucky, Michigan, and Utah, 2017  During 2017, California, Kentucky, Michigan, and Utah reported 1,521 hepatitis A infections, mostly among persons who reported drug use or homelessness, signaling a shift in hepatitis A epidemiology from point-source outbreaks associated with contaminated food to large community outbreaks with person-to-person transmission. (Morbidity and Mortality Weekly Report (MMWR))

Heroin-Assisted Treatment and Supervised Drug Consumption Sites  This working paper is part of a series of reports assessing the evidence on and arguments made about heroin-assisted treatment and supervised consumption sites and examining some of the issues associated with implementing them in the United States. (RAND Corporation)

Home visits helping to reduce asthma disparities: Addressing triggers  Home visits, in which community health workers come to people’s homes to assess potential asthma triggers and offer holistic solutions to illness, can be especially beneficial to low-income families who may lack the resources and support to make their homes conducive to easy breathing. (The Nation's Health)

Honoring Culture: A Public Health Approach  Blog post highlights how SAMHSA is partnering with tribes and tribal organizations to reduce health disparities and promote better overall health. (Substance Abuse & Mental Health Services Administration (SAMHSA), HHS)

Hospital Admissions for Uncontrolled Diabetes Improving Among American Indians and Alaska Natives  Using IHS data, the National Healthcare Quality and Disparities Report (NHQDR) team found significant decreases in hospital admissions for uncontrolled diabetes in the AI/AN population receiving treatment at IHS facilities. However, the declines are not as pronounced in younger age groups. (Agency for Healthcare Research and Quality (AHRQ), HHS)

Hospitals Reported Improved Preparedness for Emerging Infectious Diseases After the Ebola Outbreak  This study seeks to assess infectious disease preparedness efforts by describing the reflections of hospital administrators regarding the 2014 Ebola outbreak and the actions that hospitals have taken to improve readiness since then. (Office of Inspector General (OIG), HHS)

Housing and Food Insecurity and Chronic Disease Among Three Racial Groups in Hawaiʻi  Study examines chronic disease by housing and food insecurity among whites, Asians, and Native Hawaiian/other Pacific Islanders (NHOPIs) in Hawaiʻi. (Centers for Disease Control and Prevention (CDC), HHS)

How Can States Stop HIV Transmission? Increase Access to Pre-Exposure Prophylaxis (PrEP) (October 2018)  NASHP brought together officials from Maryland, Michigan, and Connecticut in a PrEP Policy Learning Series to learn and report on how states are effectively deploying and improving their PrEP initiatives to save lives and reduce health care costs. (National Academy for State Health Policy (NASHP))

How Can Workers' Compensation Systems Promote Occupational Safety and Health?  Report explore the beliefs and priorities of key workers' compensation stakeholder groups about system challenges and research priorities that, if addressed, would be most useful for reforming workers' compensation systems to promote OSH and the well-being of workers. (RAND Corporation)

How Counties Can Use Evidence-Based Policymaking to Achieve Better Outcomes (December 2018)  Although significant research has been conducted on state-level efforts to advance evidence-based policymaking, little research exists about these practices at the county level. This report by the Pew-MacArthur Results First Initiative and NACo is a first-of-its-kind look at how counties engage in this work. It also identifies ways counties can support and sustain their success. (Pew Charitable Trusts)

How Equity-Oriented Health Care Affects Health: Key Mechanisms and Implications for Primary Health Care Practice and Policy  Study examines the relationship between patients’ perceptions of equity-oriented health care and selected patient-reported health outcomes by testing a theoretical model informed by current theory and evidence. (Milbank Memorial Fund)

How Fentanyl Changes the Opioid Equation  According to the Centers for Disease Control and Prevention, fentanyl’s popularity didn’t take off until 2013, propelling what the agency now calls the third wave of the opioid epidemic, after painkillers and heroin. (Pew Charitable Trusts)

How Governors Addressed Health Care in their 2019 State of the State Addresses  In their 2019 state of the state and inaugural speeches, governors highlighted health care policy successes and outlined key proposals for their legislatures. To date, 48 governors – including 20 newly-elected – addressed a wide array of health issues, including behavioral health, Medicaid expansion, the opioid epidemic, rising prescription drug costs, and the growing unaffordability of health care coverage. (National Academy for State Health Policy (NASHP))

How Have Workers Fared Under the ACA?  Brief assesses whether health insurance coverage gains from 2010 to 2016 were associated with changes in labor market outcomes across occupations. (Robert Wood Johnson Foundation (RWJF))

How Health and Social Care Organizations Work Together  On the latest episode of The Dose, host Shanoor Seervai talks to Amanda Brewster, a health policy professor at the University of California, Berkeley, about how health care organizations can work with groups providing social services to get older people the care they need. (Commonwealth Fund)

How Hospitals Can Tackle The Maternal Mortality Crisis  A recent essay in the New England Journal of Medicine says hospitals can improve quality of care for three common complications in childbirth: heavy bleeding after delivery known as postpartum hemorrhage, problems with high blood pressure, and blood clots before or after delivery. (National Public Radio (NPR))

How Local Health Departments with Moderate Resources Can Increase Active Transportation  This is the second in a three-part series covering the Capabilities for Public Health Agency Involvement in Land Use and Transportation Decision Making to Increase Active Transportation Opportunity from the UMass Worcester Prevention Research Center. (National Association of County and City Health Officials (NACCHO))

How Many Seniors Live in Poverty?  This analysis provides current data on poverty rates among the 51.1 million older adults in the U.S., by age, gender, race/ethnicity, and health status and by state, as context for understanding the implications of potential changes to federal and state programs that help to bolster financial security among older adults. (Kaiser Family Foundation (KFF))

How States Can Better Engage Medicaid Patients  Post provides practical, insightful suggestions regarding how Medicaid can better engage patients in the policymaking and implementation process. (Center for Health Care Strategies (CHCS))

How far Americans live from the closest hospital differs by community type  Rural Americans are more likely than people in urban and suburban areas to say access to good doctors and hospitals is a major problem in their community. Nearly a quarter (23%) of Americans in rural areas say this, compared with 18% of urbanites and 9% of suburbanites, according to a Pew Research Center survey conducted earlier this year. (Pew Charitable Trusts)

How to Boost Vaccine Rates for Low-Income Families  A new five-state project funded by the federal government aims to improve vaccination rates among low-income children and pregnant women, using statewide registries intended to track the immunization histories of all residents. (Pew Charitable Trusts)

Human Rabies — Virginia, 2017  A U.S. citizen was bitten by a puppy while in India; rabies postexposure prophylaxis was not sought. The traveler developed rabies upon return to the United States and died during hospitalization. Seventy-two health care providers were exposed to infectious materials. Treatment for exposures cost approximately $235,000. (Morbidity and Mortality Weekly Report (MMWR))

IHS Announces a New Policy to Expand Access to Medication Assisted Treatment in Remote Locations  The Indian Health Service is pleased to announce the release of a new Internet Eligible Controlled Substance Provider Designation policy that is designed to increase access to treatment of opioid use disorder for American Indians and Alaska Natives living in rural or remote areas. (U.S. Department of Health and Human Services (HHS))

Immigrant Women’s Access to Sexual and Reproductive Health Coverage and Care in the United States  Issue brief synthesizes recent evidence on immigrant women’s access to sexual and reproductive health coverage and care and provide recommendations for policymaking and research. (Commonwealth Fund)

Immunization and Vaccines for Children  This cooperative agreement will support recipients with development, implementation, assessment, and promotion of immunization related activities with the goal of achieving and sustaining high immunization coverage, and with administration of the Vaccines for Children (VFC) and Section 317 vaccine program for eligible individuals and to maintain or improve response activities to vaccine preventable disease public health threats. (Centers for Disease Control and Prevention (CDC), HHS)

Implementation of the Treat All Policy Among Persons with HIV Infection Enrolled in Care But Not on Antiretroviral Therapy — India, May 2017–June 2018  To implement Treat All in India, 46 ART centers in two states supported by the President’s Emergency Plan for AIDS relief attempted to contact 25,007 persons enrolled in HIV care but not receiving ART; 9,898 (40%) subsequently initiated ART over a 14-month period. Among those initiating ART, 6,315 (64%) began ART after being reached, including 1,635 (17%) who had been lost to follow-up. (Morbidity and Mortality Weekly Report (MMWR))

Implementing Tobacco Cessation Programs in Substance Use Disorder Treatment Settings  This quick guide contains an overview of the challenges associated with tobacco cessation and the benefits of being tobacco-free for individuals as well as those of a smoke-free workplace. It also includes tips that substance use disorder treatment settings can use to implement their own tobacco cessation programs. (Substance Abuse & Mental Health Services Administration (SAMHSA), HHS)

Implementing an Integrated Medication-Assisted Treatment Program at Community Health Centers: Lessons from a Pilot Project in California  Evaluation of a pilot project to develop sustainable, integrated care models to provide mental health care and substance use disorder treatment with health care for patients with opioid use disorder (OUD) in the primary care setting using medication-assisted treatment (MAT). (Urban Institute)

Improving Care to Prevent Suicide Among People with Serious Mental Illness: Proceedings of a Workshop  Proceedings of a September 2018 workshop to discuss what is known, what is currently being done, and what needs to be done to identify and reduce suicide risk among people with serious mental illness in the United States. (National Academies of Science, Engineering, and Medicine (NASEM))

Improving Global Public Health through Data Sharing  Dr. David Heymann, a professor of infectious diseases and epidemiology at the London School of Hygiene and Tropical Medicine, discusses sharing surveillance data to improve global public health. (Centers for Disease Control and Prevention (CDC), HHS)

Improving Health Decisions and Outcomes for Chronic Diseases: The Impact of Incentives and Information  This dissertation assesses the impact of policies designed to address the treatment and prevention of chronic diseases in the context of HIV and obesity, using a range of causal inference and quantitative methods. (RAND Corporation)

Improving Oral Health Care Services in Rural America (December 2018)  Policy brief outlines barriers, highlights federal programs and initiatives, and provides policy recommendations to improve oral health care in rural America. (Health Resources and Services Administration (HRSA), HHS)

Improving Oral Health through Cross-Agency Partnerships: State Oral Health Leadership Institute Case Studies  A series of case studies on ways Medicaid dental program directors and state oral health program directors can work together to improve oral health of low-income residents. (Center for Health Care Strategies (CHCS))

Improving Public Health Surveillance Through Interoperability, Data Standards, and Legislation  Post provides a summary of commonly accepted data standards and terminology used in public health departments across the country. (Association of State and Territorial Health Officials (ASTHO))

Improving Radon Testing through Community Collaboration  In honor of National Radon Action Month in January, post highlights the Linn County, Iowa’s radon test kit distribution program, which was recognized as a Promising Practice through NACCHO’s Model Practices program in 2017. (National Association of County and City Health Officials (NACCHO))

In Focus: Identifying and Addressing Health Disparities Among Hispanics  This blog post discusses efforts to identify and address health disparities among Hispanic populations.. (Commonwealth Fund)

In Focus: Reducing Racial Disparities in Health Care by Confronting Racism  This issue of Transforming Care offers examples of health systems that are making efforts to identify implicit bias and structural racism in their organizations, and developing customized approaches to engaging and supporting patients to ameliorate their effects. (Commonwealth Fund)

Increase in Acute Flaccid Myelitis — United States, 2018  In August 2018, CDC noted an increased number of reports of patients having symptoms clinically compatible with acute flaccid myelitis (AFM), a rare condition characterized by rapid onset of flaccid weakness in one or more limbs and spinal cord gray matter lesions, compared with August 2017. (Morbidity and Mortality Weekly Report (MMWR))

Increased Methamphetamine, Injection Drug, and Heroin Use Among Women and Heterosexual Men with Primary and Secondary Syphilis — United States, 2013–2017  During 2013–2017, reported methamphetamine, injection drug, and heroin use increased substantially among women and heterosexual men with P&S syphilis. (Morbidity and Mortality Weekly Report (MMWR))

Increasing disparities in unhealthy food advertising targeted to Hispanic and Black youth (January 2019)  Report identifies food-related TV advertising targeted to Black and Hispanic consumers in 2017, and exposure to those ads by Hispanic and Black youth, including children (2-11 years) and teens (ages 12-17 years). (University of Connecticut, Rudd Center for Food Policy & Obesity)

Indigenous People and Domestic Violence: Who’s Bringing Solutions  Blog post features Alaska’s Southcentral Foundation and its Family Wellness Warriors Initiative to address Native Alaskan domestic violence issues. (Rural Health Information Hub)

Infant Mortality by Age at Death in the United States, 2016  The total infant mortality rate declined from 6.75 infant deaths per 1,000 births in 2007 to 6.07 in 2011, but did not change significantly from 2011 through 2016 (5.87). (National Center for Health Statistics, CDC)

Infectious Disease Preparedness: Reflections from CDC’s Pandemic Flu Exercise  On September 12-14, the Centers for Disease Control and Prevention (CDC) conducted a pandemic influenza functional exercise in response to a fictional influenza pandemic with federal, state, local, and non-governmental partners. Post provides reflections on the exercise from Lilly Kan, Senior Director for Infectious Disease and Informatics, who represented NACCHO during the exercise. (National Association of County and City Health Officials (NACCHO))

Influenza A(H3N2) Variant Virus Outbreak at Three Fairs — Maryland, 2017  In September 2017, 40 cases of influenza A(H3N2) variant virus infection were identified among persons with swine exposure at one of three Maryland agricultural fairs. Thirty cases (75%) occurred among persons at high risk for serious influenza complications. Thirty-five percent of patients reported only indirect swine contact. (Morbidity and Mortality Weekly Report (MMWR))

Influenza Activity — United States, September 30–December 1, 2018  Influenza activity in the United States was low during October 2018, and, although it increased slowly during November, activity remains low across most of the country. During the week ending December 1, 2018, the percentage of outpatient visits for influenza-like illness (ILI) was equal to the national baseline (Figure) and was at or slightly above the region-specific baseline in four of the 10 U.S. Department of Health and Human Services regions. (Morbidity and Mortality Weekly Report (MMWR))

Influenza Vaccination Coverage Among Health Care Personnel — United States, 2017–18 Influenza Season  Opt-in Internet panel survey-assessed influenza vaccination coverage among health care personnel during the 2017–18 season was 78.4%, similar to the previous four seasons. (Morbidity and Mortality Weekly Report (MMWR))

Influenza and Tdap Vaccination Coverage Among Pregnant Women — United States, April 2018  During the 2017–18 influenza season, 49.1% of pregnant women received influenza vaccination before or during pregnancy, 54.4% of women with a live birth received Tdap during pregnancy, and 32.8% received both recommended vaccines. (Morbidity and Mortality Weekly Report (MMWR))

Informal PrEP: an emerging need for nomenclature  Different expressions are used to describe the process of informal access to antiretroviral drugs (eg, via the Internet or acquaintances) for HIV pre-exposure prophylaxis (PrEP): “informal use”, “informal PrEP”, “off-label PrEP”, “non-prescribed PrEP”, “DIY PrEP”, and “wild PrEP”. This lack of consistent nomenclature makes it difficult to develop an accurate understanding of the nature of the process and its public health implications. To improve consistency for future research and public health initiatives, this process should be referred to as informal PrEP. (The Lancet)

Initiatives for Addressing Antimicrobial Resistance in the Environment: Current Situations and Challenges (December 2018)  This report highlights data identifying the potential for the environment (waterways and soils) to be a source of pathogenic antimicrobial-resistant microbes that could affect human health. The report also highlights significant knowledge gaps and measures that could be most important for mitigating risks. (Centers for Disease Control and Prevention (CDC), HHS)

Integrating HIV Services through Partnerships for Care (P4C)  The P4C project identified promising practices for the integration of HIV services into primary care and for building strong primary care-public health partnerships to expand the provision of HIV prevention and care services. (Health Resources and Services Administration (HRSA), HHS)

Integration of Oral Health and Primary Care: Communication, Coordination and Referral  This discussion paper focuses on some particularly challenging aspects of bridging primary care and oral health care for low health literacy populations. Because of the lack of physical proximity between most dental and medical practices, even in some co-located places, many patients and providers have difficulty navigating this divide. (National Academies of Science, Engineering, and Medicine (NASEM))

Interim Estimates of 2018–19 Seasonal Influenza Vaccine Effectiveness — United States, February 2019  On the basis of data from the U.S. Influenza Vaccine Effectiveness Network on 3,254 children and adults with acute respiratory illness during November 23, 2018–February 2, 2019, the overall estimated effectiveness of seasonal influenza vaccine for preventing medically attended, laboratory-confirmed influenza virus infection was 47%. (Morbidity and Mortality Weekly Report (MMWR))

Interim Updated Planning Guidance on Allocating and Targeting Pandemic Influenza Vaccine during an Influenza Pandemic  This document was developed to update and provide interim guidance for planning purposes and to provide the rationale for a national vaccination program during a pandemic that also allows for local adjustment where appropriate. (Centers for Disease Control and Prevention (CDC), HHS)

Is your LHD engaged in a public-private partnership? We want to hear from you!  If your health department has engaged in a successful public-private partnership, please complete this short survey (2-3 minutes) to tell NACCHO about your collaboration, and whether the Bipartisan Policy Center may follow up with you to feature your health department as one of their case studies. (National Association of County and City Health Officials (NACCHO))

Justice Department’s Criminal Division Creates Appalachian Regional Prescription Opioid Strike Force to Focus on Illegal Opioid Prescriptions  The mission of the ARPO Strike Force is to identify and investigate health care fraud schemes in the Appalachian region and surrounding areas, and to effectively and efficiently prosecute medical professionals and others involved in the illegal prescription and distribution of opioids. (U.S. Department of Justice (DoJ))

Keeping Children’s Weight on Track: A Pathway to Health and Well-Being  This report card examines children’ weight over time, looking at almost 3,000 infants and toddlers from low-income families who started life in a healthy state – born at a healthy birth weight and at term. (Children's HealthWatch)

Kentucky Takes a Novel Approach to Fight the Opioid Crisis  The website bridges a gap between Kentucky residents and timely access to substance use treatment facilities and services. It provides near real-time available openings at local area substance use disorder (SUD) facilities. (Centers for Disease Control and Prevention (CDC), HHS)

Key Informant Perspectives on Rural Social Isolation and Loneliness (October 2018)  This policy brief uses data from interviews with 22 key informants in 12 states, all of whom were experts in the issue of social isolation and/or rural health, to describe key challenges and opportunities related to rural social isolation. (University of Minnesota, Rural Health Research Center)

Landscape Analysis of National Community Health Worker Programs  This landscape analysis of national community health worker (CHW) programs focused on key features of programs in 22 of the 25 countries deemed priority by the USAID Office of Maternal and Child Health and Nutrition for which data were available. (U.S. Agency for International Development (USAID))

Late Life Domestic Violence: No Such Thing as “Maturing Out” of Elder Abuse  Article focuses on elder abuse, with information on prevalence, screening, costs, and legal issues. Also features work being done in indigenous populations to address elder abuse. (Rural Health Information Hub)

Lead in Spices, Herbal Remedies, and Ceremonial Powders Sampled from Home Investigations for Children with Elevated Blood Lead Levels — North Carolina, 2011–2018  A North Carolina study of lead content in spices, herbal remedies, and ceremonial powders in homes of children with elevated blood lead levels found that 28.8% of samples contained ≥1 mg/kg lead, suggesting contaminated products might represent an important source of childhood lead exposure. A survey instrument was created to collect information on product origin and consumption. (Morbidity and Mortality Weekly Report (MMWR))

Leading Public Health Practice Though Health Informatics and Technology  The future of disease surveillance is electronic case reporting, which is the process of electronically reporting disease cases from clinically-based electronic health records to public health agencies for integration into disease surveillance systems. eCR is an important first step in advancing bidirectional data exchange between healthcare and public health as it leverages data flow between these entities. This guidebook provides additional information on achieving bidirectional data exchange and preparing for eCR adoption and implementation. (Association of State and Territorial Health Officials (ASTHO))

Legionella Program Survey Available Now - Share Your Experience  n response to the significant increase in the number of reported cases of legionellosis over the past two decades, NEHA is conducting a nationwide assessment of the role of environmental health programs in Legionella outbreak investigations and mitigation. NEHA is seeking information from environmental health professionals with the goal of using responses to identify best practices in developing a model Legionella program. (National Environmental Health Association)

Leveraging Existing Birth Defects Surveillance Infrastructure to Build Neonatal Abstinence Syndrome Surveillance Systems — Illinois, New Mexico, and Vermont, 2015–2016  Estimates of neonatal abstinence syndrome (NAS) incidence during 2015 were 3.0 per 1,000 births for Illinois, 7.5 for New Mexico, and 30.8 for Vermont. Of the four diagnosis codes evaluated, those for infant drug withdrawal (779.5 and P96.1) had the highest positive predictive values for identifying confirmed NAS cases. (Morbidity and Mortality Weekly Report (MMWR))

Leveraging Laws and Policies to Help Achieve Healthy People 2020 Objectives  The Healthy People 2020 Law and Health Policy project is developing resources that will provide practical information to a broad audience about the impact that laws and policies can have on health outcomes. (Office of Disease Prevention and Health Promotion (ODPHP), HHS)

Libraries, public health work together on community health: Settings serve as community hubs  When it comes to finding the best health information available, getting a blood pressure check or even finding a safe, cool place to spend an afternoon during a heat advisory, many people do not turn to their doctor or health department. In the U.S., they visit their local library. (The Nation's Health)

Life Expectancy Data Has Arrived at City Health Dashboard  Using new data available from the United States Small-Area Life Expectancy Estimates Project (USALEEP), City Health Dashboard now has a new metric available: life expectancy at birth. (Robert Wood Johnson Foundation (RWJF))

Life and Health in Rural America (2018)  This “Life and Health in Rural America” report is based on a survey conducted for National Public Radio, the Robert Wood Johnson Foundation, and the Harvard T.H. Chan School of Public Health. The survey was conducted June 6 – August 4, 2018, among a nationally representative, probabilitybased telephone (cell and landline) sample of 1,300 adults ages 18 or older living in the rural United States. The purpose of this survey was to understand the current views and experiences of rural Americans on economic and health issues. (Harvard University, T.H. Chan School of Public Health)

Living with a Disability in America  On this episode of The Dose, host Shanoor Seervai talks to Martha Hostetter and Sarah Klein, who recently studied several health plans and clinics that have created custom models, helping people with disabilities live with dignity and independence. (Commonwealth Fund)

Los Angeles County's Mental Health Full Service Partnerships Yield Cost Savings  Over a five-year period, there were at least $82.9 million of cost savings associated with key outcomes, representing a 24 percent reduction in government spending because of a decrease in criminal justice detention, behavioral health inpatient stays, and homelessness. (RAND Corporation)

Low and Decreasing Prevalence and Rate of False Positive HIV Diagnosis — Chókwè District, Mozambique, 2014–2017  From 2014 to 2017, the rate and population prevalence of false diagnosis in Chókwè District, Mozambique, decreased from 0.66% to 0.00% and from 0.08% to 0.01%, respectively. The cumulative false diagnosis rate was 0.56%, less than one fifth the median rate (3.1%) reported in the systematic review. (Morbidity and Mortality Weekly Report (MMWR))

MAPP Resource Guide for Disability Inclusion  The purpose of this resource guide is to provide guidance on how the MAPP process can be inclusive of people with disabilities. The guide gives health departments the tools and resources to actively engage people with disabilities and the agencies that serve them in the MAPP process, particularly for inclusion efforts to support community health assessments and development of community health improvement plans. (National Association of County and City Health Officials (NACCHO))

MEDLINE Data Changes—2019  This article collects the notable data changes made to MEDLINE during the National Library of Medicine (NLM) annual maintenance known as Year-End Processing (YEP) for 2019. (National Library of Medicine (NLM), NIH)

Major Earthquakes & Cascading Events: Potential Health and Medical Implications (October 2018)  This resource provides an overview of the potential significant health and medical response and recovery needs facing areas affected by a major earthquake with or without additional cascading events. (Office of the Assistant Secretary for Preparedness and Response (ASPR), HHS)

Mass Incarceration Threatens Health Equity in America  Report examines the links between mass incarceration and health equity. Through pairing data with examples of successful approaches, this report shows how mass incarceration negatively impacts everyone’s health and well-being and also suggests solutions for reducing both incarceration and crime rates and increasing opportunities for all. (Robert Wood Johnson Foundation (RWJF))

Mass incarceration and the impact of prison release on HIV diagnoses in the US South  The purpose of this study was to determine the impact of prison release on HIV incidence in the southern region of the United States, the region with the highest rates of both incarceration and new HIV diagnoses nationwide. (Public Library of Science)

Maternal Opioid Misuse (MOM) Model  Model addresses fragmentation in the care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD) through state-driven transformation of the delivery system surrounding this vulnerable population. By supporting the coordination of clinical care and the integration of other services critical for health, wellbeing, and recovery, the MOM model has the potential to improve quality of care and reduce costs for mothers and infants. (Centers for Medicare & Medicaid Services (CMS), HHS)

Meaningful Involvement of People Who Use Drugs  Meaningful involvement of people who use drugs ensures the leadership and decision-making power of people with lived experience of drug use in the response to the intersecting crises of drug use, viral hepatitis, and HIV. (AIDS United)

Measles Outbreak in a Highly Vaccinated Population — Israel, July–August 2017  During July and August 2017, nine measles cases occurred among vaccinated Israeli soldiers. The primary patient had recently traveled to Europe. All other cases occurred in his direct contacts. All patients had mild illness; no tertiary cases occurred. (Morbidity and Mortality Weekly Report (MMWR))

Measuring Community Stress  Report investigates whether a community that experiences challenges—for instance, high unemployment, community violence, segregation, or high opioid use—could develop community allostatic load, which, in turn, could affect how it responds to future traumatic events. (Robert Wood Johnson Foundation (RWJF))

Measuring Resident Health Outcomes in Affordable Housing  Tool enables its users to measure changes in resident health outcomes most likely to be influenced by healthy housing development. (Build Healthy Places Network)

Medicaid Coverage of Guidelines-Based Asthma Care Across 50 States, the District of Columbia, and Puerto Rico, 2016-2017  Project tracked coverage for 7 areas of guidelines-based asthma care and 9 barriers related to accessing care in Medicaid programs for all 50 states, the District of Columbia, and Puerto Rico. Results from the Project show a lack of consistent and comprehensive coverage across states, as well as coverage-related challenges to accessing asthma care within states. (Centers for Disease Control and Prevention (CDC), HHS)

Medicaid Work Requirements: Will They Help the Unemployed Gain Jobs or Improve Health?  Study assesses whether state Medicaid work requirement projects are designed for success in promoting employment among unemployed Medicaid beneficiaries. (Commonwealth Fund)

Medical Product Shortages During Disasters: Opportunities to Predict, Prevent, and Respond: Proceedings of a Workshop—in Brief  Summary of a September 2018 workshop to better understand the gaps in product shortages during disasters that led to cascading effects in patient care throughout the U.S. health care system. (National Academies of Science, Engineering, and Medicine (NASEM))

Medication-Assisted Treatment for Opioid Use Disorder in the Child Welfare Context: Challenges and Opportunities  This brief describes four key challenges related to the use of medication-assisted treatment (MAT) in child welfare contexts for parents with opioid use disorder. (Office of the Assistant Secretary for Planning and Evaluation (ASPE), HHS)

Medication-Assisted Treatment for Opioid Use Disorder: Proceedings of a Workshop—in Brief  Brief summary of an October 2018 workshop which offered full discussion of the current initiatives related to MAT, existing evidence and research gaps, and barriers that discourage access to and use of MAT. (National Academies of Science, Engineering, and Medicine (NASEM))

Meeting the Challenge of Engaging Men in HIV Prevention and Treatment  A new commentary from National Institutes of Health scientists asserts that engaging men in HIV prevention and care is essential to the goal of ending the HIV pandemic. (National Institutes of Health (NIH), HHS)

Methods to Foster Transparency and Reproducibility of Federal Statistics: Proceedings of a Workshop (2018)  This publication summarizes the presentations and discussions from a 2014 workshop to develop some understanding of what principles and practices are, or would be, supportive of making federal statistics more understandable and reviewable, both by agency staff and the public.. (National Academies Press)

Monthly buprenorphine injections effective for opioid use disorders  A newly published study suggests the long-acting buprenorphine formulation BUP-XR is more effective than placebo in helping patients struggling with addiction to opioids. BUP-XR is a monthly extended-release injection. (National Institutes of Health (NIH), HHS)

More States Authorizing the Use of Overdose Fatality Review Teams  As of August 2018, nine states (Arizona, Delaware, Maryland, New Hampshire, Oklahoma, Pennsylvania, Rhode Island, Virginia, and West Virginia) have authorized the review of fatal drug overdoses. (Association of State and Territorial Health Officials (ASTHO))

More States Say Doctors Must Offer Overdose Reversal Drug Along With Opioids  New state laws and regulations in California, Virginia, Arizona, Ohio, Washington, Vermont and Rhode Island require physicians to “co-prescribe” or at least offer naloxone prescriptions when prescribing opioids to patients considered at high risk of overdosing. (Kaiser Health News (KHN))

Moving Research Into Practice: Physical Activity, Nutrition, and Weight Management for Cancer Patients and Survivors  Discussion paper proposes six action steps to increase the availability and uptake of weight management, physical activity, and nutrition interventions for cancer patients and survivors (National Academy of Medicine)

Multidrug-Resistant Campylobacter jejuni Outbreak Linked to Puppy Exposure — United States, 2016–2018  Investigation of a multistate, multidrug-resistant outbreak of Campylobacter jejuni infections implicated puppies from breeders and distributors sold through pet stores as the outbreak source. Outbreak strains were resistant to all antibiotics commonly used to treat Campylobacter infections. (Morbidity and Mortality Weekly Report (MMWR))

Multistate Infestation with the Exotic Disease–Vector Tick Haemaphysalis longicornis — United States, August 2017–September 2018  During 2017–2018, H. longicornis has been detected in Arkansas, Connecticut, Maryland, New Jersey, New York, North Carolina, Pennsylvania, Virginia, and West Virginia on various species of domestic animals and wildlife, and from two humans. (Morbidity and Mortality Weekly Report (MMWR))

Multistate Outbreak of Salmonella Mbandaka Infections Linked to Kellogg’s Honey Smacks Cereal (Final Update)  CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration investigated a multistate outbreak of Salmonella Mbandaka infections. 135 people infected with the outbreak strain were reported from 36 states. 34 people were hospitalized. No deaths were reported. (Centers for Disease Control and Prevention (CDC), HHS)

Multistate Outbreaks of Salmonella Infections Linked to Contact with Live Poultry in Backyard Flocks, 2018 (Final Update)  CDC and multiple states investigated several multistate outbreaks of Salmonella infections linked to contact with live poultry in backyard flocks. A total of 334 people were infected with the outbreak strains of Salmonella reported from 47 states. (Centers for Disease Control and Prevention (CDC), HHS)

Mumps Outbreak in a Marshallese Community — Denver Metropolitan Area, Colorado, 2016–2017  An outbreak of 47 mumps cases occurred in the Denver metropolitan area, mostly among members of a Marshallese community. Public health response included early active surveillance, public education, and prompt implementation of MMR vaccination clinics. (Morbidity and Mortality Weekly Report (MMWR))

NACCHO/RITN Gap Analysis: Understanding the Shortfalls within Radiation Preparedness (October 2018)  Brief identifies gaps with respect to coordination with healthcare partners as well as the inclusion of Radiation Injury Treatment Network (RITN) components into LHD preparedness efforts. (National Association of County and City Health Officials (NACCHO))

NACCHO’s Rural Health Section  This initiative calls for the development of Rural Health Section composed of NACCHO members and partners working together on specific rural public health issues across multidisciplinary and programmatic expertise in support of NACCHO’s mission. (National Association of County and City Health Officials (NACCHO))

NEHA Climate and Health 2018-19 Grants  The National Environmental Health Association (NEHA), in conjunction with the Centers for Disease Control and Prevention (CDC), will offer two $10,000 grants to support state, local or tribal governmental environmental health agencies to translate climate and health data into a format that is available and useful to their residents and staff. The application deadline is December 28, 2018.

NIAID Strategic Plan for Tuberculosis Research (September 2018)  Plan proposes building on current trans-NIAID efforts to understand better the immunology and pathogenesis of TB and expanding resources to quickly develop new tools to more effectively combat this disease. These tools include preventive vaccines and therapies, less-toxic treatment regimens of shorter duration, and rapid, accurate, easily implementable, point-of-care diagnostics to detect all forms of TB. (National Institute of Allergy and Infectious Diseases (NIAID), NIH)

NIH funds specialized centers for child maltreatment research  The National Institutes of Health is funding three centers that will conduct research on all forms of child abuse and neglect. The Capstone Centers for Child Maltreatment Research promise to identify best practices for prevention and screening, as well as treatment of children affected by abuse. (National Institutes of Health (NIH), HHS)

NIH funds study to prevent, treat HIV among adolescents in poor countries  The National Institutes of Health has awarded $7.5 million for an international research program to prevent and treat HIV infection among adolescents and young adults in seven African countries and Brazil. The study, called Prevention and Treatment through a Comprehensive Care Continuum for HIV-affected Adolescents in Resource Constrained Settings (PATC3H), will support research to develop strategies to identify youth at risk of HIV infection and those living with HIV and to enroll them into medical care programs. (National Institutes of Health (NIH), HHS)

NIH research program to explore the transition from acute to chronic pain  The National Institutes of Health has launched the Acute to Chronic Pain Signatures (A2CPS) program to investigate the biological characteristics underlying the transition from acute to chronic pain. The effort will also seek to determine the mechanisms that make some people susceptible and others resilient to the development of chronic pain. (National Institutes of Health (NIH), HHS)

NIH supports study of health risks and resilience following Hurricanes Irma and Maria  Eight new awards will help researchers examine the health impacts in Puerto Rico and the U.S. Virgin Islands following the physical damage and community-level hardships left by Hurricanes Irma and Maria in 2017. Research will focus on hurricane-related psychosocial stressors, such as grief, separation from home and loved ones, loss of income, and limited access to medical care, which can result in immediate health impacts. (National Institutes of Health (NIH), HHS)

NIH to Fund HIV Care and Prevention Research in Vulnerable Southern U.S. Communities  The National Institute of Allergy and Infectious Diseases will fund a series of collaborations with medical research institutions in the southern United States to test new ways of implementing HIV treatment and prevention tools in counties with some of the highest rates of new HIV cases nationwide. (National Institute of Allergy and Infectious Diseases (NIAID), NIH)

NIIW (National Infant Immunization Week)  National Infant Immunization Week (NIIW) is an annual observance to highlight the importance of protecting infants from vaccine-preventable diseases and to celebrate the achievements of immunization programs and their partners in promoting healthy communities. NIIW 2019 is April 27-May 4, 2019. (Centers for Disease Control and Prevention (CDC), HHS)

NIMH Twitter Chat: Eating Disorders  February 28, 2019, 2:00―3:00 PM EST. This chat will cover the common types of eating disorders, how they are treated, current research, and how to find help. Use the hashtag #NIMHchats to participate. (National Institute of Mental Health (NIMH), NIH)

NLM 2018 AIDS Community Information Outreach Projects Announced!  The National Library of Medicine (NLM) funded eight HIV/AIDS Community Information Outreach Projects in September 2018, in the 25th round of the program, including two projects at San Francisco Public Health Foundation. (National Network of Libraries of Medicine (NN/LM))

NLM’s ToxMystery Resource Retiring on December 31, 2018  NLM has announced that ToxMystery, a game about chemicals in the household, will be retired on December 31, 2018. (National Library of Medicine (NLM), NIH)

NSF, NIEHS award $30 million for new research on links among oceans, lakes and human health  To study the effects of harmful algae blooms and other ocean and Great Lakes pathogens, the National Science Foundation (NSF) and the National Institute of Environmental Health Sciences (NIEHS), one of the National Institutes of Health, have awarded new grants totaling $30 million. The grants fund research on ecosystems in the oceans and in the Great Lakes Basin. (National Science Foundation)

Naloxone: The Opioid Reversal Drug that Saves Lives (December 2018)  Guidance for healthcare providers and patients detailing how naloxone – the opioid overdose reversal drug – can help save lives and should be prescribed to all patients at risk for opioid complications, including overdose. (U.S. Department of Health and Human Services (HHS))

Narrative as a Tool for Health: A Step-by-Step Guide to Establishing a Storytelling Event  Report describes the process for developing a storytelling event. Community organizations and health departments can use this information to replicate the success of Baltimore City Health Department's storytelling events in their communities. (Urban Coalition for HIV/AIDS Prevention Services (UCHAPS))

National Black HIV/AIDS Awareness Day - February 7  Coordinated by the Strategic Leadership Council, National Black HIV/AIDS Awareness Day is observed each year on February 7 to increase HIV education, testing, community involvement, and treatment among black communities. This year’s NBHAAD theme, “Together for Love: Stop HIV Stigma”, highlights the messages of the Act Against AIDS, Let’s Stop HIV Together campaign. (Centers for Disease Control and Prevention (CDC), HHS)

National Black HIV/AIDS Awareness Day — February 7, 2019  National Black HIV/AIDS Awareness Day is observed each year on February 7 to highlight the continuing disproportionate impact of human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) on the U.S. black/African American (black) population. (Morbidity and Mortality Weekly Report (MMWR))

National Children’s Dental Health Month: Resources for Local Health Departments  February is National Children’s Dental Health Month (NCDHM), a month-long national health observance to promote the oral health of children and families. The American Academy of Pediatrics (AAP) joins the month’s sponsor, the American Dental Association, in providing resources for local health departments and health professionals to use and share. (National Association of County and City Health Officials (NACCHO))

National Diabetes Month — November 2018  November is National Diabetes Month. In the United States, approximately 30 million persons are living with diabetes and 84 million with prediabetes. (Morbidity and Mortality Weekly Report (MMWR))

National Eating Disorders Awareness Week  NEDAwareness Week is February 25-March 3, 2019. The 2019 theme, Come as You Are, highlights NEDA’s movement towards inclusivity in the greater eating disorder community and our goal of unifying the field of eating disorders. In particular, Come as You Are sends a message to individuals at all stages of body acceptance and eating disorders recovery that their stories are valid.

National Food Affordability: A County-Level Analysis  The purpose of this study was to explore the sociodemographic factors that contribute to food affordability across space, with specific emphasis on rural and urban differences in the United States. (Centers for Disease Control and Prevention (CDC), HHS)

National Gay Men’s HIV/AIDS Awareness Day — September 27, 2018  National Gay Men’s HIV/AIDS Awareness Day ( is observed on September 27, 2018, to direct attention to the ongoing and disproportionate impact of human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) on gay, bisexual, and other men who have sex with men (MSM) in the United States. (Morbidity and Mortality Weekly Report (MMWR))

National Indian Health Board Seeks to Illuminate Indigenous Knowledge Regarding Environmental Health  The National Indian Health Board is convening listening sessions with Tribal Leaders and Tribal Health Organizations to discuss environmental health concerns in Tribal Nations and share innovative ways to address the concerns identified; and share the perspectives of Tribal Leaders and Tribal Health Organizations with CDC and NIHB leadership to inform the development of national program and policies (National Indian Health Board)

National Latinx AIDS Awareness Day — October 15, 2018  National Latinx AIDS Awareness Day (, October 15, is observed each year to focus on the continuing and disproportionate impact of human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) on Hispanics/Latinos in the United States. (Morbidity and Mortality Weekly Report (MMWR))

National Lead Poisoning Prevention Week 2018  NLPPW, held October 21-27, 2018, is a call to action to bring together families, individuals, community-based organizations, state and local governments and others, to increase lead poisoning prevention awareness and increase efforts to reduce childhood exposure to lead. (U.S. Department of Housing and Urban Development (HUD))

National Preparedness Month — September 2018  For this year's National Preparedness Month, CDC is highlighting four areas: 1) personal preparedness, 2) pandemic planning, 3) policy and partnerships, and 4) public health response. (Centers for Disease Control and Prevention (CDC), HHS)

National and State by State Obesity Rates, Youth Ages 10-17 (October 2018)  This brief includes new national and state-by-state obesity rates among 10- to 17-year-olds from the 2016 and 2017 National Survey of Children’s Health (NSCH), which uses parent reports of a child’s height and weight to calculate body mass index. (Robert Wood Johnson Foundation (RWJF))

National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2017  In 2017, coverage among adolescents aged 13–17 years increased for ≥1 dose of HPV vaccine and ≥1 and ≥2 doses of meningococcal vaccines and remained high for ≥1 dose of tetanus and diphtheria toxoids and acellular pertussis vaccine. HPV vaccination initiation has increased an average of 5.1 percentage points annually since 2013. (Morbidity and Mortality Weekly Report (MMWR))

Neighborhood disadvantage and chronic disease management  Open access study in Health Services Research) assesses the relationship between a composite measure of neighborhood disadvantage, the Area Deprivation Index (ADI), and control of blood pressure, diabetes, and cholesterol in the Medicare Advantage (MA) population. (Wiley Interscience)

Neonatal Abstinence Syndrome and Maternal Access to Treatment for Opioid Use Disorderin California Counties  Brief uses hospital and emergency room patient discharge data to investigate incidence rates of neonatal abstinence syndrome (NAS) across counties in California and uses data on the locations of opioid-use disorder treatment facilities providing medication-assisted therapy to pregnant women as well as the locations buprenorphine-waivered prescribers to assess the availability of treatment in each county and zip code throughout the state. (Urban Institute)

New CDC analysis shows steep and sustained increases in STDs in recent years  Nearly 2.3 million cases of chlamydia, gonorrhea, and syphilis were diagnosed in the United States in 2017, according to preliminary data released today by the Centers for Disease Control and Prevention (CDC) at the National STD Prevention Conference in Washington, D.C. This surpassed the previous record set in 2016 by more than 200,000 cases and marked the fourth consecutive year of sharp increases in these sexually transmitted diseases (STDs). (Centers for Disease Control and Prevention (CDC), HHS)

New Data Provides a Deeper Understanding of Life Expectancy Gaps  The more local the data, the more useful it is for pinpointing disparities and driving action. The first universal measure of health at a neighborhood level, USALEEP, reveals gaps that may previously have gone unnoticed. (Robert Wood Johnson Foundation (RWJF))

New Data Show Namibia Approaching Control of Their HIV Epidemic  The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), CDC, and ICAP at Columbia University recently released new data from the Namibia Population-based HIV Impact Assessment (NAMPHIA), showing dramatic progress against HIV. Results from NAMPHIA show the country has surpassed global targets for HIV treatment and HIV viral load suppression, and that 77 percent of HIV-positive adults age 15-64 in Namibia were virally suppressed. The data were announced during the 22nd International AIDS Conference (AIDS 2018) in Amsterdam. (Centers for Disease Control and Prevention (CDC), HHS)

New FDA Online Education and Training Module on Menu Labeling  The FDA has developed an education module to help industry, regulators, and consumers understand the menu labeling regulations. This online module describes what types of establishments and types of foods are covered by the menu labeling regulations and how to comply with the regulations. The FDA has also published two fact sheets for industry on menu labeling and declaring calories. (U.S. Food & Drug Administration (FDA), HHS)

New HHS Checklist Helps First Responders Ensure Language Access and Effective Communication During Emergencies  The U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR) has unveiled a plain language checklist - PDF to help first responders provide services to individuals with limited English proficiency and individuals with disabilities during emergency response and recovery efforts. (U.S. Department of Health and Human Services (HHS))

New HRSA Loan Repayment Program to Support Substance Use Disorder Treatment in Underserved Communities  Last December, HRSA’s National Health Service Corps (NHSC) launched the Substance Use Disorder (SUD) Workforce Loan Repayment Program (LRP), a $105 million investment to help address the shortage of behavioral health professionals in communities of need. This new program will help Americans living with opioid addiction and other substance use disorders receive the necessary care to recover. (Health Affairs)

New HRSA Program Will Help Clinicians and Patients in the Fight Against Opioid Addiction  On December 27, 2018 HRSA launched a program that is critical to HHS’ response to the opioid crisis. The National Health Service Corps Substance Use Disorder Workforce Loan Repayment Progam will support the HHS Five-Point Opioid Strategy by increasing patient access to high-quality substance use disorder preventive, treatment, and recovery services. (Health Resources and Services Administration (HRSA), HHS)

New Mexico Substance Use Epidemiology Profile (December 2018)  Report presents commonly used indicators of substance use in New Mexico by race, gender, and age group. (New Mexico Department of Health)

New National Library of Medicine Video Offers Info on Opioid Crisis  The sharable video explains how naloxone works, when to use it, and how it is administered. (National Library of Medicine (NLM), NIH)

New Professional Resources for Providers to Address HIV/HCV Coinfection  New healthcare provider resources from the Ryan White HIV/AIDS Program, HHS and NIH, and CDC support providers in treating HIV and HCV coinfection. (U.S. Department of Health and Human Services (HHS))

New Study Finds Higher than Expected Number of Suicide Deaths among U.S. Veterinarians  Veterinarians in the U.S. are at an increased risk of suicide, a trend that has spanned more than three decades, according to a new CDC study published in the Journal of the American Veterinary Medical Association (JAVMA) (Centers for Disease Control and Prevention (CDC), HHS)

New Tool for Tracking Cholera Outbreaks Could Make It Easier to Detect and Stop Deadly Epidemics  Algorithms using data from antibody signatures in peoples’ blood may enable scientists to assess the size of cholera outbreaks and identify hotspots of cholera transmission more accurately than ever, according to a study led by scientists at the Johns Hopkins Bloomberg School of Public Health. (Johns Hopkins University)

New Website Design for Tox Town  The National Library of Medicine is pleased to announce a new design for the Tox Town website, which provides consumer-level information on everyday locations and situations where toxic chemical exposure might occur. The new design, informed by extensive user research has: enhanced search optimization and improved readability. (National Library of Medicine (NLM), NIH)

New Workforce Survey: Public Health Turnover Could Pose Threat to Community Health  The newest PH Wins survey shows a rise in job turnover among public health professionals. This is despite high levels of job satisfaction. (de Beaumont Foundation)

New interactive dashboard for Elder Index Demographic Data  Find 2011, 2013 and 2015 data on the percentage, number and demographic characteristics of seniors with incomes below the Elder Index in all 58 California counties using the new, free Elder Index Demographic Data online dashboard. (University of California Los Angeles (UCLA))

Newborn Screening: More Than a PKU Screen (November 2018)  Newborn screening (NBS) began in the 1960s with a screen for Phenylketonuria (PKU), but over the years, NBS has expanded to screen babies for many conditions. Despite this growth, many healthcare professionals still use the term “PKU test”. With more conditions added to newborn screening panels, this term is no longer accurate and is confusing for parents and clinicians. (Baby's First Test Newborn Screening Clearinghouse)

Nine Health Departments Awarded Accreditation Through PHAB on November 20  This week, PHAB announced it has awarded national accreditation status to nine more health departments. This week's accreditation announcement means that 73 percent of the U.S. population is now served by a health department that meets PHAB's national standards for delivering quality programs and services to its community. (Public Health Accreditation Board (PHAB))

Notes from the Field: Follow-Up on 11 Infants Born to Women with Evidence of Zika Virus Infection During Pregnancy — Los Angeles County, 2016  During 2016, 11 infants were born to women in LAC who met the Council of State and Territorial Epidemiologists case definition for confirmed (four infants) or probable (seven infants) Zika virus infection. Follow-up through age 12 months was completed for nine infants; two infants were evaluated at birth, and their parents declined to participate after delivery. All infants appeared healthy and normal at the last available assessment, with normal head circumference measurements. (Morbidity and Mortality Weekly Report (MMWR))

Notes from the Field: Multiple Modes of Transmission During a Thanksgiving Day Norovirus Outbreak — Tennessee, 2017  On November 28, 2017, the manager of restaurant A in Tennessee reported receiving 18 complaints from patrons with gastrointestinal illness who had dined there on Thanksgiving Day, November 23, 2017. Tennessee Department of Health officials conducted an investigation to confirm the outbreak, assess exposures, and recommend measures to prevent continued spread. (Morbidity and Mortality Weekly Report (MMWR))

Notes from the Field: Use of Electronic Cigarettes and Any Tobacco Product Among Middle and High School Students — United States, 2011–2018  Among high school students, current e-cigarette use increased from 1.5% (220,000 students) in 2011 to 20.8% (3.05 million students) in 2018 (p<0.001) (Figure). During 2017–2018, current e-cigarette use increased by 78% (from 11.7% to 20.8%, p<0.001). The proportion of current e-cigarette users who reported use on ≥20 of the past 30 days increased from 20.0% in 2017 to 27.7% in 2018 (p = 0.008). (Morbidity and Mortality Weekly Report (MMWR))

Notice of Request for a New Information Collection: Stakeholder Input on Federal Outreach To Control Listeria Monocytogenes at Retail  The Food Safety and Inspection Service (FSIS) is announcing its intention to collect information from stakeholders from industry, State and public health and agriculture departments with responsibilities for retail food safety, local health departments, and grocers to gather information on FSIS outreach efforts related to retail best practices to control Listeria monocytogenes (Lm) in retail delicatessens. (Food Safety and Inspection Service, USDA)

Novel Intervention Halves Rate of Death Among People Living with HIV Who Inject Drugs  An intervention designed to facilitate treatment for HIV and substance use was associated with a 50 percent reduction in mortality for people living with HIV who inject illicit drugs, a study has found.

Now Accepting Applications: 2019 HSRProj Research Competition for Students  This competition provides a unique opportunity for students to use data from the Health Services Research Projects in Progress (HSRProj) database in conjunction with other sources to identify research gaps in health services and systems research. The competition closes on March 1, 2019. (AcademyHealth)

Now Recruiting: NACCHO Health & Disability Fellowship Program  NACCHO is recruiting for two graduate students to join the 2018-2019 Health and Disability Fellowship Program. This program offers an invaluable workforce development opportunity for graduate students seeking hands-on experience in the public health disability field. (National Association of County and City Health Officials (NACCHO))

Nutrition Facts Label Reboot: A Tale of Two Labels  The Nutrition Facts label that you may read when buying packaged foods or preparing a meal has undergone a makeover. It’s been updated by the U.S. Food and Drug Administration (FDA) to reflect updated scientific findings. These changes can help you make better-informed choices about the foods you and your family eat and help you maintain a healthy diet. (U.S. Food & Drug Administration (FDA), HHS)

ODP Strategic Plan FY 2019-2023, Prevention Research: Building a Healthier Future  Plan includes six strategic priorities that will guide the activities of the Office over the next 5 years. To better integrate disease prevention into trans-NIH initiatives, we’ve introduced three new cross-cutting themes: leading causes and risk factors for premature mortality and morbidity, health disparities, and dissemination and implementation research. (Office of Disease Prevention (ODP), NIH)

OMH announces 2019 theme for National Minority Health Month: Active & Healthy  National Minority Health Month begins on April 1, 2019, and the HHS Office of Minority Health will join our partners in raising awareness about the important role an active lifestyle plays in keeping us healthy. The theme, Active & Healthy, highlights the health benefits from even small amounts of moderate-to-vigorous physical activity throughout the day. (Office of Minority Health (OMH), HHS)

Obesity Among High School Students in the United States: Risk Factors and Their Population Attributable Fraction  The prevalence of obesity among children and adolescents in the United States is high. The aim of this study was to assess the association between modifiable risk factors and obesity and to estimate the population attributable fractions (PAFs) of modifiable risk factors among high school students in the United States. (Centers for Disease Control and Prevention (CDC), HHS)

Occupational Patterns in Unintentional and Undetermined Drug-Involved and Opioid-Involved Overdose Deaths — United States, 2007–2012  During 2007–2012 proportional mortality ratios (PMR) for heroin-related overdose deaths (1.46) and methadone-related overdose deaths (1.34) were highest for the construction occupation group. PMRs for natural and semisynthetic opioids were highest for the extraction (1.39) and health care practitioner (1.81) occupation groups. (Morbidity and Mortality Weekly Report (MMWR))

October Is Domestic Violence Awareness Month  October 2018 is Domestic Violence Awareness Month (DVAM). During DVAM, victim advocates, allied professionals, survivors of abuse, their loved ones, and the surrounding community come together to mourn the lives lost to domestic violence, celebrate the progress that has been made to end this epidemic, and connect with others working to create change. (Administration for Children and Families (ACF), HHS)

Ohio addiction policy inventory and scorecard: Overdose reversal and other forms of harm reduction  Report reviews state-level policy changes related to overdose reversal and other forms of harm reduction enacted in Ohio from January 2013 to May 2018. (Health Policy Institute of Ohio)

Older Americans Act Title III-C Nutrition Services Program: Examining the Types of Foods Older Adults Consumed from Program Meals and Over 24 Hours (January 2019)  Brief describes the types of foods that participants consumed as part of congregate and home-delivered meals and examine differences between participants and nonparticipants in foods consumed over 24 hours. (Administration for Community Living (ACL), HHS)

Older Americans Act Title III-C Nutrition Services Program: Key Food Sources of Sodium, Saturated Fat, Empty Calories, and Refined Grains in the Diets of Program Participants (January 2019)  The purpose of this issue brief is to identify key food sources of sodium, saturated fat, empty calories, and refined grains in the diets of congregate and home-delivered meal participants, and to examines differences between participants and nonparticipants in these key food sources. (Administration for Community Living (ACL), HHS)

One Health Day - November 3rd  A global campaign that celebrates and brings attention to the need for a One Health approach to address shared health threats at the human-animal-environment interface. (Centers for Disease Control and Prevention (CDC), HHS)

One Year After the Storm: Texas Gulf Coast Residents’ Views and Experiences with Hurricane Harvey Recovery  Results from two surveys and a focus group on how Texas Gulf Coast residents recovered from Hurricane Harvey and subsequent flooding. (Kaiser Family Foundation (KFF))

Open Wide for Opportunity: Medicaid’s Leadership in a New Vision of Oral Health for Colorado  Paper examines the evidence behind oral health strategies, what other states have pursued, and what it would take for Colorado to implement its own approach. (Colorado Health Institute)

Opening Up Access to Research Findings  In celebration of international Open Access Week, editor of eGEMs’ section Better Decisions Together Jessica S. Ancker highlights progress in breaking down paywalls to make sure that research is available to everyone. (AcademyHealth)

Opioid Crisis: Status of Public Health Emergency Authorities  GAO was asked to review the decision to declare a public health emergency for the opioid crisis and what actions have been taken under the declaration. This report describes: (1) the factors HHS indicated as affecting its decision to declare and renew the public health emergency for the opioid crisis, and (2) the public health emergency authorities the federal government has used to address the opioid crisis. (U.S. Government Accountability Office)

Opioid Misuse Community Assessment Tool  Tool allows users to map overdose hotspots and overlay them with data that provide additional context to opioid addiction and death - including the strength and diversity of local economies, ethnicity, educational attainment, and disability status of residents. (University of Chicago, National Opinion Research Center (NORC))

Opioid Money Has Helped, But States Want More  More than a decade into an opioid overdose epidemic that’s costing the nation at least $78 billion a year, emergency federal dollars have kindled local victories. But state and local officials say they need sustainable funding for what they expect to be a long-term struggle to provide effective treatment for legions of people addicted to opioids. (Pew Charitable Trusts)

Opioid Prescribing Rates in Nonmetropolitan and Metropolitan Counties Among Primary Care Providers Using an Electronic Health Record System — United States, 2014–2017  Analysis of patient opioid prescription data from a national electronic health record vendor during 2014–2017 found that the percentage of patients prescribed an opioid was higher in rural than in urban areas. Significant decreases in opioid prescribing occurred across all urban-rural categories after the March 2016 release of the CDC Guideline for Prescribing Opioids for Chronic Pain. (Morbidity and Mortality Weekly Report (MMWR))

Opioid Use Disorder: Challenges and Opportunities in Rural Communities (February 2019)  This fact sheet describes some of the challenges rural communities face in providing access to evidence-based treatment and strategies used by federal and state agencies to enhance treatment capacity, including how one rural community responded to the opioid epidemic by addressing the specific needs of its residents. (Pew Charitable Trusts)

Opioid-Affected Births to Rural Residents (September 2018)  Brief examined rates of diagnosis of maternal OUD and infant NAS at the time of childbirth for rural residents, based on the type of hospital where the birth occurred—rural hospital, urban non-teaching hospital, or urban teaching hospital. (University of Minnesota)

Opioid-Related Hospital Stays Among Women in the United States, 2016  Brief presents statistics on opioid-related hospitalizations among women aged 15 years and older using the 2016 National Inpatient Sample (NIS). The distribution of opioid-related stays by select patient and hospitalization characteristics is presented and contrasted with the distribution for non-opioid-related stays. (Agency for Healthcare Research and Quality (AHRQ), HHS)

Opioids: Frequently Asked Questions (Updated January 2019)  Fact sheet was developed to provide answers to some of the most frequently asked questions about opioids that affect regional ASPR staff, healthcare coalitions, healthcare entities, healthcare providers, emergency managers, and public health practitioners. (Office of the Assistant Secretary for Preparedness and Response (ASPR), HHS)

Opportunities for Complex Care Programs to Address the Social Determinants of Health  This brief explores opportunities to better address patients’ non-medical needs, including: (1) identifying patients’ non-medical needs; (2) employing non-traditional workers; (3) partnering with community-based organizations and social service agencies; (4) testing new uses for technology to help address social needs; and (5) identifying sustainable funding to support non-medical services. (Center for Health Care Strategies (CHCS))

Opportunities to Enhance the Health and Well-Being of the Department of Homeland Security Law Enforcement Workforce: Proceedings of a Workshop—in Brief  Proceedings of a January 2018 workshop focused on enhancing the health and well-being of the Department of Homeland Security’s (DHS) law enforcement workforce. (National Academies of Science, Engineering, and Medicine (NASEM))

Opportunities to Prevent Overdose Deaths Involving Prescription and Illicit Opioids, 11 States, July 2016–June 2017  Among 11 reporting states, most (58.7%) opioid overdose deaths involved illicit opioids only, followed by those where both illicit and prescription opioids were detected (18.5%); 17.4% of deaths involved prescription opioids only. Bystanders to the overdose, who could potentially intervene, were documented in 44% of deaths; however, laypersons rarely administered naloxone. (Morbidity and Mortality Weekly Report (MMWR))

Oregon Areas of Unmet Health Care Needs Report (August 2018)  The report includes nine variables that measure access to primary physical, mental and oral health care: travel time to provider, primary care capacity, mental health providers, dental providers, poverty rate, preventable hospitalizations, prenatal care, ED dental visits, and substance abuse ED visits. (Oregon Health & Science University)

Outbreak of E. coli Infections Linked to Romaine Lettuce: Final Update  CDC, public health and regulatory officials in several states, Canada, and the U.S. Food and Drug Administration (FDA) investigated a multistate outbreak of Shiga toxin-producing Escherichia coli O157:H7 (E. coli O157:H7) infections linked to romaine lettuce from the Central Coastal growing regions in northern and central California. This outbreak appears to be over. (Centers for Disease Control and Prevention (CDC), HHS)

Overdose Deaths Involving Fentanyl and Fentanyl Analogs — New York City, 2000–2017  Using toxicology data, New York City identified fentanyl in 2% of drug overdose deaths during 2000–2012. By 2017, fentanyl was involved in 57% of all drug overdose deaths in New York City. (Morbidity and Mortality Weekly Report (MMWR))

PEPFAR Strategy for Accelerating HIV/AIDS Epidemic Control (2017-2020): 2018 Progress Report  Report describes the progress made in controlling the global HIV/AIDS epidemics. (U.S. Department of Health and Human Services (HHS))

PHAB Will Launch Vital Records/Health Statistics Accreditation Program on April 1, 2019  For the past few years, PHAB has been working to develop accreditation standards and measures for Vital Records/Health Statistics (VRHS) Units in the 57 jurisdictional areas identified by the National Center for Health Statistics (NCHS) within the National Vital Statistics Collaborative Program (VSCP). Statewide system of vital statistics means the collection, registration, preservation, amendment, certification, verification, and the maintenance of the security and integrity of vital records; the collection of other reports; and activities related thereto including the tabulation, analysis, publication, and dissemination of vital statistics. PHAB will begin accepting applications for the new Vital Records and Health Statistics Accreditation Program on April 1, 2019. (Public Health Accreditation Board (PHAB))

PRAMS Releases New Data  CDC is pleased to announce the release of 2017 data from the Pregnancy Risk Assessment Monitoring System (PRAMS). Researchers can request the most recent year of data, as well as prior years’ data. PRAMS was developed in 1987 to help reduce infant morbidity and mortality by providing data not available elsewhere about pregnancy and the first few months after birth. (Centers for Disease Control and Prevention (CDC), HHS)

Parents’ Reports of Fast-Food Purchases for Their Children: Have They Improved? (September 2018)  Study documents parents’ reported fast-food purchases for their children (ages 2-11) and examines changes over time. (University of Connecticut, Rudd Center for Food Policy & Obesity)

Patterns of Co-Occurrence of Chronic Disease Among Older Adults in Tokyo, Japan  Multimorbidity, the co-occurrence of 2 or more disorders in a patient, can complicate treatment planning and affect health outcomes. Improvements in prevention and management strategies for patients with 3 or more or more co-occurring chronic diseases requires an understanding of the epidemiology of common 3-way disease patterns and their interactions. This study aimed to describe these common 3-way disease patterns and examine the factors associated with the co-occurrence of 3 or more diseases in elderly Japanese patients. (Centers for Disease Control and Prevention (CDC), HHS)

Perceived Social and Built Environment Correlates of Transportation and Recreation-Only Bicycling Among Adults  Study explored the association between perceived social and built environment factors with total, transportation, and recreation bicycling in a sample of adult bicyclists in Austin, Texas, and Birmingham, Alabama.

Physical Activity Resource Guide: Implementing Physical Activity Programming for SNAP-Eligible Populations (2018)  This resource provides practical “how-to” information about physical activity programming. This guide is intended to assist public health professionals, community leaders, community based and similar organizations assess, plan, implement and evaluate evidence-based physical education and physical activity programing in early child care, elementary school, middle school, high school, parks and the worksite environment. (California Department of Health)

Podcast: Public Health Innovation: What Is It and How Can It Be Achieved?  Podcast shares examples of innovative initiatives happening in communities across the country and gives advice for overcoming the many challenges to driving meaningful change. (All In: Data for Community Health)

Population Health: The Translation of Research to Policy  Report uses six diverse case studies to provide examples of policy change that addressed multiple determinants of population health. (Milbank Memorial Fund)

PowerPoint Presentation: HIV Data In Action  This PowerPoint presentation can help explain to partners and stakeholders how HIV data, including molecular data, is used to prevent new HIV infections and improve health. (Centers for Disease Control and Prevention (CDC), HHS)

PrEPCost.Org  An online tool that will help PrEP navigators and their clients evaluate the cost and coverage for PrEP across on- and off-Marketplace health plans. (National Alliance of State and Territorial AIDS Directors (NASTAD))

Premature mortality from all causes and drug poisonings in the USA according to socioeconomic status and rurality: an analysis of death certificate data by county from 2000–15  Study examined US trends in premature all-cause and drug poisoning mortality between 2000 and 2015 at the county level among white, black, and Latino people. (The Lancet)

Preparedness for Expectant and New Parents  Disasters can be scary and stressful, especially if you’re expecting or have a baby. You can take the following steps now to help you prepare for an emergency and better cope if an emergency happens. (Centers for Disease Control and Prevention (CDC), HHS)

Prescribe HIV Prevention  Prescribe HIV Prevention is part of CDC’s Act Against AIDS communication campaign designed to help reduce HIV incidence in the United States. The Prescribe HIV Prevention program helps healthcare providers use PrEP and PEP to prevent new HIV infections and improve health outcomes for patients at high risk for acquiring HIV infection. (Centers for Disease Control and Prevention (CDC), HHS)

Prevalence and Changes in Preexisting Diabetes and Gestational Diabetes Among Women Who Had a Live Birth — United States, 2012–2016  In 2016, the national prevalences of preexisting and gestational diabetes were 0.9% and 6.0%, respectively. Among 40 jurisdictions, the age- and race/ethnicity-standardized preexisting diabetes prevalence was stable at 0.8%, and the gestational diabetes prevalence increased from 5.2% to 5.6%. (Morbidity and Mortality Weekly Report (MMWR))

Prevalence of 3 Healthy Lifestyle Behaviors Among US Adults With and Without History of Stroke  This study updates and compares population-based estimates for 3 lifestyle behaviors — consuming 1 or more fruit and 1 or more vegetable daily, meeting weekly aerobic physical activity recommendations, and having a body mass index of less than 25 kg/m2 — among adults with and without history of stroke. (Centers for Disease Control and Prevention (CDC), HHS)

Prevalence of Arthritis Among Adults with Prediabetes and Arthritis-Specific Barriers to Important Interventions for Prediabetes — United States, 2009–2016  The unadjusted prevalence of arthritis among adults with prediabetes was 32.0%. The unadjusted prevalences of physical inactivity and obesity among adults with these conditions were 56.5% and 50.1%, respectively. (Morbidity and Mortality Weekly Report (MMWR))

Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016  In 2016, an estimated 20.4% of U.S. adults had chronic pain and 8.0% of U.S. adults had high-impact chronic pain. Both were more prevalent among adults living in poverty, adults with less than a high school education, and adults with public health insurance. (Morbidity and Mortality Weekly Report (MMWR))

Prevalence of Overweight, Obesity, and Severe Obesity Among Adults Aged 20 and Over: United States, 1960–1962 Through 2015–2016  Results from the 2015–2016 National Health and Nutrition Examination Survey (NHANES), using measured heights and weights, indicate that an estimated 39.8% of U.S. adults aged 20 and over have obesity, including 7.6% with severe obesity, and another 31.8% are overweight. (National Center for Health Statistics, CDC)

Prevalence of Overweight, Obesity, and Severe Obesity Among Children and Adolescents Aged 2–19 Years: United States, 1963–1965 Through 2015–2016  Results from the 2015–2016 National Health and Nutrition Examination Survey (NHANES), using measured heights and weights, indicate that an estimated 18.5% of U.S. children and adolescents aged 2–19 years have obesity, including 5.6% with severe obesity, and another 16.6% are overweight. (National Center for Health Statistics, CDC)

Preventing 1 Million Heart Attacks and Strokes  Issue of VItal Signs focuses on Million Hearts®, a national initiative with a network of partners focused on preventing one million heart attacks, strokes, and other cardiovascular events by 2022. (Centers for Disease Control and Prevention (CDC), HHS)

Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices—United States, 2018–19 Influenza Season  This report focuses on the recommendations for use of influenza vaccines for the prevention and control of influenza during the 2018–19 season in the United States. (Morbidity and Mortality Weekly Report (MMWR))

Process Launched to Develop Next National HIV/AIDS Strategy and National Viral Hepatitis Action Plan  This week ADM Brett Giroir, MD, Assistant Secretary for Health at the Department of Health and Human Services, announced the process the Department will use to develop the next editions of the National HIV/AIDS Strategy (NHAS) and the National Viral Hepatitis Action Plan (NVHAP), both of which expire in 2020. (Office of the Assistant Secretary for Health (OASH), HHS)

Progress Toward Poliomyelitis Eradication — Pakistan, January 2017–September 2018  A report on polio immunization activities in Pakistan.

Progress Toward Regional Measles Elimination — Worldwide, 2000–2017  During 2000–2017, annual reported measles incidence decreased 83%, and annual estimated measles deaths decreased 80%. Since 2000, global measles elimination efforts have prevented an estimated 21.1 million deaths. However, measles elimination milestones have not been met, and three regions are experiencing a large measles resurgence. (Morbidity and Mortality Weekly Report (MMWR))

Proposed Rural-Specific Objectives for Healthy People 2030 (2019)  Proposal from the National Organization of State Offices of Rural Health for rural-specific objectives to be considered for Healthy People 2030. (National Organization of State Offices of Rural Health)

Protecting Participants, Empowering Researchers: Providing Access to Genomic Summary Results  The National Human Genome Research Institute just updated the NIH Genomic Data Sharing Policy to again allow unrestricted access to genomic summary results for most of the studies they support in order to advance health or further research purposes. (National Human Genome Research Institute)

Providing Integrated Access to Health Services in Nashua, New Hampshire  The Partnership for Successful Living (PSL) in Nashua, New Hampshire takes an integrated approach to health care. Its goal? To provide comprehensive care that’s easy for vulnerable populations to access, with services ranging from primary care, behavioral health, and oral health to housing support and treatment for substance use disorder. (Office of Disease Prevention and Health Promotion (ODPHP), HHS)

Public Health Emergencies: Unpacking Medical Countermeasures Management for Preparedness and Response  This special open-access Supplement issue features a selection of articles that focus on emergency medical countermeasures. Specifically, AJPH highlights research regarding mass vaccination programs, pandemic influenza preparedness, training during public health emergencies, and education of elderly patients. (American Public Health Association (APHA))

Public Health Emergency Preparedness and Response Capabilities: National Standards for State, Local, Tribal, and Territorial Public Health  Report outlines 15 capabilities that serve as national standards for public health preparedness planning and a vital framework for state, local, tribal, and territorial preparedness programs as they plan, operationalize, and evaluate their ability to prepare for, respond to, and recover from public health emergencies. This most recent update is focused on streamlining language and aligning content with new national standards, updated science, and current public health priorities and strategies. The capabilities also support topics such as pandemic influenza, environmental health, at-risk populations, and tribal populations. (Centers for Disease Control and Prevention (CDC), HHS)

Public Health Emergency Risk Communication and Social Media Reactions to an Errant Warning of a Ballistic Missile Threat — Hawaii, January 2018  After an errant ballistic missile alert, social media reactions revealed how the public interprets, shares, and responds to information during an evolving threat. This knowledge can guide emergency risk communicators to develop timely and effective social media messages than can protect lives. (Morbidity and Mortality Weekly Report (MMWR))

Public Health Foundation’s TRAIN Learning Network Re-launches Pacific EMPRINTS Emergency Preparedness and Response Courses  Healthcare professionals regained access to essential emergency preparedness and response online courses today with support from the Public Health Foundation (PHF) and its TRAIN Learning Network. The trainings from the Pacific EMPRINTS program, led by Dr. Ann Sakaguchi at the University of Hawaii at Mānoa (UHM), in partnership with San Diego State University’s Institute for Public Health (SDSU IPH), were re-launched after a 10 month absence. (Public Health Foundation (PHF))

Public Health Preparedness Capabilities  Site provides getting started guides for the public health preparedness capabilities: Public Health Laboratory Testing, Public Health Surveillance and Epidemiological Investigation, Community Preparedness, Community Recovery, Medical Countermeasure Dispensing, Medical Material Management and Distribution, Non-Pharmaceutical Interventions, Emergency Operations Coordination, Emergency Public Information and Warning, Information Sharing, Fatality Management, Mass Care, Medical Surge, Volunteer Management, and Responder Safety and Health. (Centers for Disease Control and Prevention (CDC), HHS)

Public Health Response to an Avian Influenza A(H7N8) Virus Outbreak in Commercial Turkey Flocks — Indiana, 2016  Monitoring procedures for highly pathogenic AI (HPAI) responders were successfully implemented during a 2016 outbreak of HPAI A(H7N8) in commercial turkey flocks in Indiana. No human cases of AI were identified. (Morbidity and Mortality Weekly Report (MMWR))

Public Health Thank You Day 2018  On the Monday before Thanksgiving, we celebrate Public Health Thank You Day. The celebration honors public health professionals who work hard every day to preserve public health. (Association of Schools and Programs of Public Health (ASPPH))

Public Health in Indian Country Capacity Scan  The National Indian Health Board is collecting information for the Public Health in Indian Country Capacity Scan (PHICCS). The purpose of this scan is to increase the knowledge of Tribal and federal health leaders and advocates through the creation and dissemination of a national-level, comprehensive profile of the public health system and infrastructure in Indian Country. (National Indian Health Board)

Public Meets Private: Conversations Between Coca-Cola and the CDC  This article examines interactions between the Centers for Disease Control and Prevention (CDC) and the Coca-Cola Company (Coca-Cola) as revealed by communications obtained through Freedom of Information Act (FOIA) requests. (Milbank Memorial Fund)

Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain  Resource is intended to help healthcare systems integrate the CDC Guideline for Prescribing Opioids for Chronic Pain and associated quality improvement (QI) measures into their clinical practice. (Centers for Disease Control and Prevention (CDC), HHS)

QuickStats: Percentage of Residential Care Communities,† by U.S. Census Region — National Study of Long-Term Care Providers, 2012–2016  Residential care communities include those that were state-regulated; had four or more beds; and provided room and board with at least two meals a day, around-the-clock on-site supervision, and help with personal care, such as bathing and dressing or health-related services such as medication management. Residential care communities licensed to exclusively serve the mentally ill or the intellectually or developmentally disabled populations were excluded. (Morbidity and Mortality Weekly Report (MMWR))

QuickStats: Percentage* of Children Having a Problem for Which Prescription Medication Has Been Taken Regularly for ≥3 Months,† by Age Group and Sex — National Health Interview Survey, United States, 2017 

Race, Ethnicity, and Other Factors Predicting U.S. Parents’ Support for Policies to Reduce Food and Beverage Marketing to Children and Adolescents  Study examines parents’ support for policies to reduce unhealthy food and beverage marketing to children and adolescents and identify racial, ethnic, and other sociodemographic characteristics that predict support. (Kaiser Health News (KHN))

Racial/Ethnic Disparities in Tobacco Product Use Among Middle and High School Students — United States, 2014–2017  During 2014–2017, ever-use and current use of any tobacco product among U.S. middle and high school students were highest among Native Hawaiians/Other Pacific Islanders and American Indians/Alaska Natives and lowest among Asians. (Morbidity and Mortality Weekly Report (MMWR))

Rapid Development in Central Africa Increases the Risk of Infectious Disease Outbreaks  The Central Africa region is experiencing rapid urbanization and economic growth, and infrastructure development. These changes, while generally positive and welcome, also make the region more vulnerable to explosive infectious disease outbreaks, according to a new article in NEJM. (National Institute of Allergy and Infectious Diseases (NIAID), NIH)

Rapid Growth in Medicaid Spending and Prescriptions to Treat Opioid Use Disorder and Opioid Overdose from 2010 to 2017  Prescriptions and spending on Medicaid-covered medications for the treatment of opioid use disorder (OUD) and opioid overdose increased dramatically between 2010 and 2017, based on data through the fourth quarter of 2017. The largest increases occurred after 2014. (Urban Institute)

Ready or Not: Protecting the Public’s Health from Diseases, Disasters and Bioterrorism, 2019  Ready or Not examines the country’s level of public health emergency preparedness on a state-by-state basis using 10 priority indicators. Taken together, the indicators are a checklist of priority aspects of states’ readiness for public health emergencies. (Trust for America's Health (TFAH))

Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Persons Experiencing Homelessness  All persons aged ≥1 year experiencing homelessness should be routinely immunized against HAV. Vaccination of homeless persons facilitates integration of HepA vaccine into routine preventive services. (Morbidity and Mortality Weekly Report (MMWR))

Reducing the Intake of Sodium in Community Settings: Evaluation of Year One Activities in the Sodium Reduction in Communities Program, Arkansas, 2016–2017  In collaboration with 30 partner schools and 5 partner community meals programs, researchers sought to reduce dietary sodium intake through increased implementation of 1) food service guidelines, 2) procurement practices, 3) food preparation practices, and 4) environmental strategies. (Centers for Disease Control and Prevention (CDC), HHS)

Regional forum findings: A component of the 2019 State Health Assessment  Report summarizes results of a series of forums to evaluate Ohio counties on strengths and challenges, equity, priorities, and state health assessment improvements. (Health Policy Institute of Ohio)

Remembering the ‘Mother of All Pandemics,’ 100 Years Later  The Spanish flu outbreak of 1918 offers important lessons in balancing truth and panic during public health crises. (CityLab)

Report: HIV Testing at CDC-Funded Sites: United States, Puerto Rico, and the U.S. Virgin Islands, 2017 (2018)  This report includes HIV test event-level data from 61 CDC-funded health department jurisdictions and 111 directly funded community-based organizations for HIV testing activities funded through one of six DHAP HIV prevention programs. (Centers for Disease Control and Prevention (CDC), HHS)

Reports and Detailed Tables From the 2017 National Survey on Drug Use and Health (NSDUH)  These reports and detailed tables present estimates from the 2017 National Survey on Drug Use and Health (NSDUH). (Substance Abuse & Mental Health Services Administration (SAMHSA), HHS)

Request for Applications: Technical Consultant, STD Clinic Services and Operations  NACCHO is seeking a Technical Consultant to work with its STD program to develop an implementation support package for the Centers for Disease Control and Prevention’s forthcoming Recommendations for Providing Quality STD Clinical Services. Applications are due by December 12, 2018. (National Association of County and City Health Officials (NACCHO))

Request for Information (RFI): Improving Efficiency, Effectiveness, Coordination, and Accountability of HIV and Viral Hepatitis Prevention, Care, and Treatment Programs  To help inform the next iterations of the National HIV/AIDS Strategy and National Viral Hepatitis Action Plan, HHS seeks input from external stakeholders for improving efficiency, effectiveness, coordination, and accountability of HIV and viral hepatitis prevention, care, treatment, and cure policies, services, and programs. Comments must be submitted by March 11, 2019. (Office of HIV/AIDS and Infectious Disease Policy (OHAIDP), HHS)

Request for Information (RFI): Input on NIH Tickborne Diseases Strategic Plan  This Request for Information (RFI) invites comments and suggestions on the tickborne diseases (TBD) research priorities NIH should continue or adopt over the coming years. Comments are requested by March 13, 2019. (National Institutes of Health (NIH), HHS)

Research Shows Nation's Opioid Epidemic Is Far From Over  Although the number of opioid-related deaths may be decreasing in some states, overall, they continue to increase nationwide. The good news is that some research has shown that regulatory and legislative efforts introduced earlier this decade have succeeded in driving down prescription opioid dosage volume. (American Academy of Family Physicians (AAFP))

Researchers Explore Health Effects of E-Cigarettes  HHS agencies support research to determine health effects of the increasingly popular use of e-cigarettes, also known as “vaping.” (U.S. Department of Health and Human Services (HHS))

Resources: Connecting Public Health and Education to Prevent Adolescent HIV/STIs  Resources from a project to increase the capacity of local health departments (LHDs) and local education agencies (LEAs) to work in partnership to prevent HIV and sexually transmitted infections (STIs) among adolescents. (National Association of County and City Health Officials (NACCHO))

Robert Wood Johnson Foundation Health Policy Fellows 2019-2020 Call for Applications  The RWJF Health Policy Fellows program provides the nation’s most comprehensive learning experience at the nexus of health, science, and policy in Washington, D.C. It is an outstanding opportunity for exceptional mid-career health professionals and behavioral/social scientists with an interest in health and health care policy. Applications are due by November 7, 2018. (Robert Wood Johnson Foundation (RWJF))

Role of Policies and Practices within Early Care and Education Programs to Support Healthy Food and Physical Activity Practices  This open-access supplement of 13 articles published in Childhood Obesity unites a group of outstanding researchers focusing on the role of policies and practices within ECE programs to support healthy practices. Each article addresses one or more important influences, including public policies, such as the federally funded Child and Adult Care Food Program (CACFP) or state licensing standards, facility-level policies for physical activity or screen-time, and food procurement practices.

Rural Communities: Age, Income, and Health Status (November 2018)  Recap identifies rural disparities in age, health status, and income. (Rural Health Research Gateway)

Rural New Mexico: Perspectives on Health Care and Access  Interactive presentation on the definitions of rural and urban, rural health indicators, geography and health outcomes, the social determinants of health, rural behavioral health, and identifying needs of the entire community rather than just priority populations. (New Mexico Public Health Institute)

Rural and Frontier Healthcare Coalitions: A Preparedness and Response Snapshot (September 2018)  Fact sheet documents the responsibilities, capabilities, and challenges of rural and frontier healthcare coalitions (HCCs) in preparing for and responding to emergencies and disasters. (National Association of County and City Health Officials (NACCHO))

Rural–Urban Differences in Baseline Dietary Intake and Physical Activity Levels of Adolescents  Differences in dietary intake and physical activity may explain the higher prevalence of obesity among adolescents living in rural versus urban settings. The objective of this cross-sectional secondary analysis was to compare baseline dietary intake and physical activity of adolescents by rurality. (Centers for Disease Control and Prevention (CDC), HHS)

SAMHSA partners with NCHS to make Restricted-use NSDUH data available  SAMHSA has partnered with the National Center for Health Statistics (NCHS) to host restricted-use National Survey on Drug Use and Health (NSDUH) data at their Federal Statistical Research Data Centers (RDCs). RDCs are secure facilities that provide access to a range of restricted-use microdata for statistical purposes. (Substance Abuse & Mental Health Services Administration (SAMHSA), HHS)

SNAP Supports Children and Families  Fact sheet and policy recommendations on the Supplemental Nutrition Assistance Program (SNAP). (Robert Wood Johnson Foundation (RWJF))

SOPHE Journals are open access  SOPHE has opened access to its three peer-reviewed journals, Health Education & Behavior, Health Promotion Practice, and Pedagogy in Health Promotion: The Scholarship of Teaching and Learning during this 45-day period, October 15 – November 30, 2018. (Society for Public Health Education)

SOPHE issues a call for papers for special issue of Health Education & Behavior  Health Education & Behavior (HE&B) is calling for papers for a special supplement issue of the journal that will focus on the application and impact of social media and digital health on public health education and behavior. (Society for Public Health Education)

SOPHE’s newest handbook provides a step-by-step guide for community engagement in research  SOPHE, in collaboration with the University of Texas Health San Antonio and its community partners, have published a new e-book, Underserved Populations: Advancing Health, Engaging and Developing (UPAHEAD) Research Handbook. With valuable links and tips, this handbook offers constructive guidance on best practices to establish a dynamic, community-academic partnership that utilizes the talents and unique knowledge of community members and the skills and resources of researchers to help address health issues. (Society for Public Health Education)

SUPPORT for Families and Communities Act: New Funding and Flexibility for States to Address Substance Use Disorder  Brief outlines Medicaid provisions in the SUPPORT for Patients and Communities Act, a wide-ranging bill seeking to address the opioid crisis. The bill contains numerous provisions that affect how state Medicaid agencies structure and administer services and supports for individuals with opioid and other substance use disorders (SUD). (National Academy for State Health Policy (NASHP))

School Success: An Opportunity for Population Health: Proceedings of a Workshop—in Brief  Summary of a June 2018 workshop to describe the relationship between the health and education sectors and share examples of public health interventions and activities in schools that support school success and are potential opportunities for population health action. (National Academies of Science, Engineering, and Medicine (NASEM))

School nutrition policies reduce weight gain  Over the three years of the study, implementation of physical activity policies alone did not make a significant difference in students’ BMI. However, implementing nutrition policies—either alone or in combination with physical activity—did help the children maintain their weight. (National Institutes of Health (NIH), HHS)

Seeking Tech Solutions to Improve Social Determinants of Health & Health Equity for Latinx Youth  CHLA and HIMSS are partnering on a global tech challenge inviting entrants to design solutions for the healthcare impact on Latinx youth in three key areas: mental well-being, access to healthcare, and access to social services. The challenge runs March 4 – April 26, 2019 with three winners receiving funding prizes over $20,000 total to bring their ideas to life. (Healthcare Information and Management Systems Society (HIMSS))

Self-Directed Walk With Ease Workplace Wellness Program — Montana, 2015–2017  Among Montana state workers with and without self-reported arthritis who participated in self-directed Walk With Ease, walking levels increased significantly. Among participants not walking for exercise at the start of the program, 97% were walking at 6 weeks and 87% at 6 months. Pain and fatigue decreased among those with moderate or severe pain or fatigue at baseline. (Morbidity and Mortality Weekly Report (MMWR))

Sexual Risk Behavior Differences Among Sexual Minority High School Students — United States, 2015 and 2017  Among sexual minority youths, risk behaviors were more prevalent among bisexual females and males who were not sure than among their heterosexual peers as well as among students who had sexual contact with both sexes than among those with only same-sex sexual contact. (Morbidity and Mortality Weekly Report (MMWR))

Sexually Transmitted Disease Surveillance 2017  Report presents statistics and trends for STDs in the United States through 2017. This annual publication is intended as a reference document for policy makers, program managers, health planners, researchers, and others who are concerned with the public health implications of these diseases. (National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), CDC)

Should Childhood Trauma Be Treated As A Public Health Crisis?  A new study published in the Journal of the American Medical Association suggests that childhood trauma should be treated as a public health crisis. It shows how the effects of childhood trauma persist and are linked to mental illness and addiction in adulthood. (National Public Radio (NPR))

Simplify: How to quickly code industry and occupation data  NIOSH has developed a free, web-based software application that translates industry and occupation (I&O) text to standardized industry and occupation codes. The NIOSH software application is called The NIOSH Industry and Occupation Computerized Coding System (NIOCCS). (National Institute for Occupational Safety and Health (NIOSH), CDC)

Simulating Proposed Changes to the Supplemental Nutrition Assistance Program: Countable Resources and Categorical Eligibility  This issue brief, the first in a new series of briefs analyzing the impact of proposed changes to SNAP, provides insight into how changes to SNAP eligibility requirements could impact SNAP participants, including children, seniors (age 60 or older), and people with disabilities. (Mathematica Policy Research, Inc.)

Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care  This website provides a structured systems-based approach for improving management of patients on chronic opioid therapy. (Agency for Healthcare Research and Quality (AHRQ), HHS)

Smoke-Filled Snapshot: California Wildfire Generates Dangerous Air Quality For Millions  On November 16, air quality readings in several cities, including Sacramento, Modesto and Chico, spiked into “hazardous” territory. But the risks extended much farther away. Residents of San Francisco Bay Area communities couldn’t see the city’s iconic skyline because of the intense smoke. (Kaiser Health News (KHN))

Snapshot of Rural Health in Colorado 2019  The Snapshot of Rural Health is prepared as a resource to highlight and advance interest in rural health issues in Colorado. (Colorado Rural Health Center)

Social Determinants of Health Among Adults with Diagnosed HIV Infection, 2016 (October 2018)  This report presents numbers and rates of diagnoses of HIV infection in 2016 among persons aged 18 years and older by 6 SDH indicators and selected characteristics that include sex, age, race/ethnicity, transmission category and area of residence. (Centers for Disease Control and Prevention (CDC), HHS)

Social Impact Partnership to Pay for Results Act (SIPPRA) - Pay for Results  SIPPRA was signed into law on February 9, 2018 and will pay for a project only if predetermined project outcomes have been met and validated by an independent evaluator, a system called a “pay for results partnership.” (U.S. Department of the Treasury)

Soda Industry Steals Page From Tobacco To Combat Taxes On Sugary Drinks  In the run-up to the midterm elections, the soda industry has poured millions of dollars into fighting taxes on sugary drinks, an increasingly popular approach to combating obesity, which affects 40 percent of American adults. (Kaiser Health News (KHN))

Special Edition: Intimate Partner Violence and Human Trafficking  In recognition of Domestic Violence Awareness Month, HRSA issued a special edition of the Primary Health Care Digest last week focused on intimate partner violence and human trafficking. (Health Resources and Services Administration (HRSA), HHS)

Special Supplement: Community-Driven Efforts to Increase Equity in Communities Through Policy and Systems Change: Outcomes and Lessons Learned From 9 Years of Food & Fitness Community Partnerships  Health Promotion Practice supplement features 12 articles and two commentaries, including three case studies highlighting the processes, partnerships and local policy changes needed to overcome barriers and create community-driven equitable change in food and fitness environments. (Society for Public Health Education)

Stable Housing, Stable Health: Addressing Housing Insecurity Through Medicaid Value-Based Payment  This brief illustrates potential opportunities in New York City for Medicaid providers and plans to address one such determinant—housing—to support delivery of more appropriate and higher-quality care, improve enrollees' health outcomes, and potentially prevent high-cost utilization in the future. (United Hospital Fund (UHF))

State Legislation to Improve Flu Vaccination Rates  Post highlights state-enacted laws for the distribution of information about the flu vaccine by schools, child care facilities, and adult residential facilities, requiring certain healthcare and adult care employees to be vaccinated against the flu, expanding pharmacist scope of practice to administer the flu vaccine, and increasing access to the flu vaccine by hospital patients. (Association of State and Territorial Health Officials (ASTHO))

State Options for Promoting Recovery among Pregnant and Parenting Women with Opioid or Substance Use Disorder (October 2018)  The devastating financial and human costs of the opioid epidemic are heightening states’ focus on substance use prevention and treatment for pregnant and parenting women. NASHP interviewed state Medicaid, behavioral health, and public health officials from Colorado, Pennsylvania, and Texas to learn about their unique interagency approaches to treating and supporting pregnant and parenting women with substance use disorder (SUD). This issue brief explores their effective strategies to promote recovery in this population. (National Academy for State Health Policy (NASHP))

State Policies on Testing Drinking Water for Lead in U.S. Schools  This Brief summarizes select characteristics of state-level policies and programs to test for lead in school drinking water. (Robert Wood Johnson Foundation (RWJF))

State Preemption of Food and Nutrition Policies and Litigation: Undermining Government's Role in Public Health  In 2018, research was conducted to find state laws enacted through March 16, 2018, that preempt local food and nutrition policies including their legislative histories; and preempt lawsuits related to food consumption and chronic disease (e.g., Commonsense Consumption Acts), including explicitly preempting government activity. (American Journal of Preventive Medicine)

State Regulation of Community Paramedicine Programs: A National Analysis  Article sought to identify the scope of practice for community paramedics by examining current state regulations and surveying state emergency medical services (EMS) agency representatives. (Centers for Disease Control and Prevention (CDC), HHS)

State Snapshots Provide a Fresh Look at State-Specific Health Care Quality Trends  AHRQ has just released its 2017 State Snapshots, a set of online dashboards that each year provide updated, detailed analyses of how each State, plus the District of Columbia, is performing in important areas of health care quality. (Agency for Healthcare Research and Quality (AHRQ), HHS)

State Strategies for Establishing Connections to Health Care for Justice-Involved Populations: The Central Role of Medicaid  Issue brief identifies emerging trends in the care delivery models that state Medicaid programs use for former inmates. (Commonwealth Fund)

State Strategies to Incorporate Oral Health into Medicaid Payment and Delivery Models for People with Chronic Medical Conditions  Report provides recommendations from state leaders on first steps to incorporating oral health, such as sharing Medicaid health home members' dental data with both dental and medical providers and including oral health questions in health home screening tools. (National Academy for State Health Policy (NASHP))

State Strategies to Meet the Needs of Young Children and Families Affected by the Opioid Crisis  Report explores: state strategies to support young children and families affected by the epidemic; available state and federal funding sources for these initiatives; and key considerations for states working to improve services and outcomes for this vulnerable population. (National Academy for State Health Policy (NASHP))

State and Local Public Health Partnerships to Address Dementia, The 2018- 2023 Road Map  Road map charts a course for state and local public health agencies and their partners. The Road Map prepares all communities to act quickly and strategically by stimulating changes in policies, systems, and environments. Alignment of HBI Road Map actions with Essential Services of Public Health ensures that initiatives to address Alzheimer’s can be incorporated easily and efficiently into existing public health initiatives. (Centers for Disease Control and Prevention (CDC), HHS)

State and Local Public Health Partnerships to Address Dementia: The 2018-2023 Road Map  Road map outlines how state and local public health agencies and their partners can continue to promote cognitive health, address cognitive impairment for people living in the community, and help meet the needs of caregivers. Twenty-five specific actions are proposed in four traditional domains of public health: educate and empower, develop policies and mobilize partnerships, assure a competent workforce, and monitor and evaluate. (Centers for Disease Control and Prevention (CDC), HHS)

State of Water Preparedness: A 2018 Scan of Water Preparedness and Response Infrastructure in State and Territorial Health Agencies  In spring 2018, ASTHO surveyed state and territorial directors of public health preparedness and environmental health to learn more about their protocols, tools, resources, infrastructure, and gaps related to drinking water emergency preparedness and response. Fact sheet summarizes the survey. (Association of State and Territorial Health Officials (ASTHO))

State-Specific Patterns of Cigarette Smoking, Smokeless Tobacco Use, and E-Cigarette Use Among Adults — United States, 2016  This study examined state-specific prevalence of cigarette, smokeless tobacco, and e-cigarette use among US adults. (Centers for Disease Control and Prevention (CDC), HHS)

Statement of Policy: Concentrated Animal Feeding Operations (October 2018)  A policy statement from NACCHO’s Board of Directorson Concentrated Animal Feeding Operations (CAFOs) in response to concerns from local health departments. (National Association of County and City Health Officials (NACCHO))

States Move to Eliminate Non-Medical Exemptions for Vaccinations  To counter the worrying increase in the number of people who are not vaccinated against measles and other preventable diseases, states are beginning to do away with non-medical exemptions for school vaccination requirements. (Association of State and Territorial Health Officials (ASTHO))

Step by Step toward Medical and Addiction Care Integration  To get a sense of what care integration means to those who are making it a reality, researchers conducted an in-depth review of providers using four very different models. Boston Medical Center and the BayCare Medical Group are hospital-based health systems that incorporated SUD treatment services into their systems; Finger Lakes Community Health is a Federally Qualified Health Center (FQHC) that incorporated behavioral health into its service array; and Chestnut Health Systems is a behavioral health center that incorporated an FQHC. (AcademyHealth)

Stories from the Field: Essentials for Childhood Framework  Post shares five stories of health departments engaged in projects based on the Essentials for Childhood Framework. The framework calls for creating safe, stable, nurturing relationships and environments for all children, with the aim to prevent child abuse and neglect and to assure that all children reach their full potential. (Centers for Disease Control and Prevention (CDC), HHS)

Strategies to Build a Culture of Health: A Moment in Time Review of RWJF Culture of Health Prize-Winning Communities 2013-2017  This report describes the work of the thirty-five 2013-17 Culture of Health Prize winners and features how they apply two of the six Prize criteria—defining health broadly and committing to sustainable systems changes and policy-oriented solutions. It is intended to identify common priorities and strategies to facilitate connections with, and among, Prize-winning communities. (County Health Rankings & Roadmaps)

Study Documents Purchasing, Consumption Impacts of Philadelphia’s Sweetened Beverage Tax  New research reported in a National Bureau of Economic Research working paper finds that, after roughly one year, Philadelphia’s tax on sweetened beverages did not substantially reduce children’s consumption of such beverages overall. (Mathematica Policy Research, Inc.)

Study of PrEP and vaginal ring for HIV prevention begins in girls and young women  A clinical trial has begun to examine the safety and use of two HIV prevention tools—oral pre-exposure prophylaxis (PrEP) and a vaginal ring—in adolescent girls and young women in southern Africa. (National Institutes of Health (NIH), HHS)

Suicide Mortality in the United States, 1999–2017  This data brief uses final mortality data from the National Vital Statistics System (NVSS) to update trends in suicide mortality from 1999 through 2017 and to describe differences by sex, age group, and urbanization level of the decedent’s county of residence. (National Center for Health Statistics, CDC)

Suicide Rates by Major Occupational Group — 17 States, 2012 and 2015  2012 and 2015 National Violent Death Reporting System data from 17 states indicated the major occupational group with the highest male suicide rate was Construction and Extraction (43.6 [2012] and 53.2 [2015]). The Arts, Design, Entertainment, Sports, and Media major occupation group had the highest female suicide rate in 2012 (11.7) and 2015 (15.6). (Morbidity and Mortality Weekly Report (MMWR))

Suicide Surveillance Strategies for American Indian and Alaska Native Communities  This report summarizes findings and recommendations from SPRC’s exploration of suicide surveillance among American Indian and Alaska Native (AI/AN) communities across the country. Each section describes challenges and provides strategies and resources to help AI/AN communities gather data on suicide to inform and evaluate their prevention efforts. (Suicide Prevention Resource Center)

Surgeon General releases advisory on E-cigarette epidemic among youth  U.S. Surgeon General Vice Adm. Jerome M. Adams issued an advisory today stressing the importance of protecting children from a lifetime of nicotine addiction and associated health risks by immediately addressing the epidemic of youth e-cigarette use. (Office of the Surgeon General, HHS)

Surgeon General's Call to Action: “Community Health and Prosperity”  CDC announces the opening of a docket to obtain comment on an upcoming Surgeon General's document/Call to Action with a working title “Community Health and Prosperity”. The goal of the Call to Action is to: Clearly demonstrate that investments in community health have the potential to improve the health and prosperity of communities and issue a call to action to the private sector and local policy makers for investment in communities, unilaterally or as part of multi-sector or other consortium, to improve community health. (Centers for Disease Control and Prevention (CDC), HHS)

Surveillance for Cancers Associated with Tobacco Use — United States, 2010–2014  This report provides a comprehensive assessment of recent tobacco-associated cancer incidence for each cancer type by sex, age, race/ethnicity, metropolitan county classification, tumor characteristics, U.S. census region, and state. (Morbidity and Mortality Weekly Report (MMWR))

Surveillance for Foodborne Disease Outbreaks United States, 2016: Annual Report (2018)  In 2016, 839 foodborne disease outbreaks were reported, resulting in 14,259 illnesses, 875 hospitalizations, 17 deaths, and 18 food product recalls. Norovirus was the most common cause of confirmed, single-etiology outbreaks, accounting for 145 (36%) outbreaks and 3,794 (42%) illnesses. Salmonella was the next most common cause, accounting for 132 (33%) outbreaks and 3,047 (33%) illnesses, followed by Shiga toxin-producing Escherichia coli, which caused 25 (6%) confirmed, single-etiology outbreaks and 366 (4%) illnesses. (Centers for Disease Control and Prevention (CDC), HHS)

Surveillance for Violent Deaths — National Violent Death Reporting System, 27 States, 2015  This report summarizes data from CDC’s National Violent Death Reporting System (NVDRS) regarding violent deaths from 27 U.S. states for 2015. Results are reported by sex, age group, race/ethnicity, location of injury, method of injury, circumstances of injury, and other selected characteristics. (Morbidity and Mortality Weekly Report (MMWR))

Survey: Misunderstanding Food Date Labels Linked With Higher Food Discards  A new survey examining U.S. consumer attitudes and behaviors related to food date labels found widespread confusion, leading to unnecessary discards, increased waste and food safety risks. The survey analysis was led by researchers at the Johns Hopkins Center for a Livable Future (CLF), which is based at the Johns Hopkins Bloomberg School of Public Health. (Johns Hopkins University, Bloomberg School of Public Health)

Sustainable Diets, Food, and Nutrition: Proceedings of a Workshop—in Brief  Summary of an August 2018 workshop to review current and emerging knowledge on the concept of sustainable diets within the field of food and nutrition; explore sustainable diets and relevant impacts for cross-sector partnerships, policy, and research; and discuss how sustainable diets influence dietary patterns, the food system, and population and public health. (National Academies of Science, Engineering, and Medicine (NASEM))

TOOLKIT: Cervical Health Awareness Month  Cervical Health Awareness Month in January is a chance to share information about how women can protect themselves from HPV (human papillomavirus) and cervical cancer. HPV is a very common infection that spreads through sexual activity, and it causes almost all cases of cervical cancer. (Office of Disease Prevention and Health Promotion (ODPHP), HHS)

Tackling Health Disparities Among Latinos in the United States  Post highlights work and research from the National Institute on Minority Health and Health Disparities to reduce health disparities among Latino Americans. (National Institute on Minority Health and Health Disparities (NIMHD), NIH)

Tackling the Opioid Crisis: What State Strategies Are Working?  NASHP officials met with policy makers from a dozen states to talk about their challenges and most promising policy strategies to tackle the opioid crisis. The group discussed and evaluated a range of policy approaches involving Medicaid, behavioral and public health departments, and governors’ offices. (National Academy for State Health Policy (NASHP))

TargetHIV: New Name, New Look  HRSA's Ryan White HIV/AIDS Program (RWHAP) technical assistance (TA) and training website has undergone a major update to make it easier for users to access tools and materials for the RWHAP. The website, formerly called TARGET Center, is now named TargetHIV. Beyond the name change, there have been multiple revisions and updates, including a new look, easier navigation, and decluttering of the content. (Health Resources and Services Administration (HRSA), HHS)

Task Force on Research Specific to Pregnant and Lactating Women: Report to Secretary, Health and Human Services & Congress (2018)  Report provides recommendations on identifying and addressing gaps in knowledge and research on safe and effective therapies for pregnant women and lactating women, including the development of such therapies and the collaboration on and coordination of such activities. (Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH)

Teaching Public Health with Graphic Medicine  Public Health is a broad set of actions that promote wellness, but a lot of people don’t understand what public health does for us. Can graphic medicine (comics and graphic novels with health, wellness and disease themes) help us better understand public health? Spoiler Alert: the answer is yes! (National Network of Libraries of Medicine (NN/LM))

Team from University of Maryland, Baltimore, Wins Grand Prize in 2018 D.C. Public Health Case Challenge  The challenge topic was “Reducing Disparities in Cancer and Chronic Disease: Preventing Tobacco Use in African American Adolescents.” The teams from D.C.-area universities- each composed of four to six members from at least three disciplines- were given two weeks to develop a solution to this complex problem with a hypothetical $2.5 million budget to be used during a five-year span. (National Academy of Medicine)

Technologies to Address Global Catastrophic Biological Risks  This report highlights 15 technologies or categories of technologies that, with further scientific attention and investment, as well as attention to accompanying legal, regulatory, ethical, policy, and operational issues, could help make the world better prepared and equipped to prevent future infectious disease outbreaks from becoming catastrophic events. (Johns Hopkins University, Bloomberg School of Public Health)

Teens using vaping devices in record numbers  America’s teens report a dramatic increase in their use of vaping devices in just a single year, with 37.3 percent of 12th graders reporting “any vaping” in the past 12 months, compared to just 27.8 percent in 2017. These findings come from the 2018 Monitoring the Future (MTF) survey of a nationally representative sample of eighth, 10th and 12th graders in schools nationwide, funded by a government grant to the University of Michigan, Ann Arbor. (National Institutes of Health (NIH), HHS)

The 2018 United States Report Card on Physical Activity for Children and Youth  Report card assesses the levels of physical activity and sedentary behaviors in American children and youth, facilitators and barriers for physical activity, and health outcomes related to physical activity. (National Physical Activity Plan Alliance)

The 21st Century Learning Community - Transforming Public Health in Three States: Lessons for the Nation (2018)  Using data, expertise, and evidence, health departments must demonstrate their value and make the case for public health to policymakers and partners. In this new publication, these critical themes and more are highlighted from three 21st Century states – Ohio, Oregon, and Washington – as they work to modernize their public health systems. (Public Health National Center for Innovations)

The Care and Prevention in the United States (CAPUS) Demonstration Project: Reducing HIV/AIDS-Related Morbidity and Mortality Among Racial/Ethnic Minority Groups  A special open-access Public Health Reports Supplement on the multi-year Care and Prevention in the United States (CAPUS) Demonstration Project. This project highlights strategies for reducing HIV- and AIDS-related morbidity and mortality among racial and ethnic minorities living in the United States. (Public Health Reports)

The Centers for Disease Control and Prevention Has Controls and Strategies To Mitigate Hurricane Preparedness and Response Risk  Report identifies CDC’s potential risks for preparing for and responding to hurricanes and other natural disasters and determines whether CDC has designed and implemented controls and strategies to mitigate these potential risks. (Office of Inspector General (OIG), HHS)

The Costs and Benefits of Expanding Hepatitis C Screening in the Indian Health Service  The Indian Health Service (IHS) serves approximately 2.2 million American Indian and Alaska Native (AI/AN) people in the U.S. According to surveillance data from the Centers for Disease Control and Prevention, AI/AN populations have the highest incidence of acute hepatitis C virus (HCV) and the highest rate of HCV-related mortality relative to other racial and ethnic groups. Understanding the seroprevalence of HCV and the costs associated with prevention and treatment of HCV can help inform decisions about expanding HCV screening in the population IHS serves. (Office of the Assistant Secretary for Planning and Evaluation (ASPE), HHS)

The Costs and Benefits of Expanding Hepatitis C screening in the Indian Health Service  To determine the conditions under which expanding screening and treatment could be cost-beneficial to the Indian health care system, this study seeks to identify the specific population seroprevalence at which the net costs of expanding screening, including any savings from averting costly HCV-related sequelae, balance the net costs of the current screening approach. (Mathematica Policy Research, Inc.)

The Critical Role of Public Health Programs in Responding to Natural Disasters (September 2018)  Fact sheet outlines the role of public health in disaster preparation, response, and long-term recovery. (Trust for America's Health (TFAH))

The Effect of Parental Incarceration on Children’s Health: Lessons Learned from a Health Impact Assessment  The Special Project recently completed a health impact assessment (HIA) demonstrating how public health leaders, artists and criminal justice reformers can work together to assess how parental incarceration harms children’s health. Post outlines their project and results. (National Association of County and City Health Officials (NACCHO))

The Effect of a Park-Based Physical Activity Program on Cardiovascular, Strength, and Mobility Outcomes Among a Sample of Racially/Ethnically Diverse Adults Aged 55 or Older  Many older adults are not physically active despite the well-documented health benefits of regular exercise. Study examined cardiovascular, strength, and mobility outcomes among a sample of racially/ethnically diverse adults aged 55 or older participating in a community park-based physical activity program. (Centers for Disease Control and Prevention (CDC), HHS)

The Great American Search for Healthcare Information  Results from a survey of 1,700 American adults on healthcare information seeking. (Weber Shandwick)

The Health Resources and Services Administration Has Controls and Strategies To Mitigate Hurricane Preparedness and Response Risk  Report identifies the Health Resources and Services Administration (HRSA's) potential risks for preparing for and responding to hurricanes and other natural disasters and determines whether HRSA has designed and implemented controls and strategies to mitigate these potential risks. (Office of Inspector General (OIG), HHS)

The Impact of Parental and Medical Leave Policies on Socioeconomic and Health Outcomes in OECD Countries: A Systematic Review of the Empirical Literature  Researchers conducted a systematic review of the peer-reviewed literature on paid leave and socioeconomic and health outcomes, finding that increases in paid parental leave were consistently associated with better infant and child health, particularly in terms of lower mortality rates. (Milbank Memorial Fund)

The Link Between Community Health And Worker Productivity In US Manufacturing Plants  Using employee-level human resources data from four large, diverse manufacturing plants located in four different states, researchers found that hourly employees living in counties with poor community health outcomes had considerably higher rates of absenteeism. (Health Affairs)

The New and Improved Nutrition Facts Label – Key Changes  Page highlights recent changes to the nutrition facts label, which will be rolled out to all products by January 2020. (U.S. Food & Drug Administration (FDA), HHS)

The Opioid Crisis Response Act of 2018  Summary of the bill passed in September 2018 by the Senate to address the opioid crisis. (U.S. Senate)

The Opioid Epidemic: Collecting Now for Future Research  In October 2017, the U.S. Department of Health and Human Services declared the current opioid epidemic a “public health emergency,” and the NLM Web Collecting and Archiving Working Group began to identify content on the web to archive in support of future research. The National Library of Medicine collects and archives web content documenting current topics in health and medicine in line with the Library’s Collection Development Manual, including on addiction, public health, and health policy, and how our knowledge, experiences, and understandings of these topics evolve over time. (National Library of Medicine (NLM), NIH)

The Public Health Impacts of Gaza's Water Crisis  This report describes the relationship between Gaza's water problems and its energy challenges and examines the implications of this water crisis for public health. (RAND Corporation)

The Recovery of Community Health Centers in Puerto Rico and the US Virgin Islands One Year after Hurricanes Maria and Irma  his issue brief presents findings from the Geiger Gibson/Kaiser Family Foundation survey of community health centers in Puerto Rico and USVI one year after the hurricanes. It describes the current state of health center recovery and examines shifts in need and capacity, which have potential longer-term implications. (Kaiser Family Foundation (KFF))

The Role of Health Care Profession Accreditors in Promoting Health and Well-Being across the Learning Continuum  Paper examined educational models in medicine, nursing, and psychology through an accreditation lens to look at how health and well-being fit within each profession’s learning continuum from education to practice, and across the three health professions. (National Academy of Medicine)

The Role of State Health Leaders in Addressing Substance Use Disorders Among Women, Infants, and Families  This report highlights six public health approaches for addressing the rising incidence of substance use disorder and neonatal abstinence syndrome and draws out the critical role that state health leaders play in each. (Association of State and Territorial Health Officials (ASTHO))

The Ruralness of Domestic and Intimate Partner Violence: Prevalence, Provider Knowledge Gaps, and Healthcare Costs  Article examines rural domestic violence and intimate partner violence. Addresses prevalence rates, provider knowledge gaps, and associated healthcare costs. (Rural Health Information Hub)

The Science Is Clear: With HIV, Undetectable Equals Untransmittable  In recent years, an overwhelming body of clinical evidence has firmly established the HIV Undetectable = Untransmittable (U=U) concept as scientifically sound, say officials from the National Institutes of Health. (National Institutes of Health (NIH), HHS)

The State of Obesity: 2018  Each year, the State of Obesity: Better Policies for a Healthier America report highlights the latest obesity trends as well as strategies, policies, programs, and practices that can reverse the epidemic. (Trust for America's Health (TFAH))

The State of Tribal Data Capacity in Indian Country: Key Findings from the Survey of Tribal Data Practices (October 2018)  The overall objective of the Tribal Data Practices Survey was to assess current tribal data capacity and future needs. Specifically, the TDPS sought to understand: 1) the types of data or information tribes currently use; 2) how tribes access, collect, manage, and report these data; and 3) what types of data tribes need. This report includes the methods and key findings from the TDPS. (National Congress of American Indians (NCAI))

The Stay Study: A Demonstration Project Advancing PrEP Delivery in the San Francisco Bay Area Transgender Community  The Stay Study is a multi-site, open-label HIV pre-exposure prophylaxis (PrEP) demonstration project for advancing PrEP delivery in the San Francisco Bay Area Transgender Community. Approximately 188 HIV-uninfected participants will be enrolled at 4 sites in San Francisco and Fremont and will be provided Truvada to take orally once daily as PrEP.

The U.S. Government Engagement in Global Health: A Primer  This primer provides basic information about global health and U.S. government’s response in low- and middle-income countries. (Kaiser Family Foundation (KFF))

The U.S. Government and Global Health  Factsheet outlines global health efforts HIV, tropical diseases, family planning, security, maternal/child health, and nutrition. (Kaiser Family Foundation (KFF))

The Youngest Victims: Disaster Preparedness to Meet Children’s Needs (2018)  Commentary identifies a variety of guiding principles and key messages that AAP members and child advocates can use to guide decision-making and support the implementation of new public policy, effective community/state planning, and appropriate education and training. (American Academy of Pediatrics (AAP))

Think Fungus: Fungal Disease Awareness Week  Fungal Disease Awareness Week is October 1–5, 2018. CDC and partners have organized this week to highlight the importance of recognizing serious fungal diseases early enough in the course of a patient’s illness to provide life-saving treatment. (Centers for Disease Control and Prevention (CDC), HHS)

Three New Research Areas Added to NIMHD’s Language Access Portal  NIMHD has recently added new topics to their Language Access Portal: dementia, mental health, and substance abuse. (National Institute on Minority Health and Health Disparities (NIMHD), NIH)

Tickborne Disease Surveillance Data Summary  In 2017, state and local health departments reported a record number of cases of tickborne disease to CDC, 59,349 cases, up from 48,610 in 2016. (Centers for Disease Control and Prevention (CDC), HHS)

To Halt HIV, Advocates Push For PrEP Outreach To Black Women  Black women make up 62 percent of all new HIV diagnoses among women—despite accounting for just 13 percent of women in the U.S. And yet, according to a study published in January, knowledge about PrEP among women is low, particularly for black and Latina women. (National Public Radio (NPR))

Tobacco Product Use Among Adults — United States, 2017  In 2017, an estimated 47.4 million U.S. adults (19.3%) currently used any tobacco product. Among current tobacco product users, 86.7% (41.1 million) smoked combustible tobacco products, and 19.0% (9.0 million) used two or more tobacco products. (Morbidity and Mortality Weekly Report (MMWR))

Tobacco Retail Licensing and Youth Product Use  Strong local tobacco retail licensing ordinances may lower rates of cigarette and electronic cigarette use among youth and young adults. Success of regulations restricting youth access to cigarettes and alternative tobacco products may depend on ensuring a robust enforcement scheme. (American Academy of Pediatrics (AAP))

Toolkit: Flu & Chronic Health Conditions  The National Foundation for Infectious Diseases (NFID) published a new online toolkit developed to increase awareness about the dangers of influenza in U.S. adults with chronic health conditions and the importance of annual vaccination. (National Association of County and City Health Officials (NACCHO))

Toolkit: Teen Dating Violence Awareness Month  Teen Dating Violence Awareness Month is a national effort to raise awareness and protect teens from violence. You can help by spreading the word about teen dating violence, and ways to prevent it. The toolkits provide resources for organizations like schools, health care providers, health departments, and more to raise awareness about critical public health issues, like preventing teen dating violence. (Office of Disease Prevention and Health Promotion (ODPHP), HHS)

Toolkit: Upstream Health Priorities for New Governors  A set of practical, real-world tools to help governors and their teams address their policy priorities by improving health. (National Academy for State Health Policy (NASHP))

Topic Collection: Rural Disaster Health  These resources highlight guidance for and lessons learned by healthcare practitioners who serve rural and tribal communities. (Office of the Assistant Secretary for Preparedness and Response (ASPR), HHS)

Toward a Population Health Business Model: and How to Pay for It  What are the mechanisms we can use to transition toward a population health business model? David Erickson, PhD, director of the Community Development Department at the Federal Reserve Bank of San Francisco, gave this speech at the Mayo Clinic Transform conference last month and goes over some of the opportunities he sees for how community development and health can partner and create change. (Build Healthy Places Network)

Tracking health seeking behavior during an Ebola outbreak via mobile phones and SMS  The recent Ebola outbreak in West Africa was an exemplar for the need to rapidly measure population-level health-seeking behaviors, in order to understand healthcare utilization during emergency situations. (Digital Medicine)

Transgender Identity and Experiences of Violence Victimization, Substance Use, Suicide Risk, and Sexual Risk Behaviors Among High School Students — 19 States and Large Urban School Districts, 2017  Population-based survey data from 10 state and nine urban school districts found that an average of 1.8% of high school students identify as transgender. Transgender students were more likely than were cisgender students to report violence victimization, substance use, and suicide risk, and, although generally more likely to report sexual risk behaviors, were also more likely to report having been tested for human immunodeficiency virus. (Morbidity and Mortality Weekly Report (MMWR))

Translation, Dissemination, and Implementation of Public Health Preparedness Research and Training  Supplemental issue of AJPH explores the overall programmatic goals of the Translation, Dissemination, and Implementation of Public Health Preparedness and Response Research and Training Initiative, the role of science as the basis of preparedness and response, and the role of schools of public health in conducting research and developing training strategies. (American Public Health Association (APHA))

Translocation of a Stray Cat Infected with Rabies from North Carolina to a Terrestrial Rabies-Free County in Ohio, 2017  While incubating the rabies virus, a cat potentially traveled through eight states, three of which are terrestrial rabies free. If the cat had become infectious during travel, a rabies epizootic could have occurred. (Morbidity and Mortality Weekly Report (MMWR))

Transmission Patterns in a Low HIV-Morbidity State — Wisconsin, 2014–2017  Most molecular linkages in Wisconsin were among persons within the same racial/ethnic, risk, and age groups. Among named partner linkages where both persons had an HIV sequence available, 33.8% also had a molecular linkage and were deemed plausible transmission partners. (Morbidity and Mortality Weekly Report (MMWR))

Trauma-Informed Approaches Toolkit  This toolkit covers the basics of trauma, provides an overview of the impact of trauma in people living with HIV (PLWH), describes trauma-informed approaches and strategies, and provides practical steps for RWHAP Part recipients, HIV providers, and organizations to develop and operationalize a plan for delivering trauma-informed prevention and care services to PLWH. (National Alliance of State and Territorial AIDS Directors (NASTAD))

Trends and Disparities in Delivery Hospitalizations Involving Severe Maternal Morbidity, 2006–2015 (September 2018)  Brief presents trends and disparities in delivery hospitalizations involving severe maternal morbidity from 2006 through the third quarter of 2015. (Agency for Healthcare Research and Quality (AHRQ), HHS)

Trends in Human Papillomavirus–Associated Cancers — United States, 1999–2015  To assess trends, characterized by average annual percent change (AAPC), in HPV-associated cancer incidence during 1999–2015, CDC analyzed data from cancer registries covering 97.8% of the U.S. population. A total of 30,115 new cases of HPV-associated cancers were reported in 1999 and 43,371 in 2015. During 1999–2015, cervical cancer rates decreased 1.6% per year; vaginal squamous cell carcinoma (SCC) rates decreased 0.6% per year; oropharyngeal SCC rates increased among both men (2.7%) and women (0.8%); anal SCC rates also increased among both men (2.1%) and women (2.9%); vulvar SCC rates increased (1.3%); and penile SCC rates remained stable. (Morbidity and Mortality Weekly Report (MMWR))

Twelve More Health Departments Accredited Through the Public Health Accreditation Board  The number of health departments demonstrating their desire to be transparent and accountable to their communities continued to grow larger this week as the Public Health Accreditation Board (PHAB) awarded national accreditation status to 12 more governmental public health departments. Across the United States, the population now served by a health department that has achieved PHAB's rigorous national standards now surpasses 70 percent, with more health departments seeking the credential each day. (Public Health Accreditation Board (PHAB))

Twelve More Health Departments Achieve PHAB Accreditation  The number of health departments demonstrating their desire to be transparent and accountable to their communities continued to grow larger this week as the Public Health Accreditation Board (PHAB) awarded national accreditation status to 12 more governmental public health departments. (Public Health Accreditation Board (PHAB))

Two Common STDs Threaten Advances in HIV  One-in-ten new HIV cases in gay and bisexual men are the result of gonorrhea and chlamydia infection, highlighting the need to fund STD prevention in the US. (National Coalition of STD Directors)

Two decades of data reveal overall increase in pain, opioid use among U.S. adults  Researchers used data from the Medical Expenditure Panel Survey (MEPS) to examine the impact of pain-related interference, a measure of pain’s impact on normal work activities, on people’s health status and health care use. MEPS is a nationally representative survey of the U.S. civilian, noninstitutionalized population. (National Institutes of Health (NIH), HHS)

U.S. Soda Taxes Work, Studies Suggest — But Maybe Not As Well As Hoped  This week, the governor of Connecticut proposed a statewide tax on sugar-sweetened drinks. Several cities have already enacted such soda taxes to raise money and fight obesity. And there's new evidence suggesting that these taxes do work — although sometimes not as well as hoped. (National Public Radio (NPR))

US Emergency Department Visits for Adverse Drug Events From Antibiotics in Children, 2011–2015  Study used nationally representative public health surveillance data to identify (1) the antibiotics that result in the highest frequencies and rates of emergency department visits for adverse drug events and (2) the pediatric patients at the highest risk to help inform and target prevention efforts. (Oxford Journals)

USAID Partners with U.S. Universities to Fight Global Hunger  Last week, the United States Agency for International Development (USAID) Administrator Mark Green announced the expansion of research partnerships with U.S. universities to develop and deploy solutions to address global agricultural challenges and help end hunger. (U.S. Agency for International Development (USAID))

USDA Announces Plan to Protect SNAP Participants’ Access to SNAP in February  To protect SNAP participants’ access for February, USDA is working with states to issue February benefits earlier than usual. USDA will rely on a provision of the just-expired Continuing Resolution (CR), which provides an appropriation for programs like SNAP and child Nutrition to incur obligations for program operations within 30 days of the CR’s expiration. (U.S. Department of Agriculture (USDA))

USDA Outlines Next Steps for Advancing Animal Disease Traceability  The USDA just announced four overarching goals for advancing animal disease traceability to protect the long-term health, marketability and economic viability of the U.S. livestock industry: advance electronic data sharing between federal and state animal health officials, veterinarians, and industry: use electronic ID tags for animals for better data transmission; enhance tracking of animals from birth to slaughter; and work towards a system where health certificates are transmitted electronically from veterinarians to state health officials. (Animal and Plant Health Inspection Service)

USDA and HHS Partner to Create Recovery Housing in Rural Communities  USDA Rural Development and HHS Substance Abuse and Mental Health Services Administration (SAMHSA) will coordinate efforts to sell USDA’s Real Estate Owned (REO) single-family housing properties at a discount to non-profit organizations that provide housing, treatment, job training and other key services for people in substance misuse treatment and recovery. (U.S. Department of Agriculture (USDA))

Understanding Community-Based Social Innovations for Healthy Ageing  Study aims to identify how community-based social innovations (CBSIs) are functioning across a number of rapidly ageing countries and the policies, programmes and health system factors underpinning their success, as well as to examine the evidence base for the effectiveness and cost-effectiveness of CBSIs. (RAND Corporation)

Understanding Disparities in Access to Genomic Medicine Proceedings of a Workshop (2018)  The results of a June 2018 workshop which examined the accessibility of genetic and genomic testing and services to all populations. (National Academies of Science, Engineering, and Medicine (NASEM))

Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop  Proceedings from a May 2018 workshop which examined how obesity and overweight are measured in the armed forces and how they affect recruitment, retention, resilience, and readiness; discussed service-specific issues related to these problems and highlighted innovative strategies to address them through improved nutrition, physical activity, and stress management; and offered perspectives from outside of the armed forces on approaches to prevent and treat obesity. (National Academies of Science, Engineering, and Medicine (NASEM))

Understanding the Density and Distribution of Restaurants in Los Angeles County to Inform Local Public Health Practice  Study examined the restaurant environment in Los Angeles County, a large jurisdiction with diverse geographic and socioeconomic characteristics, specifically 1) the number and characteristics of restaurants; 2) the association between neighborhood sociodemographics and restaurant density; and 3) the association between neighborhood sociodemographics and restaurant characteristics, including chain status. (Centers for Disease Control and Prevention (CDC), HHS)

Understanding the Economics of Microbial Threats  To assess the current understanding of the interaction of infectious disease threats with economic activity and suggest new areas of research, the Forum on Microbial Threats at the National Academies of Sciences, Engineering, and Medicine planned a 1.5-day public workshop. Through multisectoral participation, topics in the workshop explored identifying potential knowledge gaps, research priorities, and strategies to advance the field in understanding the econom­ics of microbial threats. (National Academies of Science, Engineering, and Medicine (NASEM))

Understanding the Opioid Crisis in Rural and Urban Iowa  This publication compares the existing conditions of the opioid epidemic in Iowa to surrounding states, conditions related to the opioid crisis across Iowa counties and provides strategies and resources to address opioid abuse in Iowa communities. (Iowa State University (ISU))

Uninsured Rates in Urban and Rural America  A collection of interactive graphics providing data on uninsured rates for people under age 65 in completely rural counties, counties that are mostly rural, and counties that are mostly urban. Includes state and county-level data. (U.S. Census Bureau)

Update on Vaccine-Derived Polioviruses — Worldwide, January 2017–June 2018  After the 2016 synchronized switch from trivalent oral poliovirus vaccine (OPV) (types 1, 2, and 3) to bivalent OPV (types 1 and 3), transmission of type 2 circulating VDPVs (cVDPVs) was detected in countries with subpopulations of children who missed immunization to type 2 poliovirus before the switch. Types 1 and 3 cVDPVs were identified in Papua New Guinea and Somalia, respectively. (Morbidity and Mortality Weekly Report (MMWR))

Update: Influenza Activity — United States and Worldwide, May 20–October 13, 2018  Reported Southern Hemisphere influenza activity was relatively low and fairly mild, with influenza A(H1N1)pdm09 viruses predominating in most regions. In the United States, influenza activity was low in all regions, typical for this time of year. Fourteen influenza variant virus infections were reported in the United States, and most were associated with exposure to swine. (Morbidity and Mortality Weekly Report (MMWR))

Update: Influenza Activity — United States, September 30, 2018–February 2, 2019  Influenza activity in the United States remained elevated through February 2, 2019, and is expected to continue for several more weeks. Compared with recent influenza seasons, as of February 2, 2019, severity this season has been low, with a lower percentage of outpatient visits for influenza-like illness, lower rates of hospitalization, and fewer deaths attributed to pneumonia and influenza. (Morbidity and Mortality Weekly Report (MMWR))

Update: Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Postexposure Prophylaxis and for Preexposure Prophylaxis for International Travel  HepA vaccine is recommended for persons aged ≥12 months for PEP. Providers may also administer IG to adults aged >40 years, if indicated. The dosage of IG has been updated. Simultaneous administration of MMR and HepA vaccines is recommended for infants aged 6–11 months traveling internationally. (Morbidity and Mortality Weekly Report (MMWR))

Update: Rural/Urban Disparities in Pneumococcal Vaccine Service Delivery Among the Fee-for-Service Service Medicare Population, 2012-2015 (November 2018)  This Policy Brief is the second report from the Rural and Underserved Health Research Center assessing rural/urban disparities in pneumococcal vaccine service delivery among the fee-for-service (FFS) Medicare population. This report is an update of the initial report and was conducted to specifically assess uptake of the 13-valent pneumococcal conjugate vaccine (PCV13) following revised vaccination recommendations released in 2014. (University of Kentucky)

Updated Physical Activity Guidelines for Americans Now Available  This morning at the American Heart Association Scientific Sessions, ADM Brett P. Giroir, Assistant Secretary for Health launched the second edition of the Physical Activity Guidelines for Americans. (Office of Disease Prevention and Health Promotion (ODPHP), HHS)

Updated Resources on HIV in Hispanic/Latino Populations  The Centers for Disease Control and Prevention (CDC) has released several updated resources related to HIV in Hispanic/Latino population. (Centers for Disease Control and Prevention (CDC), HHS)

Use of Toothpaste and Toothbrushing Patterns Among Children and Adolescents — United States, 2013–2016  In a survey of toothbrushing practices, nearly 80% of children aged 3–15 years began toothbrushing at age ≥1 year, approximately one third brushed once daily, and nearly 40% of children aged 3–6 years used too much toothpaste. (Morbidity and Mortality Weekly Report (MMWR))

Use of Yoga, Meditation, and Chiropractors Among U.S. Adults Aged 18 and Over  Among adults aged 18 and over, increases were seen from 2012 to 2017 in the use of yoga, meditation, and chiropractors during the past 12 months. (National Center for Health Statistics, CDC)

Using 3 Health Surveys to Compare Multilevel Models for Small Area Estimation for Chronic Diseases and Health Behaviors  Study used a multilevel regression and poststratification approach to generate estimates of health-related outcomes using Behavioral Risk Factor Surveillance System 2013 (BRFSS) data for the 500 US cities.

Using Homes to Improve Behavioral Health Outcomes in the Rural West (September 2018)  Housing is intertwined with well-being and health. For those who have a behavioral health condition, housing can be unstable, uncertain, and hopefully, a location for recovery. In this brief, the varied ways that housing interacts with behavioral health are presented and placed within the current policy context of Medicaid expansion.

Using Telehealth to Support Opioid Use Disorder Treatment (November 2018)  Telehealth can connect geographically dispersed patients and providers and is a promising approach to expand access and enhance quality of Medication-Assisted Treatment (MAT) for Opioid Use Disorder (OUD). (Office of the Assistant Secretary for Planning and Evaluation (ASPE), HHS)

Using Yelp Restaurant Reviews to Identify Foodborne Illness  Post highlights projects in Salt Lake City and Chicago to use social media to track foodborne diseases. (National Association of County and City Health Officials (NACCHO))

VA Health Care: Improvements Needed in Suicide Prevention Media Outreach Campaign Oversight and Evaluation  This report examines the extent to which VHA (1) conducts activities for its suicide prevention media outreach campaign, and (2) evaluates the effectiveness of its campaign. GAO reviewed relevant VHA documents and data on the amount, type, and cost of suicide prevention outreach activities since fiscal year 2013. (U.S. Government Accountability Office)

VA National Suicide Data Report 2005-2016 (September 2018)  Report highlights national and state-level findings from the VA's most recent analysis of Veteran suicide data, from 2005 to 2016. (U.S. Department of Veterans Affairs (VA))

Vaccination Coverage Among Children Aged 19–35 Months — United States, 2017  In 2017, coverage with most recommended vaccines among children aged 19–35 months remained stable and high but was lower in more rural areas and among uninsured or Medicaid-insured children. A small but increasing proportion of children received no vaccines by age 24 months. (Morbidity and Mortality Weekly Report (MMWR))

Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2017–18 School Year  Median vaccination coverage was 94.3% for 2 doses of measles, mumps, and rubella vaccine; 95.1% for the state-required number of doses of diphtheria and tetanus toxoids and acellular pertussis vaccine; and 93.8% for 2 doses of varicella vaccine. Although the median exemption rate gradually increased for the third year in a row to 2.2%, most undervaccinated children did not have exemptions. (Morbidity and Mortality Weekly Report (MMWR))

View New and Updated HIV Drug Fact Sheets on AIDSinfo  AIDSinfo recently published a number of new and updated drug fact sheets. These include fact sheets for two new antiretroviral (ARV) medications recently approved by the Food and Drug Administration (FDA), as well as new and updated investigational drug fact sheets. (U.S. Department of Health and Human Services (HHS))

Violence Prevention in Practice  Implementation Guide designed to support state and local health agencies and other stakeholders who have a role in planning, implementing, and evaluating violence prevention efforts. (Centers for Disease Control and Prevention (CDC), HHS)

Violence Victimization, Substance Use, and Suicide Risk Among Sexual Minority High School Students — United States, 2015–2017  Analysis of 2015 and 2017 Youth Risk Behavior Survey data identified within-group differences in victimization, substance use, and suicide risk among sexual minority high school students. Compared with heterosexuals, females who are bisexual and males who are gay, bisexual, or not sure of sexual identity reported more victimization; lesbian and bisexual females reported more alcohol, cigarette, and marijuana use; and all sexual minorities reported elevated high-risk substance use and suicide risk behavior. (Morbidity and Mortality Weekly Report (MMWR))

Visualizing Reach of Racial and Ethnic Approaches to Community Health for Asian Americans: the REACH FAR Project in New York and New Jersey  The Racial and Ethnic Approaches to Community Health for Asian Americans (REACH FAR) project is a multilevel, evidence-based program of health promotion and disease prevention for Asian American communities in New York and New Jersey. Guided by a socio-ecological framework, social marketing principles, and a community based participatory approach, the project implemented multilevel, evidence-based strategies culturally adapted to address hypertension and improve access to healthy food options for Asian Americans in various community settings. (Centers for Disease Control and Prevention (CDC), HHS)

Vital Signs: Prevalence of Key Cardiovascular Disease Risk Factors for Million Hearts 2022 — United States, 2011–2016  This report establishes a baseline for the CVD risk factors targeted for reduction by the initiative during 2017–2021 and highlights recent changes over time. (Morbidity and Mortality Weekly Report (MMWR))

Vital Signs: State-Level Variation in Nonfatal and Fatal Cardiovascular Events Targeted for Prevention by Million Hearts 2022  This study describes the burden, in 2016, of nonfatal and fatal cardiovascular events targeted for prevention by Million Hearts 2022, a national initiative working to prevent one million cardiovascular events during 2017–2021. (Morbidity and Mortality Weekly Report (MMWR))

Vital Signs: Tobacco Product Use Among Middle and High School Students — United States, 2011–2018  In 2018, 4.04 million high school students and 840,000 middle school students currently used any tobacco product; e-cigarettes were the most commonly used product. Driven by an increase in e-cigarette use, current tobacco product use significantly increased among high school and middle school students during 2017–2018, erasing the decline in tobacco product use among youths that occurred in previous years. (Morbidity and Mortality Weekly Report (MMWR))

Vital Signs: Zika-Associated Birth Defects and Neurodevelopmental Abnormalities Possibly Associated With Congenital Zika Virus Infection — US Territories and Freely Associated States, 2018  CDC’s MMWR and Medscape are proud to introduce a new FREE continuing education (CE) activity. Clinicians will become aware of the frequency and type of birth defects and neurodevelopmental abnormalities seen among children born to mothers with laboratory evidence of possible Zika virus infection. (Centers for Disease Control and Prevention (CDC), HHS)

WHO Report on Surveillance of Antibiotic Consumption: 2016-2018 Early implementation (November 2018)  This report presents 2015 data on the consumption of systemic antibiotics from 65 countries and areas, contributing to our understanding of how antibiotics are used in these countries. In addition, the report documents early efforts of the WHO and participating countries to monitor antimicrobial consumption, describes the WHO global methodology for data collection, and highlights the challenges and future steps in monitoring antimicrobial consumption. (World Health Organization (WHO))

WIC-Medicaid II Feasibility Study: Final Report (September 2018)  This report presents findings from the WIC-Medicaid II Feasibility Study (WM-II). The goal of WM-II was to assess the feasibility of repeating and potentially expanding two previous studies within current (2010) policy and participation environments. These two studies looked at associations between WIC participation and health outcomes and Medicaid costs. (Economic Research Service (ERS), USDA)

West Nile Virus and Other Nationally Notifiable Arboviral Diseases — United States, 2017  In 2017, eastern equine encephalitis virus transmission via organ transplantation was reported for the first time. More cases of Jamestown Canyon and Powassan virus neuroinvasive disease were reported in 2017 than in any previous year. (Morbidity and Mortality Weekly Report (MMWR))

What Does the Outcome of the Midterm Elections Mean for Medicaid Expansion?  This fact sheet highlights key states in which the results of the 2018 midterm elections have implications for Medicaid expansion adoption or implementation. (Kaiser Family Foundation (KFF))

What Explains the Widespread Material Hardship among Low-Income Families with Children?  Using data from the December 2017 round of the Urban Institute’s Well-Being and Basic Needs Survey, this brief assesses the prevalence of material hardship among parents living with children under age 19, how this varies by family income and ages of children, and the characteristics of low-income parents who report hardships. It then identify factors associated with an increased or reduced risk of material hardship among parents with low incomes, defined as family income below 200 percent of the federal poverty level. (Urban Institute)

What Is the Status of Women’s Health and Health Care in the U.S. Compared to Ten Other Countries?  This brief compares U.S. women’s health status, affordability of health plans, and ability to access and utilize care with women in 10 other high-income countries by using international data. (Commonwealth Fund)

What Works? Social and Economic Opportunities to Improve Health for All  This report outlines key steps toward building healthier and more equitable communities and features specific policies and programs that can improve social and economic opportunities and health for all. Policies and programs that are likely to reduce unfair differences in health outcomes are emphasized. (County Health Rankings & Roadmaps)

What's New for 2019 MeSH  MeSH is the National Library of Medicine (NLM) controlled vocabulary thesaurus that is updated annually. NLM uses the MeSH thesaurus to index articles from thousands of biomedical journals for the MEDLINE/PubMed database and for the cataloging of books, documents, and audiovisuals acquired by the library. Post highlights changes to MeSH for 2019. (National Library of Medicine (NLM), NIH)

Why the Rural Opioid Crisis Is Different From the Urban One  As deaths from heroin, fentanyl, and prescription opioids soar in the U.S., a new study looks at the geographic factors driving the drug overdose epidemic. (CityLab)

Work Requirements and Safety Net Programs  Paper analyzes those who would be impacted by an expansion of work requirements in SNAP and an introduction of work requirements into Medicaid. (Brookings Institution)

World AIDS Day #WAD2018 - December 1, 2018  Site provides information on HIV testing, social media promotion, events, and other resources for World AIDS Day 2018. (U.S. Department of Health and Human Services (HHS))

World AIDS Day — December 1, 2018  World AIDS Day, observed each year on December 1, draws attention to the status of the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic worldwide. Today, approximately 36.9 million persons worldwide are living with HIV infection, including 1.8 million persons newly infected during 2017 (1). An estimated 940,000 persons worldwide died from AIDS-related illnesses in 2017. (Morbidity and Mortality Weekly Report (MMWR))

World Diabetes Day  World Diabetes Day (WDD) was created in 1991 by IDF and the World Health Organization in response to growing concerns about the escalating health threat posed by diabetes. World Diabetes Day became an official United Nations Day in 2006 with the passage of United Nation Resolution 61/225. It is marked every year on 14 November, the birthday of Sir Frederick Banting, who co-discovered insulin along with Charles Best in 1922.

Wound Botulism Outbreak Among Persons Who Use Black Tar Heroin — San Diego County, California, 2017–2018  During September 2017–April 2018, nine cases of wound botulism were reported in San Diego County, California; all patients reported injecting heroin, and seven used black tar heroin, including subcutaneous injection in six patients. Symptoms were first attributed to drug intoxication for four patients; two received the opioid overdose reversal medication naloxone without improvement in symptoms. One patient died.

Young Leaders Visualize Health Equity  The National Academy of Medicine (NAM) is calling on young leaders, ages 5-26, to use art to explore how the social determinants of health play a role in shaping their lives and their communities, and what it might look and feel like to one day live in a world where everyone has the same chance to be healthy, safe, and happy. The submission deadline is February 28, 2019. (National Academy of Medicine)

Youth and the Opioid Epidemic  Open-access article published in Pediatrics reviews the development of the current opioid addiction treatment system, examines shortfalls in regard to youth-specific needs, and proposes suggestions for addressing the current crisis while simultaneously preparing to address future epidemics of addiction by enabling pediatricians to better manage substance use disorders in primary care. (American Academy of Pediatrics (AAP))

“Health Is Wealth”: A Conversation with the U.S. Surgeon General  In this podcast with Dr. Raphael Bostic, the President and CEO of the Federal Reserve Bank of Atlanta, and Dr. Jerome Adams, the Surgeon General of the United States, discuss the connection between health and wealth. (Build Healthy Places Network)


Preventing Suicide in Tribal Communities—and Beyond   - Each September 10, the International Association for Suicide Prevention sponsors World Suicide Prevention Day. Suicide rates have increased significantly since 1999 in almost every state, but suicide affects some groups far more than others. American Indian and Alaska Native youth ages 15-24 die by suicide at a rate four times the overall rate for this age group. (Substance Abuse & Mental Health Services Administration (SAMHSA), HHS)


Get Ready: Hurricane Florence Targets East Coast   - As the likelihood that Hurricane Florence will strike somewhere along the East Coast increases, residents are encouraged to make preparations ahead of a potential landfall. Check out the list of disaster information resource that can help before and after a storm or other weather emergency. (National Network of Libraries of Medicine (NN/LM))


Recovery Month: A Time of Celebration and Hope   - September is National Recovery Month. To help the millions of people with a mental and substance use disorders, Recovery Month serves to educate Americans about the benefits of treatment and recovery services. (Substance Abuse & Mental Health Services Administration (SAMHSA), HHS)



PHQIX Transitions to a New Home and a New Look   - It’s now time for PHQIX to move to the next phase of supporting the public health field in continuing to work on quality improvement. In fulfilling that next phase, PHQIX will transition to a new online learning platform supported by the Public Health Accreditation Board (PHAB). It will take a few months to achieve the full transition. (Public Health Quality Improvement Exchange)


National Preparedness Month: Make and Practice Your Plan   - September is National Preparedness Month (NPM), a reminder to prepare ourselves and our families now and throughout the year. This year’s theme focuses on planning: Disasters Happen. Prepare Now. Learn How. (National Network of Libraries of Medicine (NN/LM))



Genetics and pollution drive severity of asthma symptoms   - Asthma patients, with a specific genetic profile, exhibit more intense symptoms following exposure to traffic pollution, according to researchers at the National Institutes of Health and collaborators. The study appeared online in Scientific Reports. (National Institutes of Health (NIH), HHS)




The Global HIV/AIDS Epidemic   - Fact sheet provides updated statistics and information on global HIV/AIDs response, global prevalence, vulnerable populations, prevention and treatment, global goals set by WHO and the UN, and U.S. government efforts. (Kaiser Family Foundation (KFF))






Breastfeeding Report Card: United States, 2018   - To track our nation's progress on achieving the Healthy People 2020 goals, CDC's 2018 Breastfeeding Report Card provides a compilation of data on breastfeeding practices and supports in all states, the District of Columbia (DC), Puerto Rico, Guam, and the US Virgin Islands. (Centers for Disease Control and Prevention (CDC), HHS)


State Strategies to Address Opioid Abuse   - Blog post outlines innovative strategies states have adopted to allow them to expand access to medication-assisted treatment, or MAT. (Council of State Governments)




To Improve Health Disparities, Focus on Oral Health   - A team from our Clinical Scholars program believes that addressing oral health disparities can improve overall health and well-being, and help end cycles of poverty. They are bringing oral health to the community through school clinics, an app and an oral health protocol development for nurses, physicians, dentists and dental hygienists. (Robert Wood Johnson Foundation (RWJF))





Airport Public Health Preparedness and Response: Legal Rights, Powers, and Duties   - Report addresses the legal issues concerning the measures to detect communicable diseases, regulations to control communicable diseases, methods for decontamination, emergency legal preparedness, privacy, and potential sources of liability; and provides a checklist that airport attorneys and other staff can use to help prepare, plan, and coordinate with their partners in response to a threat of a communicable disease. (National Academies of Science, Engineering, and Medicine (NASEM))





Slide Sets: HIV Mortality (through 2016)   - Slide set presents trends in rates and distributions of deaths in the United States, focusing on deaths due HIV infection. (Centers for Disease Control and Prevention (CDC), HHS)


Workforce Safety for Syringe Service Programs   - This fact sheet provides best practices for ensuring workforce safety at Syringe Services Programs (SSPs), guidance for developing an Exposure Control Plan, and a quick reference checklist that SSPs can use to identify their capacity building needs in this area.






The HPV Vaccine: Access and Use in the U.S.   - This factsheet discusses HPV and related cancers, use of the HPV vaccines for both females and males, and insurance coverage and access to the vaccines. (Kaiser Family Foundation (KFF))



CDC's Tracking Network in Action: Extreme Heat   - CDC's Environmental Public Health Tracking Network provides data and tools that you can use to see how extreme heat may affect your health. (Centers for Disease Control and Prevention (CDC), HHS)


Population Health Twitter Brainstorm   - August 14, 2018 10:30-11:00am ET. The Johns Hopkins Bloomberg School of Public Health (@JohnsHopkinsSPH) and the Health and Medicine Division (@NASEM_Health) will co-host a Twitter brainstorm on important questions for the population health field in the next decade. The chat will use the hashtag #pophealthRT. (National Academies of Science, Engineering, and Medicine (NASEM))



State Policy Approaches to Incorporating Doula Services into Maternal Care   - A growing body of evidence suggests that continuous support from doulas or other non-clinical labor support can improve birth outcomes for both mothers and infants, fewer preterm and low-birth weight infants, and reductions in cesarean sections. (Association of State and Territorial Health Officials (ASTHO))


Notification of patient overdose deaths reduces clinician opioid prescriptions   - Clinicians were more likely to reduce the number and dose of opioid drugs they prescribed after learning that one of their patients had died from an overdose from a controlled substance than those not notified, according to a recent study appearing in the August 10 issue of Science. (National Institutes of Health (NIH), HHS)






Update: Interim Guidance for Preconception Counseling and Prevention of Sexual Transmission of Zika Virus for Men with Possible Zika Virus Exposure - United States, August 2018   - CDC now recommends that men with possible Zika virus exposure who are planning to conceive with their partner wait at least 3 months after symptom onset or their last possible Zika virus exposure before engaging in unprotected sex. This updated timeframe also applies to prevent sexual transmission of Zika virus. (Morbidity and Mortality Weekly Report (MMWR))




National Variation in Opioid Prescribing and Risk of Prolonged Use for Opioid-Naive Patients Treated in the Emergency Department for Ankle Sprains   - Between 2011 and 2015, nearly one in four patients with ankle sprains were prescribed opioids in the emergency department. The overall prescribing rate declined during the study period, but varied significantly by state, ranging from 2.8% in North Dakota to 40% in Arkansas. (University of Pennsylvania, Leonard Davis Institute of Health Economics (LDI))


Preventing Prescription Opioid Overdoses in New York State   - Like many states, New York is suffering from the consequences of the opioid overdose epidemic. There has been a dramatic increase in the number of overdoses due to both prescription and illicit drug use in recent years. Overdoses are killing people of all races and ages. The New York State Department of Health (NYSDOH) is coordinating statewide prevention interventions to save lives and prevent opioid overdoses. (Centers for Disease Control and Prevention (CDC), HHS)







Genetic tests confirm separate DRC Ebola outbreak; vaccination begins tomorrow   - A genetic analysis of the Ebola virus from a new outbreak of the disease in Democratic Republic of the Congo's (DRC's) North Kivu province confirms that it isn't related to a recent outbreak in Equateur province, and other lab testing has confirmed three more cases in the latest outbreak. (University of Minnesota, Center for Infectious Disease Research & Policy (CIDRAP))


Zika in Babies in US Territories   - This issue of <I>Vital Signs</I> focuses on prevention, treatment, and surveillance of Zika in infants. (Centers for Disease Control and Prevention (CDC), HHS)


BE Active Slides and Talking Points   - This slide deck with talking points can help public health professionals and community leaders spread the word about the BE Active resources to promote and increase physical activity in their communities. (Centers for Disease Control and Prevention (CDC), HHS)










Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop   - Proceedings from a March 2018 workshop to identify and understand approaches to aligning health care system incentives with the American public's need for a health care system that is prepared to manage acutely ill and injured patients during a disaster, public health emergency, or other mass casualty event. (National Academies of Science, Engineering, and Medicine (NASEM))



HHS announces grantees for Title X family planning program services   - Today, the U.S. Department of Health and Human Services (HHS) Office of Population Affairs announced the 96 grantees to whom HHS intends to award Title X family planning service grants for fiscal year 2018. Twelve of the intended awards go to grantees who are new to Title X. (U.S. Department of Health and Human Services (HHS))



Deaths Related to Hurricane Irma - Florida, Georgia, and North Carolina, September 4-October 10, 2017   - CDC's Emergency Operations Center collaborated with state health departments in Florida, Georgia, and North Carolina to collect and analyze Hurricane Irma-related mortality data to understand the main circumstances of death. The most common circumstance-of-death categories were exacerbation of existing medical conditions and power outage. Further analysis revealed two unique subcategories of heat-related and oxygen-dependent deaths in which power outage contributed to exacerbation of an existing medical condition. (Morbidity and Mortality Weekly Report (MMWR))





National Immunization Awareness Month 2018   - August 2018 is National Immunization Awareness Month (NIAM), an annual observance sponsored the National Public Health Information Coalition (NPIC). NIAM raises awareness about the important role vaccines play in preventing serious, sometimes deadly diseases across the lifespan. (Public Health Foundation (PHF))


Notice To Announce Commission of a Surgeon General's Report on Oral Health   - The U.S. Public Health Service's Oral Health Coordinating Committee announces the commission of a Surgeon General's Report presenting prominent issues affecting oral health. The report will document progress in oral health in the twenty years since the 2000 Surgeon General's Report on Oral Health, identify existing knowledge gaps, and articulate a vision for the future. (U.S. Department of Health and Human Services (HHS))





National WIC Breastfeeding Week 2018   - The USDA has declared August 1-7, 2018 National WIC Breastfeeding Week and has just launched a new <a href="">WIC Breastfeeding Support</a> portal. (U.S. Department of Agriculture (USDA))