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            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.


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 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)


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 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 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 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 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))


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))


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)


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 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 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 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)


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))


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))


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 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))


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)


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))


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))


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)


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)


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))


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)


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 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 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 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 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 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: 165 Years After Broad Street: Progress in Spatial/Temporal Analysis to Identify Infectious Disease Outbreaks  A special feature in Health Security will be devoted to geographic information systems (GIS), remote sensing, spatial/temporal analysis, and disease modeling as they pertain to the prevention, detection, or prediction of infectious disease outbreaks that threaten public health security. This special issue seeks papers that focus on infectious diseases with moderate to high potential to cause pandemics in human, animal, or plant populations. (Johns Hopkins University, Bloomberg School of Public Health)


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 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)


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))


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)


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)


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)


Collaborative Approach for Youth Engagement in Sports  The Office of the Assistant Secretary for Health expects to release a funding opportunity in December 2018 seeking to create opportunities for sports participation where none or few currently exist; particularly in racial/ethnic minority, low income and disadvantaged communities. (Office of the Assistant Secretary for Health (OASH), HHS)


Collecting Violent Death Information Using the National Violent Death Reporting System (NVDRS)  In January 2019, the CDC will release a new funding opportunity that builds on previous and current work within the Division of Violence Prevention (DVP) at the Centers for Disease Control and Prevention (CDC) to conduct surveillance of violence and to prevent violence. (Centers for Disease Control and Prevention (CDC), HHS)


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))


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))


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)


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 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 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 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)


Demographics Dashboard  The data.hrsa.gov 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: 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 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))


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 Recommendation Statement: Prevention of Human Immunodeficiency Virus (HIV) Infection: Pre-Exposure Prophylaxis  The US Preventive Services Task Force is requesting public comments on their new draft recommendation statement on offering PrEP to persons at high risk of acquiring HIV. The comment period expires on December 26, 2018. (U.S. Preventive Services Task Force (USPSTF))


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))


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))


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  The CDC expects to post a funding opportunity in January 2019 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)


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)


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))


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 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)


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 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 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).


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)


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))


Grants to Support New Investigators in Addressing Cross-Cutting Violence Prevention and Opioid Overdose Prevention  The National Center for Injury and Prevention Control (NCIPC) intends to provide support and 75% “protected time” for an intensive, supervised (mentored) career development experience to develop new researchers in the fields of opioid overdose prevention and cross-cutting violence prevention. The funding synopsis is estimated to be released in December 2018. (National Center for Injury Prevention and Control, CDC)


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 (https://www.cancer.org/healthy/stay-away-from-tobacco/great-american-smokeout.html). (Morbidity and Mortality Weekly Report (MMWR))


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 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 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 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)


Healthiest Communities Data Challenge  Challenge seeks ideas on how to leverage the available data in the Healthiest Communities rankings, a collaboration between the Aetna Foundation and U.S. News & World Report, to make them more actionable and drive better health outcomes in communities. (AcademyHealth)


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)


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)


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 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 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 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 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)


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 Project  The CDC will be releasing a grant opportunity in January 2019 to support development, implementation, assessment, and promotion of immunization related activities with the goal of achieving and sustaining high immunization coverage. (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 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 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))


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))


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 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))


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 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)


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 FindHelpNowKY.org 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)


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))


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 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)


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)


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 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))


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)


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))


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’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))


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)


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)


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 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 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 (https://www.cdc.gov/features/ngmhaad/index.html) 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 Latinx AIDS Awareness Day — October 15, 2018  National Latinx AIDS Awareness Day (https://www.cdc.gov/Features/LatinoAIDSAwareness), 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))


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 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 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))


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: 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 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)


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)


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))


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-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)


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)


Overdose Prevention in States: Data to Action  The CDC will be releasing a new funding opportunity in February 2019 for work focused on: increasing comprehensiveness and timeliness of surveillance data; building state and local capacity for public health programs determined to be promising based on research evidence; making Prescription Drug Monitoring Programs (PDMPs) easier to use and access; and working with health systems, insurers, and communities to improve opioid prescribing. It adds new work focused on linkages to care and other areas of innovation supported by evidence-based practice. (Centers for Disease Control and Prevention (CDC), HHS)


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))


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)


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)


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))


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 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)


Preventing Violence Against Women in Priority Communities through Expanded Services  The Office of the Assistant Secretary for Health will be releasing a funding opportunity in December 2018 to encourage a focus on preventing and responding to violence against women in these and other priority communities. Harmful social norms, including social constructs around what it means to be a woman or a man, contribute to the risk of perpetrating violence against women. As such, this FOA encourages applications from organizations and coalitions working to prevent violence against women by transforming harmful gender norms through women’s empowerment and male engagement efforts. (Office of the Assistant Secretary for Health (OASH), 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))


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 Comment for Healthy People 2030  The U.S. Department of Health and Human Services (HHS) is soliciting written comments regarding the Healthy People 2030 objectives. The public comment period will be open from December 3, 2018 through January 17, 2019. (Kaiser Health News (KHN))


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 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 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)


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)


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)


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): Epidemiology of Opioid Use and Consequences- What is needed to understand and solve the crisis  The National Institute on Drug Abuse (NIDA) is requesting feedback from researchers, community stakeholders, and other interested public parties regarding the type of epidemiologic information that would be most useful to understand the opioid crisis and to inform prevention and treatment efforts. Opioids include prescription and illicit opioids, such as heroin, illicitly manufactured fentanyl, and related analogs. (National Institute on Drug Abuse (NIDA), NIH)


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))


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))


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)


SBIRT Program for Women of Reproductive Age Misusing Opioids in Rural Primary Care Settings  The Office of the Assistant Secretary for Health will release a funding opportunity in December 2018 to modify, implement and evaluate the screening, brief intervention, and referral to treatment services (SBIRT) approach to take a rural-sensitive and approach that meet the unique needs of women. Adaptation of SBIRT may include rural specific access issues and identification of other critical linkages to services from multiple sectors including but not limited to legal assistance; law enforcement; mental health services; substance abuse treatments; and housing. (Office of the Assistant Secretary for Health (OASH), 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)


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))


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)


Sexually Transmitted Disease Surveillance Network (SSuN)  The CDC is expecting to release a funding opportunity in March 2019 for new approaches to community-based enhanced and sentinel surveillance integrating monitoring of STDs, HIV and behavioral data to identify opportunities and gaps in prevention and control efforts. (Centers for Disease Control and Prevention (CDC), HHS)


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))


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)


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 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 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)


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))


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.)


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'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))


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))


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)


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)


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


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 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 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))


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)


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))


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))


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)


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))


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))


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 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)


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))


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: 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 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 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 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))


Vector Control Collaborative: Request for Applications  NACCHO and the Centers for Disease Control and Prevention (CDC) have established the Vector Control Collaborative to match local vector control programs that have demonstrated expertise in core capabilities with vector control programs looking for guidance, tools, and recommendations to build program capabilities. NACCHO intends to award up to six entities with a maximum of $20,000 each to form mentorship pairs that will improve participant capacity to address vector-borne diseases, with an emphasis on mosquito and tick-borne disease prevention. Applications are due December 21, 2018. (National Association of County and City Health Officials (NACCHO))


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: 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 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)


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.


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)


National WIC Breastfeeding Week 2018  Aug-01-2018 The USDA has declared August 1-7, 2018 National WIC Breastfeeding Week and has just launched a new WIC Breastfeeding Support portal. (U.S. Department of Agriculture (USDA))

Gender Differences in Social Isolation and Social Support among Rural Residents (August 2018)  Aug-01-2018 This policy brief uses nationally-representative data to identify gender differences in social isolation and social support among older rural residents and provides ways to reduce social isolation and improve associated health outcomes in rural communities. (University of Minnesota)

Addressing Commuting as a Public Health Issue: Strategies Should Differ by Rurality (July 2018)  Aug-01-2018 This brief estimates the rate of solo car commuting and long (>30 minutes) solo car commutes by rurality and urban adjacency, and identifies differences in socio-demographic factors that relate to commuting behavior by geographic location. (University of Minnesota)

Targeted Policy Resource Series: State Strategies to Improve Collaboration Between Medicaid and AIDS Drug Assistance Programs (July 2018)  Aug-01-2018 This report explores how Illinois, Louisiana, New Jersey, New York, Oklahoma, Rhode Island, Washington, DC, and Wisconsin are using policy levers to more effectively deploy limited resources and provide better care to people living with HIV. (National Academy for State Health Policy (NASHP))

Notice To Announce Commission of a Surgeon General's Report on Oral Health  Aug-01-2018 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 Immunization Awareness Month 2018   Aug-01-2018 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))

K-12 Education: Lead Testing of School Drinking Water Would Benefit from Improved Federal Guidance  Aug-01-2018 GAO was asked to review school practices for lead testing and remediation. This report examines the extent to which (1) school districts are testing for, finding, and remediating lead in drinking water; (2) states are supporting these efforts; and (3) federal agencies are supporting state and school district efforts. (U.S. Government Accountability Office)

School District Crisis Preparedness, Response, and Recovery Plans - United States, 2006, 2012, and 2016   Aug-02-2018 To examine improvements over time and gaps in school preparedness plans, data from the 2006, 2012, and 2016 School Health Policies and Practices Study (SHPPS) were analyzed to assess changes in the percentage of districts meeting Healthy People 2020 school preparedness objectives. (Morbidity and Mortality Weekly Report (MMWR))

Coal Workers' Pneumoconiosis-Attributable Years of Potential Life Lost to Life Expectancy and Potential Life Lost Before Age 65 Years - United States, 1999-2016   Aug-02-2018 During 1999-2016, the mean CWP-attributable years of potential life lost per decedent increased from 8.1 to 12.6 years, likely because of increased severity and rapid progression of CWP. (Morbidity and Mortality Weekly Report (MMWR))

Deaths Related to Hurricane Irma - Florida, Georgia, and North Carolina, September 4-October 10, 2017   Aug-02-2018 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))

Diagnoses of HIV Infection Among Adults Aged 50 Years and Older in the United States and Dependent Areas 2011-2016 (August 2018)  Aug-02-2018 This document is an issue of the HIV Surveillance Supplemental Report that presents data for diagnoses of HIV infection among persons aged 50 and older for 2011-2016, reported to CDC through December 31, 2017. (Centers for Disease Control and Prevention (CDC), HHS)

HHS announces grantees for Title X family planning program services   Aug-02-2018 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))

Special Emphasis Notice (SEN): AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis  Aug-02-2018 The purpose of this Notice is to inform the research community that the Agency for Healthcare Research and Quality (AHRQ) is interested in receiving health services research grant applications to advance our nation's understanding of the opioids crisis and provide solutions for addressing it. (Agency for Healthcare Research and Quality (AHRQ), 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   Aug-03-2018 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))

A collaborative translational research framework for evaluating and implementing the appropriate use of human genome sequencing to improve health  Aug-03-2018 Study discusses a translational research framework that features collaboration among multiple health systems with already available genome sequencing data, intervention information, and clinical outcomes. (Public Library of Science)

Price Variability Across Food Product and Vendor Type in Food Benefit Redemptions Under the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)   Aug-03-2018 This report examines variability in WIC food transaction prices across store formats and WIC State agencies in the Midwest, Western, Southwest, and Mountain Plains using purchase-level data on 2014 Electronic Benefit Transfer transactions. (Economic Research Service (ERS), USDA)

PHF Partners with Tribes to Support Tribal Drinking Water Program Improvement   Aug-03-2018 The Public Health Foundation (PHF), with support from the Centers for Disease Control and Prevention National Center for Environmental Health, is collaborating to provide technical assistance and training for Tribal drinking water programs around the country. (Public Health Foundation (PHF))

Adolescent E-Cigarette, Hookah, and Conventional Cigarette Use and Subsequent Marijuana Use   Aug-07-2018 Open access article examined whether adolescent electronic cigarette (e-cigarette), hookah, or combustible cigarette use is associated with initiating and currently using marijuana as well as using both tobacco and marijuana concurrently. (American Academy of Pediatrics (AAP))

School-based drug and violence prevention and mental health promotion  Aug-07-2018 Brief focuses on policies and programs that support foundational protective factors for children, such as health literacy, impulse control, communication skills, school engagement and opportunities for positive social involvement. (Health Policy Institute of Ohio)

Three-Part Series: Improving Care for People Living with HIV: Opportunities for State Medicaid-Ryan White HIV/AIDS Program Collaboration   Aug-07-2018 This three-part series explores policy levers and strategies that states are utilizing to focus limited resources and provide comprehensive and accessible care to people living with HIV. (National Academy for State Health Policy (NASHP))

Medicaid and CHIP Levers to Promote Lead Screening and Treatment: Indiana's Experience   Aug-07-2018 This study explores Indiana's efforts to promote lead screening and treatment within its Medicaid and Children's Health Insurance Program. (National Academy for State Health Policy (NASHP))

Rocky Mountain Spotted Fever (and other tickborne diseases) Toolkit for Healthcare Providers with Continuing Education   Aug-08-2018 Toolkit includes video, pocket physician card, clinical timeline, and manual on Rocky Mountain Spotted Fever. (Centers for Disease Control and Prevention (CDC), HHS)

BE Active Slides and Talking Points  Aug-08-2018 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)

Zika in Babies in US Territories   Aug-08-2018 This issue of Vital Signs focuses on prevention, treatment, and surveillance of Zika in infants. (Centers for Disease Control and Prevention (CDC), HHS)

Genetic tests confirm separate DRC Ebola outbreak; vaccination begins tomorrow   Aug-08-2018 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))

Cross-Jurisdictional Sharing Implementation and Impact Measurement Program (April 2018)  Aug-08-2018 Report summarizes the findings from four cross-jurisdictional sharing (CJS)impact measurement projects in Michigan, Minnesota, North Dakota, and Wisconsin. (Center for Public Health Sharing)

The Relationship Between Work and Health: Findings from a Literature Review  Aug-08-2018 This brief examines literature on the relationship between work and health and analyzes the implications of this research in the context of Medicaid work requirements. (Kaiser Family Foundation (KFF))

Changes in Influenza Vaccination Requirements for Health Care Personnel in US Hospitals   Aug-08-2018 Study compares the proportion of respondent hospitals requiring HCP to receive annual influenza vaccination between 2013 and 2017 and to assess the degree to which these proportions differed between Veterans Affairs (VA) and non-VA hospitals. (American Medical Association (AMA))

Non-Medical Opioid Use among Rural and Urban Pregnant Women, 2007-2014 (August 2018)  Aug-08-2018 This brief presents data on rural-urban differences in non-medical opioid use among pregnant women to inform policy, programmatic, and clinical efforts to address this crisis. (University of Minnesota)

Assessing Effectiveness and Cost-Benefit of the Trinity Hospital Twin City Fit For Life Program for Weight Loss and Diabetes Prevention in a Rural Midwestern Town   Aug-08-2018 This article reports on the Fit For Life (FFL) health education program designed to address the determinants of obesity in rural settings and help participants lose weight. (Centers for Disease Control and Prevention (CDC), HHS)

Preventing Prescription Opioid Overdoses in New York State   Aug-09-2018 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)

National Variation in Opioid Prescribing and Risk of Prolonged Use for Opioid-Naive Patients Treated in the Emergency Department for Ankle Sprains   Aug-09-2018 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))

Opioid Use Disorder Documented at Delivery Hospitalization - United States, 1999-2014   Aug-09-2018 National opioid use disorder rates at delivery more than quadrupled during 1999-2014. Rates significantly increased in all 28 states with 3 years of data. (Morbidity and Mortality Weekly Report (MMWR))

Naloxone Administration Frequency During Emergency Medical Service Events - United States, 2012-2016   Aug-09-2018 Analysis of a national database of EMS events found that from 2012 to 2016, the rate of naloxone administrations increased 75.1%, from 573.6 to 1004.4 per 100,000 EMS events, mirroring a 79.7% increase in the age-adjusted opioid mortality rate. (Morbidity and Mortality Weekly Report (MMWR))

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   Aug-09-2018 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))

Healthcare consumerism 2018: An update on the journey  Aug-09-2018 Survey of healthcare consumers found they desire affordability, continuity, digital tools, and engagement.(McKinsey)

Buprenorphine and the Opioid Crisis: A Primer for Congress   Aug-09-2018 This report addresses questions policymakers may have about the effectiveness of buprenorphine, the demand for buprenorphine, and access to buprenorphine. (CSR Reports)

Health Impacts of Opioid Misuse in Alaska (August 2018)  Aug-10-2018 This report utilizes current data from multiple data sources to provide an overview on the use patterns, trends, morbidity, and mortality associated with opioid use in Alaska. (State of Alaska Epidemiology)

Making Alzheimer's Our Next Public Health Success Story (2018)  Aug-10-2018 With a strong response, public health can mitigate the future impacts of Alzheimer's and other dementias, especially among vulnerable populations. (Centers for Disease Control and Prevention (CDC), HHS)

Notification of patient overdose deaths reduces clinician opioid prescriptions  Aug-10-2018 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)

State Policy Approaches to Incorporating Doula Services into Maternal Care   Aug-10-2018 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))

Maine's Physician, Nurse Practitioner, and Physician Assistant Workforce in 2018 (July 2018)  Aug-10-2018 This report uses two sources of data to describe Maine's 2018 physician, nurse practitioner (NP), and physician assistant (PA) workforce supply: Maine health professions license data and the American Medical Association Physician Masterfile. (University of Washington)

Population Health Twitter Brainstorm  Aug-10-2018 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))

CDC's Tracking Network in Action: Extreme Heat   Aug-13-2018 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)

Understanding and Overcoming the Challenge of Obesity and Overweight in the Armed Forces: Proceedings of a Workshop-in Brief  Aug-13-2018 Brief summary of a May 2018 workshop which examined the magnitude of obesity and overweight in the military, highlighted existing approaches that support a healthy weight, and explored innovative cross-sector opportunities to overcome this challenge. (National Academies of Science, Engineering, and Medicine (NASEM))

The HPV Vaccine: Access and Use in the U.S.   Aug-14-2018 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))

The Opioid Epidemic: National Trends in Opioid-Related Overdose Deaths from 2000 to 2016 (June 2018)  Aug-14-2018 This brief provides high-level information about opioids and opioid addiction, presents the historical context for the epidemic of opioid-related addiction and mortality in the United States, and examines trends in opioid-related mortality across the country and among population subgroups. (State Health Access Data Assistance Center (SHADAC))

Long-term Outcomes of Lifestyle Intervention to Prevent Diabetes in American Indian and Alaska Native Communities: The Special Diabetes Program for Indians Diabetes Prevention Program   Aug-14-2018 This article reports long-term outcomes, for up to 10 years, of long-term translational effectiveness of lifestyle interventions to prevent diabetes in American Indian and Alaska Native (AI/AN) communities. (American Diabetes Association)

Increasing Colorectal Cancer Screening in Health Care Systems Using Evidence-Based Interventions  Aug-14-2018 Article discusses the Colorectal Cancer Control Program (CRCCP), funded by the CDC, which aims to increase CRC screening rates among medically underserved populations (Centers for Disease Control and Prevention (CDC), HHS)

Increasing Access to Medication-Assisted Treatment for Opioid Use Disorders   Aug-15-2018 Dissertation measures access to buprenorphine, the fastest growing form of medication-assisted treatment, and the effects of demand side interventions aiming to tackle the opioid problem in America. (RAND Corporation)

Workforce Safety for Syringe Service Programs   Aug-15-2018 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.

Slide Set: HIV Mortality (through 2015)  Aug-15-2018 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)

The Opioid Epidemic: What Veterinarians Need to Know   Aug-15-2018 Resource outlines what steps can veterinarians take if they stock and administer opioids. (U.S. Food & Drug Administration (FDA), HHS)

Mayor Emanuel Announces Five Times More Residents Receive HIV Care, Compared to 2015   Aug-15-2018 Mayor Rahm Emanuel and the Chicago Department of Public Health (CDPH) just announced that so far this year, the city has served 1,814 people living with HIV in Chicago as the city continues to expand HIV primary care support.

Prevalence of Disabilities and Health Care Access by Disability Status and Type Among Adults - United States, 2016  Aug-16-2018 In 2016, using the HHS six-question set on the BRFSS, one in four (61 million) U.S. adults reported any disability; nearly 6% reported hearing disability. Adults with disabilities, particularly those aged 18-44 and 45-64 years, experienced disparities in health care access by disability type. (Morbidity and Mortality Weekly Report (MMWR))

Airport Public Health Preparedness and Response: Legal Rights, Powers, and Duties  Aug-16-2018 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))

Prevalence of Five Health-Related Behaviors for Chronic Disease Prevention Among Sexual and Gender Minority Adults - 25 U.S. States and Guam, 2016   Aug-16-2018 Study examined five health behaviors (physical activity, smoking, alcohol, normal body weight, and sufficient daily sleep) in LGBT persons using the BRFSS survey. (Morbidity and Mortality Weekly Report (MMWR))

Contraceptive Use Among Women at Risk for Unintended Pregnancy in the Context of Public Health Emergencies - United States, 2016  Aug-16-2018 Data collected from the BRFSS was used to determine contraceptive use among women of childbearing age. (Morbidity and Mortality Weekly Report (MMWR))

Health Justice for People Experiencing Homelessness: Confronting the U.S. Public Sanitation and Hygiene Crisis (July 2018)  Aug-16-2018 Issue brief provides a menu of legal and policy opportunities to advance equitable access and health justice for people experiencing homelessness. (Network for Public Health Law)

To Improve Health Disparities, Focus on Oral Health   Aug-17-2018 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))

Readiness for Responding to a Severe Pandemic 100 Years After 1918  Aug-17-2018 Article assesses public health and health care readiness for the 1918 influenza outbreak and looks at developments in the last 100 years that have improved readiness for a pandemic. (Oxford University Press)

Best Practices for Participant and Stakeholder Engagement in the All of Us Research Program   Aug-17-2018 Report identifies six best practices for engagement in the All of Us program: expanding community partnerships, fostering a spectrum of leadership, engaging a mix of study champions, making precision medicine relevant to communities, building a diverse engagement team, and preparing to talk about uncertainties related to the study. (RAND Corporation)

State Strategies to Address Opioid Abuse   Aug-17-2018 Blog post outlines innovative strategies states have adopted to allow them to expand access to medication-assisted treatment, or MAT. (Council of State Governments)

Breastfeeding Report Card: United States, 2018  Aug-20-2018 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)

Substance Use Disorder Treatment Policy Recommendations for the State of Wisconsin (July 2018)  Aug-20-2018 Pew conducted a full system assessment to inform recommendations for Wisconsin on timely, comprehensive, evidence-based, and sustainable treatment for substance use disorder. (Pew Charitable Trusts)

Texting/emailing while driving among high school students in 35 states, United States, 2015  Aug-21-2018 This study used 2015 data to explore individual and state-level factors associated with texting while driving among teen drivers (14-18 years of age) in the United States. (Centers for Disease Control and Prevention (CDC), HHS)

NIH officials: closing treatment gaps critical to ending the U.S. HIV epidemic   Aug-21-2018 Disparities in achieving HIV suppression explored in related NIH-funded study. (National Institutes of Health (NIH), HHS)

Why Hospitals Are Getting Into The Real Estate Business   Aug-21-2018 Hospitals have begun to invest in housing to improve the health of their high-risk patients. (National Public Radio (NPR))

The Global HIV/AIDS Epidemic   Aug-21-2018 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))

When Regulations Block Access to Oral Health Care, Children at Risk Suffer  Aug-21-2018 This brief describes a range of state-based regulations or policies that either limit or prohibit dental hygienists from sealing children's teeth at school, or create financial burdens that work against the expansion of school sealant programs. (Pew Charitable Trusts)

From Disparities to Discrimination: Getting at the Roots of Food Insecurity in America  Aug-22-2018 Report highlights emerging research from Philadelphia that documents differences in food insecurity in relation to experiences with racial and ethnic discrimination on the street, in healthcare, school and work, with the police, and in other settings. (Children's HealthWatch)

Genetics and pollution drive severity of asthma symptoms  Sep-04-2018 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 Power of Preparedness: Prepare Your Health  Sep-04-2018 Being prepared with supplies and an Emergency Action Plan can help you protect the health of your family until help arrives. (Centers for Disease Control and Prevention (CDC), HHS)

National Preparedness Month: Make and Practice Your Plan  Sep-04-2018 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))

PHQIX Transitions to a New Home and a New Look  Sep-04-2018 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)

Academic health department partnerships boost training: Joining with schools benefits students  Sep-04-2018 Highlights the value of academic health department (AHD) partnerships – formal partnerships between health departments and academic institutions – and shares examples from health departments and academic institutions that are meeting the needs of their communities through this collaborative approach. (American Public Health Association (APHA))

Recovery Month: A Time of Celebration and Hope  Sep-04-2018 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)

Get Ready: Hurricane Florence Targets East Coast  Sep-10-2018 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))

Preventing Suicide in Tribal Communities—and Beyond  Sep-10-2018 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)