Public Health Review Morning Edition 1064: From Formula Recall to Federal Grants: How Public Health Responds Under Pressure
Two very different challenges, and one shared public health reality: systems have to work when it matters most. In this episode, we speak with Dr. Erica Pan, director and state public health officer for the California Department of Public Health, and ASTHO member, about a rare and unprecedented infant botulism outbreak linked to contaminated infant formula. She explains how California’s unique Baby BIG® treatment program, home to the only infant botulism treatment in the world, helped detect a national pattern, how states coordinated with CDC and FDA, and the logistical strain of managing treatment supply, clinician hotlines, and public communication during a fast-moving emergency. Then, Alex Wheatley, senior director of island support at ASTHO, joins us to discuss a different kind of pressure point: helping U.S. Island jurisdictions navigate complex federal grant systems. She outlines a new resource designed to bridge gaps between federal funders and local health agencies, reduce misunderstandings, and build stronger, trust-based partnerships, especially when timelines, administrative processes, and time zones don’t align.
State Health Agencies’ Role in Implementing Pharmacist-Prescribed Contraception | ASTHO