Public Health Review Morning Edition

What if public health agencies could access better, faster, and more complete data without giving up control? In this episode, we sit down with Dr. Jen Layden, senior vice president of population and innovation at ASTHO, to explore the new Public Health Data Consortium and what it means for the future of public health decision-making.  Dr. Layden explains how this unique public–private partnership is designed to improve data access, quality, and analytics while keeping governance firmly in the hands of state and territorial health agencies. She discusses why mortality data is a critical starting point, how emerging technologies like APIs and advanced analytics can help close long-standing data gaps, and what new insights could come from linking public health data with sources like pharmacy, claims, and real-world data.Leadership Power Hour: Your Launchpad for Impact | ASTHO

Today, two conversations highlight how policy shapes public health, both in communities and on Capitol Hill.  First, Beth Giambrone, Senior Analyst for State Health Policy at ASTHO, explains how states are rethinking their approach to hypertension. From telehealth and remote blood pressure monitoring to expanded insurance coverage, policymakers are leveraging new technology to improve heart health across the lifespan. Later, Jeffrey Ekoma, ASTHO’s Senior Director of Government Affairs, shares what’s top of mind in Washington in preparing for ASTHO’s upcoming Hill Day, from FY26 and FY27 appropriations to protecting public health infrastructure funding, navigating grant terminations. Jeffrey outlines key advocacy priorities, including sustained federal investment, workforce stability, and emerging issues such as vaccines, preparedness, and federal leadership transitions.Preventing Hypertension Through State Policy Efforts | ASTHOLeadership Power Hour: Your Launchpad for Impact | ASTHOCameron Webb BioFour Ways Public Health Agencies Are Strengthening Grants Management | ASTHO

A major measles outbreak is testing public health systems, community trust, and the power of vaccination. In this episode, Dr. Brannon Traxler, ASTHO member and Deputy Director of Health Promotion and Services & Chief Medical Officer, South Carolina Department of Public Health, shares the latest update on the state’s response, with nearly 1,000 confirmed cases since October 2025. She explains why vaccination remains the cornerstone of outbreak control, how rapid case identification and contact tracing are helping to slow transmission, and what health officials are learning about spread within large, close-knit households.  Then, Heather Tomlinson, Senior Analyst of Environmental Health at the Association of State and Territorial Health Officials, breaks down the growing presence of kratom in U.S. markets. She explains its traditional use in Southeast Asia, how modern products differ from natural leaf preparations, and why highly concentrated or synthetic compounds are raising new health concerns. With federal guidance still evolving, states are developing a patchwork of policies—offering lessons for how public health can respond to emerging psychoactive substances.youtube.com/watch?v=cNt_Wgu8LqEKratom 101: What You Need to Know | ASTHOASTHO (@ASTHO) on XAssociation of State and Territorial Health Officials (@asthonews.bsky.social)Association of State and Territorial Health Officials (@asthonews) • Instagram profilehttps://www.linkedin.com/company/association-of-state-and-territorial-health-officials/ASTHO (Association of State and Territorial Health Officials)

Public health is everywhere, but too often, people don’t see it. In this episode, we explore how the field can build a stronger future by investing in the next generation of professionals and improving how it communicates its value to the public. Dr. Kimberly Wyche Etheridge, Senior Vice President of Health Initiatives at ASTHO discusses why workforce pathway programs, mentorship, and hands-on partnerships between universities and health departments are critical as experienced leaders retire and workforce gaps grow. She shares why more students are choosing public health, how practical experience helps bridge the gap between theory and real-world practice, and why retaining early-career professionals requires rethinking workplace culture. From creative funding strategies to proactive pipeline development, she makes the case that investing in people today is essential for protecting community health tomorrow. Then, Brian Castrucci, President and CEO of the  de Beaumont Foundation explains why, in a recent article, he argued public health must do a better job communicating its impact. He explores how partnerships across sectors, from business and education to faith communities, can strengthen support, and why consistency, speed, and alignment in messaging are more important than ever. We also discuss how digital creators and influencers are reshaping trust, why public health should meet audiences where they already are, and what it will take to build a clear, unified value proposition for the field.Journal of Public Health Management and PracticeSubscribe | ASTHO

How can public health detect invisible threats before they become crises? In this episode, we explore two powerful approaches shaping the future of preparedness: wastewater surveillance and radiological emergency response.  First, Allison Wheeler, Manager, Wastewater Surveillance Unit Colorado Department of Public Health and Environment shares how her team detected measles in wastewater before clinical cases appeared, helping local partners identify an outbreak early and act quickly. She explains how wastewater surveillance is evolving beyond COVID-19 to monitor emerging and re-emerging diseases, track antimicrobial resistance, and strengthen early warning systems across communities.  Then, Dr. Ziad Kazzi, Professor of Emergency Medicine at Emory University and President of the American College of Medical Toxicology breaks down what a radiological incident really looks like, from accidental exposures to nuclear incidents, and why these events may be more manageable than many people assume. He discusses how mass gatherings, like global sporting events, prepare for rare but high-impact scenarios, the importance of detection and decontamination, and how health systems and emergency responders work together to protect both patients and communities.Subscribe | ASTHOMeeting Home PageMeeting Home Page

What happens when health coverage becomes unaffordable, and who’s stepping up to lead in moments like this?  This episode connects two powerful public health stories.First, we break down the ACA enhanced premium tax credits: what they were, who they helped, and what’s at stake now that they’ve expired.  Catherine Jones, Senior Analyst Government Affairs at ASTHO will explain how these pandemic-era subsidies dramatically expanded access to marketplace coverage, helping middle-income families, older adults not yet eligible for Medicare, rural residents, gig workers, and others without employer-based insurance. With premiums now rising sharply, millions may lose coverage, leading to delayed care, skipped medications, more emergency room use, rising uncompensated care costs, and even potential hospital closures, especially in rural communities. We explore how insurance coverage isn’t just a healthcare issue, but a population health issue tied to chronic disease management, maternal health, mental health services, vaccinations, and overall mortality. Then, we shift to leadership. James Bell III, Chief of Staff/Director of the Michigan Department of Health and Human Services and a Doctor of Social Work, reflects on his experience in the DELPH Leadership Program and how it reshaped how he shows up as a public health leader. From finding his voice in high-stakes rooms to practicing servant leadership, advocating for equity, and building authentic national networks, Bell describes how leadership development strengthens not just individuals, but the systems and communities they serve.ACA Enhanced Premium Tax Credits: Legislative Developments in 2025 and 2026 | ASTHODeveloping Executive Leaders in Public Health | ASTHOReducing Hypertension Through Self-Measured Blood Pressure Monitoring Programs | ASTHOAddressing Hypertension During Pregnancy Improves Maternal and Infant Health | ASTHO

Major federal investments and national guidance can shape the future of public health, but only if states can turn policy into practice. This episode looks at two sweeping developments and the on-the-groundwork required to make them matter. First, Chris Salyers, Director of Programs and Evaluation at the National Organization of State Offices of Rural Health explains the Rural Health Transformation Program (RHTP), a $50 billion, five-year investment aimed at strengthening rural communities. With no clear blueprint for moving funds at this scale, states are in the early stages of building advisory groups, navigating procurement and contracting rules, and working to ensure dollars actually reach rural providers and organizations, not just large outside entities. Salyers highlights the importance of stakeholder engagement, peer learning, and using this planning window to build systems that allow smaller, capacity-strapped rural groups to compete for funding.  Then, Shannon Vance, Director, Family and Child Health at ASTHO, breaks down the newly released 2025–2030 Dietary Guidelines for Americans and their wide-ranging implications. With chronic disease driving nearly 90% of U.S. healthcare spending, the updated guidance, including stronger limits on added sugars, greater emphasis on protein and full-fat dairy, and life-stage–specific recommendations, could reshape everything from individual eating habits to major federal nutrition programs. Vance explores the ripple effects for SNAP, WIC, and school meals, where agencies are already juggling recent rule changes, tight budgets, and supply challenges.Leadership Power Hour: Your Launchpad for Impact | ASTHOThe 2025-2030 Dietary Guidelines: Understanding the New Pyramid | ASTHOFunding & Collaboration Opportunities | ASTHOASTHO (@ASTHO) / XAssociation of State and Territorial Health Officials (@asthonews.bsky.social) — Bluesky(1) Instagram(1) LinkedInFacebook

What do infection prevention in dialysis clinics and hurricane response in the Caribbean have in common? More than you might think. This episode explores how culture, leadership, and coordination shape health outcomes, whether in a treatment chair or a disaster zone. First, Shalini Nair, a Senior Analyst of Infection Disease at ASTHO, breaks down the growing concern around dialysis-related infections and what the CDC’s Making Dialysis Safer for Patients Coalition is doing to address it. She shares frontline-informed strategies that health departments and facilities can use right now: building a “see it, say it” culture of safety, using short, role-specific training and real-time coaching, and ensuring visible leadership support that reinforces infection prevention as everyone’s responsibility.  Then, the focus shifts to disaster response with Maggie Nilz, Senior Analyst of preparedness at ASTHO and Team Rubicon, a veteran-led humanitarian organization. Nilz reflects on her decade of deployments, from chainsaw operations in U.S. disaster zones to coordinating international health response in Jamaica after a devastating hurricane. She explains how public health leadership, interagency coordination, and pre-disaster data systems are critical when hospitals are damaged, infrastructure is down, and communities still need everyday healthcare. Key Insights to Improve Infection Prevention in Dialysis Settings | ASTHOMeeting Home PageLeading Humanitarian Aid Organization in the US | Team RubiconLeadership Power Hour: Your Launchpad for Impact | ASTHOMeeting Home Page

What does public health modernization look like when you’re serving four islands, a geographically isolated population, and a community still shaped by the aftermath of major hurricanes? In this episode, Esther Ellis, Territorial Epidemiologist for the U.S. Virgin Islands Department of Health shares how PHIG (Public Health Infrastructure Grant) funding is transforming the territory’s health data systems, and why that matters far beyond technology. From launching a cloud-based immunization information system that replaced records lost after Hurricanes Irma and Maria, to implementing an electronic case reporting portal for notifiable diseases, the Virgin Islands is building a more connected, real-time public health infrastructure. Ellis explains how these systems improve vaccine tracking, outbreak response, provider reporting, and access to care, especially in a region where travel between islands requires flights or ferries and 25% of residents are uninsured.

Behind every public health response are two make-or-break factors: the people doing the work and the systems that help them work together.  First, Shirley Orr, Executive Director of the Association of Public Health Nurses discusses the Public Health Nursing Workforce Learning Lab Series Session 5 with insights from PHWINS, the nation’s only survey of the state and local public health workforce, which reached nearly 50,000 professionals. The data paints a detailed picture of who makes up today’s workforce, including an influx of younger staff, persistent leadership diversity gaps, and ongoing concerns about burnout and morale. Later, Dr. Lisa Villarroel, Chief Medical Officer for Public Health of the Arizona Department of Health Services shows us what happens when that workforce is connected in real time. Arizona’s Statewide Healthcare Collaborative Forum, a simple monthly virtual call during respiratory season, brings EMS, hospitals, post-acute care, and public health leaders together to review virus trends, hospital capacity, ED diversion, and emerging challenges. Born from pandemic lessons, the forum has led to tangible results: resolving EMS transport delays, sparking regional hospital alliances, rethinking masking policies, and aligning state data with frontline reality.Meeting Home PageMeeting Home Page