Public Health Review Morning Edition

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 | ASTHOFour 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

What do school meals, housing, paid leave, and pre-K have to do with public health? According to Trust for America's Health: everything.  In this episode, Breanca Merritt, Director of Policy at Trust for America's Health, breaks down a new report titled Promoting Health and Cost Control in States (PHACS), which tracks how states are adopting 13 evidence-based policies that improve health, reduce long-term costs, and deliver a return on investment, many of them outside traditional healthcare.  But this isn't happening in easy conditions. With federal funding shifts, post–public health emergency rollbacks, workforce strain, and growing political pressure, states are being asked to do more with less.  The report serves as both a reality check and a playbook, highlighting strategies that are working across very different political and fiscal environments. The takeaway: even in a tough moment, there are practical, evidence-based ways to move policies that improve health and strengthen communities, if sectors work together.ASTHO (@ASTHO) / XAssociation of State and Territorial Health Officials (@asthonews.bsky.social) — BlueskyAssociation of State and Territorial Health Officials (@asthonews) • Instagram photos and videosLinkedIn(1) FacebookLeadership Power Hour: Your Launchpad for Impact | ASTHO

If the United States brought home a report card on maternal and infant health, it would need a serious parent–teacher conference.  In this episode, Dr. Michael Warren, Chief Medical and Health Officer at March of Dimes breaks down the latest Report Card on birth outcomes and the headline is hard to ignore: the nation earns a D+ for preterm birth, with half of states receiving a D or F.  But this isn't just about grades. It's about what's driving poor outcomes and what public health leaders can actually do about it.  Warren, a former state and federal public health leader, also shares how officials can use the report card as more than a headline, but as a tool to build urgency, strengthen partnerships across maternal health, chronic disease, and Medicaid, and push forward policy and funding priorities.Long COVID Resources for Community Recovery | ASTHOFunding & Collaboration Opportunities | ASTHO

New technologies, from telehealth to wearables to AI, are transforming how health data is created, shared, and used. But for public health agencies, keeping pace isn't just about adopting the latest tools, it's about building systems that are flexible, trustworthy, and sustainable. In this episode, John Stinn, Deloitte Consulting Managing Director in Government and Public Services Digital Health Practices, joins us to unpack how public health agencies can navigate a rapidly evolving data landscape. He shares why starting with the problem you're trying to solve, not the technology, is essential, how thoughtful data governance and workflow design can reduce risk and control costs, and why open-source platforms and shared solutions can help agencies avoid reinventing the wheel.

What does calm leadership actually look like when everything feels urgent, political, and on fire?  In this episode, John Auerbach, Senior Vice President of Health at ICF, offers a preview of ASTHO's upcoming Insight & Inspiration webinar, Steady Hands, Steady Teams: Leading with Confidence and Composure, on February 11th, and digs into the real-world skills behind steady leadership in volatile times.  From pandemic burnout to nonstop crises, today's public health leaders are navigating faster information cycles, rising mistrust, misinformation, and exhausted teams. So how do you keep people focused, grounded, and moving forward?  We'll also hear from Dr. Manisha Juthani, ASTHO president and Connecticut Commissioner of Public Health, who is co-hosting the webinar. Webinar Registration - ZoomSubscribe | ASTHO

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 | ASTHOWebinar Registration - Zoom

Wildfire smoke is no longer a rare emergency, it's a predictable, climate-driven public health threat. In this episode, Gabriella Goldfarb, Environmental Public Health Section Manager, for the Oregon Health Authority, Public Health Division tells us why health agencies must begin outreach and coordination long before wildfire season starts. Goldfarb walks through Oregon's collaborative wildfire smoke response protocol, explaining how state, federal, tribal, and local partners translate complex data into timely public health advisories. The conversation explores the growing health risks of repeated smoke exposure, the added challenges of prescribed fires, and how transparent, empathetic communication builds trust. Listeners also learn how Oregon is investing in long-term resilience—through preparedness calls, harm reduction strategies like air filtration support, and broader climate adaptation efforts—to protect communities as smoke, heat, and other climate hazards accelerate.Partnering to Address Health Risks and Expand Communication Before and During Prescribed Fires | ASTHOCommunicating the Health Risks of Wildland Fire Smoke | ASTHO

How do public health agencies expand access to mental health support while genuinely engaging the next generation? In this episode, we speak with Heidi Laird and Xavier Foster from the Southern Nevada Health District about two PHIG-funded initiatives designed to do exactly that.  First, Heidi Laird shares how Clark County launched CredibleMind, a customizable, evidence-based mental health and wellbeing platform created in response to rising mental health needs and a shortage of providers. She explains how flexible PHIG funding made it possible to reach youth and community members with self-help resources, reduce stigma, track meaningful engagement data, and build trust through partnerships, targeted outreach, and creative promotion.  Then, Xavier J. Foster discusses the SPARK Youth Advisory Council, a pilot program elevating youth voices in public health decision-making. He highlights how youth-led initiatives—from school town halls to smoke-free campus policy efforts—are already shaping real-world outcomes, and why treating young people as collaborators is essential for building healthier communities and a future public health workforce.Public Health Infrastructure Grant: Resources & Impact - PHIG

Fatal overdoses are rising among adults 45 and older and stigma often keeps this age group out of the conversation. In this episode, Dr. Philip Chan, Consultant Medical Director at the Rhode Island Department of Health and a practicing primary care physician, discusses Rhode Island's No Matter Why You Use campaign. Dr. Chan explains why middle-aged and older adults face elevated overdose risk, how isolation, medical prescribing, and a contaminated drug supply intersect, and why personal storytelling is key to reducing stigma about accessing care. The conversation also highlights Rhode Island's overdose prevention strategies—from widespread naloxone access to community partnerships—and shares lessons other states can apply to save lives and start conversations sooner.Webinar Registration - ZoomOverdose Prevention | ASTHO

What does it take for states to expand access to substance use disorder treatment and build stronger, more sustainable partnerships between Medicaid and public health?  In Massachusetts, leaders changed policies around provider models to increase access to care for opioid use disorder: Frances McGaffey, Manager of Substance Use Prevention and Treatment Initiative at The Pew Charitable Trusts, explains how pairing providers with dedicated nursing support has helped remove barriers to prescribing buprenorphine, expand the addiction workforce, and dramatically increase access to care. She also shares why the state's decision to extend this model to alcohol and stimulant use disorders is a critical response to a changing overdose crisis, and what other states can do to replicate this success.  Then, Corey Caldwell, Senior Policy Analyst at the National Association of Medicaid Directors discusses the new Medicaid Leaders Playbook for Building Public Health Partnerships, developed in collaboration with ASTHO. Corey outlines practical, real-world steps Medicaid and public health agencies can take to align priorities, address funding and workforce challenges, launch small but impactful pilot projects, and build trust across systems.Understanding Current U.S. Measles Outbreaks and Elimination Status | ASTHO

ASTHO is entering a pivotal moment for public health, and it has a new strategic plan to meet it. In this episode, ASTHO CEO, Dr. Joseph Kanter unpacks how ASTHO developed its 2026–2029 strategic plan and why now was the right time for a refresh. Dr. Kanter walks through the inclusive, year-long planning process, the rapidly shifting public health landscape that shaped the plan, and the four core pillars guiding ASTHO's work, from strengthening public health leadership and modernizing data systems to expanding partnerships and strengthening ASTHO's own sustainability. The conversation also explores the challenge of planning amid constant crises and why the unifying vision of “optimal health for all” sits at the heart of the organization's future.Overdose Prevention | ASTHO

What does the future of public health look like when cutting-edge technology collides with persistent, preventable disease threats?  Senior Vice President of Health at ICF and ASTHO alum John Auerbach joins us to break down how artificial intelligence can be responsibly and realistically introduced into public health workflows. He outlines five practical, low-cost steps agencies of any size can take to start using AI today, explains the leadership mindset needed to build staff confidence, and explores how AI can both spread and counter misinformation when used thoughtfully.  Later, Jessica Baggett, Senior Advisor for Public Health Strategy and Response at ASTHO, unpacks why measles elimination status is back in the spotlight after the worst year for measles cases in more than 30 years. She explains what “elimination” really means, why it doesn't mean zero cases, what's driving recent outbreaks, and why vaccination remains the most effective public health tool.Leveraging Public Health Assets in Medicaid Managed Care | ASTHOWebinar Registration - Zoom

New CDC surveillance data show encouraging declines in several sexually transmitted infections—but a troubling increase in syphilis among newborns. In this episode, the Director of the Division of STD Prevention at the National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Dr. Bradley Stoner breaks down the key takeaways from the 2024 provisional STI surveillance report, including declines in chlamydia, gonorrhea, and primary and secondary syphilis, alongside the continued rise in congenital syphilis. The conversation explores what's driving progress, the prevention strategies showing impact, and where urgent action is still needed. Dr. Stoner also discusses how states and local health departments can use provisional data to guide interventions, expand screening and treatment, and prepare for improved data access through CDC's new One CDC Data Platform.Supporting Pharmacies as Contraception Access Hubs | ASTHOOrganizational Strategic Planning Guide | ASTHO

What does the public health workforce need to stay engaged, supported, and committed, and how can leaders act on those insights? Heather Krasna, Associate Dean of Career and Professional Development, Columbia University Mailman School of Public Health joins us to break down new research on what younger public health workers value most at work.  She explains why flexible schedules, remote or hybrid options, professional development, student loan repayment, and family-friendly benefits are increasingly important for retention, and how agencies can think creatively when salary increases aren't always possible. Then, Omar Khalid, Director of Workforce at ASTHO, walks through key findings from the 2024 Public Health Workforce Interests and Needs Survey (PH WINS), the only nationally representative survey of  the governmental public health workforce. He discusses why high turnover, burnout, and loss of institutional knowledge remain urgent concerns, alongside encouraging signs of improved supervisor relationships and workforce commitment. Journal of Public Health Management and PracticeStrengthening Public Health Through Communication: Resources to Get Started - Public Health Infrastructure GrantClimate and Health | ASTHO

How do states turn public health messaging into real behavior change and how do the places we live shape our health every day? In this episode, Dr. Steven Stack, Secretary of Kentucky's Cabinet for Health and Family Services, discusses the Our Healthy Kentucky Home campaign and what it takes to move beyond awareness to action. Dr. Stack, an ASTHO member and former ASTHO president, shares how Kentucky is using simple, achievable goals—eat healthier, move more, and stay socially connected—along with clear calls to action, trusted partners, and data-driven refinements to engage residents and build long-term, sustainable health improvements. Then, Clint Grant, Director of Healthy Community Design, Chronic Disease and Health Improvement at ASTHO joins us to explore the growing role of Healthy Community Design in public health. From transportation and road safety to green space and mobility, Clint explains how decisions about streets, sidewalks, and transit are some of the most powerful, and often overlooked, public health choices states and communities make. States Invest in Public Health and Safety Through Transportation Policy | ASTHOKey Insights to Improve Infection Prevention in Dialysis Settings | ASTHOMeeting Home Page

What does it take to strengthen public health systems nationwide and why does flexible funding matter? In this PHIG Impact Report, we're joined by SzePui Hughes, Senior Director of Public Health Workforce and Infrastructure at ASTHO to unpack the Public Health Infrastructure Grant (PHIG) and ASTHO's role as a national partner.  We'll discuss how health departments are using PHIG funding to modernize data systems, expand community-based services, and build a more resilient workforce, while adapting to shifting priorities and pressures. SzePui shares key trends health leaders are raising, from peer learning and leadership development to long-term sustainability, and highlights real-world success stories from states and local agencies.

Diabetes remains one of the most serious and costly chronic diseases facing communities today. In this episode, ASTHO Vice President of Community Health and Prevention Christi Mackie breaks down the differences between type 1, type 2, and gestational diabetes, common symptoms parents should watch for, and why routine screenings are essential. The conversation focuses on prevention and management of type 2 diabetes, highlighting how public health and healthcare systems intersect through nutrition, physical activity, and policy initiatives such as food-as-medicine programs and SNAP waivers. The episode also examines ongoing challenges with insulin affordability and shortages, as well as growing state efforts to limit ultra-processed foods—particularly in schools—as part of a broader, systems-based approach to improving long-term health outcomes.Policy Trends Shaping Healthy Food and Chronic Disease in 2026 | ASTHOMeeting Home PageOrganizational Strategic Planning Guide | ASTHO

Community health workers (CHWs) play a critical role in bridging the gap between health systems and the communities they serve, especially in rural and underserved areas. In this episode, ASTHO Senior Director of Population Health, Alex Kearly, explains who CHWs are, how they build trust and address both health and social needs, and why Medicaid reimbursement can help make these roles sustainable. The conversation also explores the unique access challenges facing rural communities, from provider shortages to hospital closures, and the policy tools states can use to respond, including telehealth, workforce initiatives, and systems-of-care models. Looking ahead to 2026, the episode highlights what states should watch as new federal rural health programs begin to take shape.Policy Trends Shaping Access to Care in 2026 | ASTHOBraiding and Layering Funding to Address the Social Determinants of Health | ASTHOWebinar Registration - ZoomCMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States | CMS

As behavioral health and overdose crises continue to strain health systems, states are rethinking how and where care is delivered. In this episode, Dr. Jerry Larkin, the Director of the Rhode Island Department of Health and an ASTHO member, explains how youth-focused mobile response and stabilization services provide rapid, in-home crisis care and keep children out of emergency departments and reduce the need for hospitalization. The conversation explores why Rhode Island moved to require insurance coverage for these services and how states can sustain them amid funding uncertainty. Later, ASTHO Senior Director of Overdose Prevention, Richa Ranade, discusses the evolving policy landscape around naloxone, including efforts to expand access in schools, libraries, and other public spaces to prevent overdose deaths. Together, the guests highlight how prevention-focused, community-based approaches can save lives and strengthen public health systems.Policy Trends Shaping Behavioral Health in 2026 | ASTHOState of Rhode Island General AssemblyPolicy Trends Shaping Behavioral Health in 2026 | ASTHOData Modernization Primer and Tactical Guides | ASTHOMeeting Home Page

What happens when the federal government steps back and states are asked to lead?  Continuing our Legislative Prospectus Series, which examines the public health policy trends set to shape 2026, ASTHO president and Connecticut commissioner of public health Dr. Manisha Juthani joins the show to discuss the creation of a new public health emergency funding safety net and the difficult decisions leaders face when planning amid constant uncertainty. Later, ASTHO's senior director of public health infrastructure, Brian Lentes, breaks down key federal funding streams, governance models, and practical steps states can take to stabilize infrastructure, modernize data systems, and support the public health workforce. This episode highlights how strong relationships, thoughtful prioritization, and long-term planning can help states navigate today's funding challenges.Policy Trends Shaping Public Health Funding and Administration in 2026 | ASTHOMeeting Home PageWebinar Registration - Zoom

In this episode, we continue our legislative prospectus series examining public health trends in policy going into 2026 with Meredith Allen, Vice President for Health Security at ASTHO. She'll discuss the critical role immunizations play in preventing the spread of disease and protecting communities nationwide. The conversation explores the science behind vaccines, the importance of maintaining high vaccination rates, and how recent developments at the Advisory Committee on Immunization Practices (ACIP) may affect providers, patients, and states, particularly around hepatitis B guidance. Meredith also breaks down why expanded syphilis screening laws are gaining momentum across states and how early detection, especially during pregnancy, can prevent severe outcomes like congenital syphilis. 2026 Legislative Prospectus Series | ASTHOWebinar Registration - Zoom

As flu cases climb across the country and pediatric deaths rise, Dr. Natasha Bagdasarian, ASTHO member and Michigan's Chief Medical Executive, joins us to break down what this flu season means for families, health agencies, and health care systems.  Dr. Bagdasarian discusses the troubling decline in flu vaccine uptake since 2020, the risks of overlapping surges of flu, COVID-19, and RSV, and why flu vaccination remains critical, even when it doesn't prevent every infection. She explains how vaccines reduce severe illness and hospitalizations, helping protect already-strained health systems. The conversation also explores vaccine hesitancy during pregnancy, the importance of maternal vaccination, and how personal stories paired with data can help rebuild trust. Dr. Bagdasarian shares insight into the emerging H3N2 subclade K flu strain, what early data shows about vaccine effectiveness, and how public health officials are tracking flu trends using multiple surveillance tools.Meeting Home Page

In this episode and as part of our PHIG Impact series, Amy Perkins of the Wisconsin Department of Health Services talks about how the state is rethinking public health infrastructure funding to make life easier for local and tribal health departments. Amy explains how Wisconsin is using the Public Health Infrastructure Grant (PHIG) to reduce administrative burden, decentralize funding management, and prioritize flexibility over red tape.  Amy discusses practical strategies like housing PHIG within a partnership-focused office, streamlining grant processes, supporting accreditation by directly covering PHAB fees, and quickly moving funds through regional service and resource-sharing grants. Amy also shares what she's hearing from the field: how flexible funding is helping health departments sustain staff, invest in professional development, strengthen foundational capabilities, and better respond to community needs.About the PHIG National Partners - Public Health Infrastructure Grant

As part of our State Health Policy portfolio, ASTHO releases an annual legislative prospectus: a series of policy briefs summarizing state and territorial legislation that impacts public health. Today, Dr. Joseph Kanter, ASTHO's CEO, will summarize the 2026 prospectus, identify trends in public health law for the next year, and provide a high-level overview for public health professionals and policymakers in time for upcoming legislative sessions.Accredible Unveils Certified Impact Awards 2025 WinnersPH-HERO | ASTHOPH-HERO | ASTHO

For the first time, all eight U.S. territories and freely associated states have been included in PHWINS, or the Public Health Workforce Interests and Needs Survey. Rachel Hare Bork joins the show to discuss how this landmark pilot effort came together, why it took extensive travel and collaboration to make it happen, and what the results reveal about the public health workforce across the islands.  She explores key findings, like the islands' notably younger workforce, gaps in public health education, and the powerful new data leaders can use to advocate for resources. She also digs into why counting these communities matters for both territorial planning and the national public health conversation, and what it will take to continue this work in future PHWINS cycles.Webinar Registration - ZoomSubscribe | ASTHO

As health departments modernize their data systems, an unexpected challenge has emerged: traditional public health job classifications no longer match the reality of today's data landscape. In this episode, Ari Whiteman, ASTHO's Senior Advisor for Public Health Data and Informatics Workforce, talks about why the field urgently needs new informatics-focused roles, and what it will take to build them. Whiteman explains how interoperability, electronic health records, and complex data pipelines have outpaced legacy classifications like epidemiologist or public health analyst. Leveraging the Public Health Infrastructure Grant (PHIG), state, local, and territorial health agencies can build classification systems that enhance recruitment and retention of an informatics-savvy workforce. Updating job classifications can help clarify new roles, alleviate pressure on existing roles, and enable health agencies to sustain workforce infrastructure that is flexible and forward-looking. He discusses the hesitancy and bureaucracy that make change difficult, the opportunity cost of doing nothing, and why modernizing job classifications is essential for faster outbreak response, stronger surveillance, and smarter public health decision-making.Data Modernization Primer and Tactical Guides | ASTHOHow to Modernize Data Infrastructure: A Toolkit for Public Health Leaders | ASTHOASTHO Announces Sixth Developing Executive Leaders in Public Health Cohort | ASTHO

In today's PHIG Impact Report, Patricia Tilley, ASTHO member and associate commissioner of the New Hampshire Department of Health and Human Services, details the critical needs the Public Health Infrastructure Grant has helped with in her state.  This work is supported by funds made available from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS), National Center for STLT Public Health Infrastructure and Workforce, through OE22-2203: Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems grant. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.

New research out of New York shows that naloxone didn't just save more than 6,500 lives in two years—it delivered one of the most dramatic returns on investment in public health. In this episode, Dr. James McDonald, ASTHO member and commissioner of the New York State Department of Health, breaks down the first statewide health-economic evaluation of naloxone administration. Dr. McDonald discusses how New York's extensive overdose prevention programs provided the data needed to measure outcomes, why the study went beyond distribution counts to assess real-world effectiveness, and how the results—more than $3,200 saved for every $1 spent—can help other states make the case for investing in harm reduction. The conversation also explores lessons for policymakers, the essential role of training bystanders, and why naloxone remains the cornerstone of a comprehensive response to the opioid crisis. A clear, data-driven look at how one tool is saving lives—and why scaling it matters now more than ever.The Key Role of Cross-Sector Partnerships in Navigating Barriers | ASTHOWebinar Registration - Zoom

In this episode, Pennsylvania Secretary of Health and ASTHO member Dr. Debra Bogen joins us to break down a major change in national vaccine guidance, and why it has sparked concern among pediatric and public health leaders. Dr. Bogen explains the recent ACIP vote that weakened the long-standing recommendation for all newborns to receive the hepatitis B vaccine within 24 hours of birth, a practice that has nearly eliminated the disease in young children since the early 1990s.  She shares why this shift could create confusion for parents, what's at stake for infant health, and how Pennsylvania is doubling down on clarity, access, and science-based information, including through a recent executive order from Pennsylvania Governor Josh Shapiro. Dr. Bogen also speaks to the broader moment facing public health, from rising misinformation to the importance of unified, evidence-driven messaging.Cultivating a Culture of Community and Belonging in the Workplace | ASTHO

In this episode, ASTHO member and Michigan Department of Health & Human Services Chief Medical Executive Dr. Natasha Bagdasarian breaks down a major development in national vaccine policy: the CDC Advisory Committee on Immunization Practices' decision to narrow its guidance on the hepatitis B birth dose. Dr. Bagdasarian, who serves as ASTHO's liaison to the Advisory Committee on Immunization Practices, shares why the shift toward “individual decision-making” raises concerns for newborn safety, health equity, and public trust in vaccines.  She discusses the vulnerabilities in our health system that could leave some infants unprotected, how localized transmission risks extend beyond maternal infection, and why softening long-standing guidance may unintentionally fuel doubt about other vaccines. Dr. Bagdasarian also explains why Michigan—and many other states—are choosing to follow the American Academy of Pediatrics' recommendation to continue the universal birth dose.Designing for Connection Webinar Series | ASTHOHome | Public Health Careers.org

As part of our spotlight series on artificial intelligence in public health, today's episode explores the BEACON Portal—a groundbreaking collaboration between Google and the state of Illinois designed to streamline access to behavioral health services for children and families.  Dr. Dana Weiner, Chief Officer for Children's Behavioral Health Transformation in the Illinois Governor's Office, and Julia Strehlow, Senior Advisor at the Illinois Department of Public Health discuss how BEACON centralizes information for families, enables secure cross-agency communication, and uses transparent AI-powered matching to connect young people to the services they're eligible for—faster and more accurately than ever before.  The conversation highlights Beacon's unique development process rooted in family and provider feedback, the platform's rigorous privacy and security protections, and how Illinois is partnering with clinicians statewide to boost adoption. 

Kentucky is experiencing its largest spike in whooping cough cases since 2012, an alarming rise that has already claimed the lives of three infants in the past year. In this episode, Dr. Steven Stack, Secretary of Kentucky's Cabinet for Health and Family Services, joins us to unpack what's driving the surge, why waning vaccination rates matter, and how misinformation is complicating public health response efforts.  Dr. Stack, ASTHO member and former ASTHO president, explains the cyclical nature of pertussis, how the pandemic disrupted typical disease patterns, and why the current spike is more severe than expected. He discusses the heartbreaking reality that none of the infants who died were vaccinated, and neither were their mothers, despite well-established evidence that maternal vaccination can provide newborns with lifesaving early protection.Creating Shared Vision and Governance for Data Modernization in Vermont | ASTHODon't Panic! A Panel on How to be an Effective Crisis Communicator | ASTHO

In this episode, ASTHO's Director of Public Health, Data Modernization, and Informatics, Allen Rakotoniaina, breaks down how public health agencies can effectively make the case for investing in modern data systems. He explains why “business numbers,” like labor hours saved or dollars recouped, can be the tipping point for decision-makers, especially in an environment where funding is scarce. Allen also demonstrates how person-centered storytelling transforms technical work into relatable, mission-driven narratives, using real-world examples such as overdose prevention. He explores how tools like partner mapping and shared ownership can help agencies build stronger advocacy plans and create sustainable, collaborative data systems. Whether you're building a data modernization strategy or just beginning to rally your organization around the need for better systems, this conversation offers practical insights, clear examples, and a roadmap for getting started.Medications for Opioid Use Disorder Access Legal Map | ASTHO

In this episode, ASTHO's Catherine Jones, a senior analyst for government affairs, breaks down the 2025 federal government shutdown, the longest in U.S. history, and what made it uniquely disruptive compared to the 2018–2019 closure. She explains how debates over ACA premium subsidies, and Medicaid cuts shaped the standoff and why critical programs like telehealth, at-home care, SNAP, and WIC felt the strain.  Jones also walks through how the shutdown ultimately ended after multiple failed attempts in Congress, and what public health leaders should take away from the crisis. With another potential shutdown looming as the current continuing resolution approaches its expiration, she lays out the decisions and negotiations to watch in the weeks ahead.Eight Extraordinary OU Alumni Honored with Regents' Alumni Award

In this episode, we talk with Jenn Rico, Data Modernization and Surveillance & Informatics Supervisor at the Montana Department of Public Health and Human Services. Jenn shares how Montana has used PHIG funding to accelerate statewide data modernization, and invested in leadership, data governance, a new data lake, GIS capacity, and workforce development. She walks us through Montana's collaborative approach with its 59 county and tribal public health partners, including a major upgrade and cloud migration of the state's case surveillance system. Jenn also highlights Montana's new public-facing query tools, efforts to support data sovereignty, and plans to securely provide direct access to record-level data.  Reflecting on the state's five-year modernization journey, Jennifer discusses what it takes to build systems and culture that last beyond any single grant cycle: prioritizing sustainability, internal capacity, collaboration, and thoughtful use of existing infrastructure.

ASTHO Chief Medical Officer Dr. Susan Kansagra joins us for a candid conversation about the state of public health today. She reflects on her unexpected path into the field, the urgent need to rebuild public trust, and why communicating the everyday value of public health is more critical than ever. Dr. Kansagra also explores how social media, new messengers, and emerging tools like AI can help reshape engagement, boost impact, and energize a workforce facing growing pressure. A motivating reminder that public health is a marathon, not a sprint, and that meaningful progress takes time, partnership, and persistence.Meeting Home PageInnovation Exchange | ASTHO

In this episode: how telehealth has evolved from a pandemic-era necessity into a powerful tool for improving access to healthcare. Senior analyst Ashley Cram breaks down the different types of telehealth, from video visits and audio-only consultations to remote patient monitoring, and why each plays an essential role for patients facing challenges like provider shortages, transportation barriers, or limited broadband access.  Also, State Epidemiologist Tracy Miller explains how a partnership with North Dakota State University created a student assistantship program that gives MPH students hands-on experience, builds leadership skills among early career staff, and strengthens public health capacity. She shares lessons learned, how the model evolved, and why it could be a blueprint for other states and health departments looking to grow the next generation of public health professionals.ASTHO Telehealth Project Initiation and Scoping Assessment | astho prodFunding & Collaboration Opportunities | ASTHO

On today's Best Of PHRME episode, Maria Courogen, executive director for the Center for Access to Whole Person Care at the Washington State Department of Health, explains how her state worked to enable the continued support of community health workers (CHWs) by developing a sustainable funding model; Dr. Heather Krasna, associate dean of career and professional development at Columbia University's Mailman School of Public Health.https://www.astho.org/4a9148/globalassets/pdf/bios/vermont-sho.pdf

On this Public Health Thank You Day, ASTHO's Chief Medical Officer, Dr. Susan Kansagra, joins us to share encouraging news from the front lines of public health. Thanks to increased partnerships with birthing hospitals and the rollout of monoclonal antibodies for infants and the maternal RSV vaccine, infant RSV hospitalizations dropped nearly 30–40% last season, one of the most significant improvements in years. Dr. Kansagra also discusses a major decline in overdose deaths, driven by expanded community partnerships, naloxone distribution, peer support specialists, and innovative response programs.  Looking ahead, she explains what's next with the new $50 billion Rural Health Transformation Grant, how states plan to use this funding to strengthen workforce, behavioral health, chronic disease prevention, and health technology, and reflects on the collective hard work of the nation's public health workforce heading into the holiday season.

In this episode, health leaders from Iowa, Maine and Mississippi share their strategies for revitalizing rural healthcare. We hear excerpts from an ASTHO media briefing featuring ASTHO members as they address the urgent challenges facing millions of rural Americans, including healthcare provider shortages, transportation inadequacies, and significant health disparities. The discussion highlights collaborative, evidence-based initiatives designed to ensure the long-term sustainability and quality of rural care.ASTHO Deskside Media Briefing on Rural HealthFrom Policy to Practice: Supporting Brain Health and Caregiving at the State Level WebinarFunding & Collaboration Opportunities

Utah's Data Modernization Director, Nicole Yerkes, shares how the state is using PHIG funding to advance a unified, future-ready public health data system. She discusses innovations like AI-assisted analysis, real-time lab data exchange, and the power of cross-agency collaboration through Utah's Data Modernization Council. Yerkes also highlights the importance of academic partnerships and sustainable funding to ensure modernization efforts endure and evolve.

Public health is at a crossroads. In this episode, Lillian Shirley and Itta Johnson from Public Consulting Group discuss how adaptive leadership can help rebuild trust, strengthen community partnerships, and drive meaningful change across systems. Drawing from real-world initiatives they share practical insights on leading with empathy, collaboration, and purpose in today's complex public health landscape.

Dr. Susan Kansagra, MD, MBA, Chief Medical Officer at ASTHO, shares an update on rising RSV activity and how states are tracking trends during the federal shutdown. She highlights new tools that protect infants, including maternal vaccines and monoclonal antibodies, and explains how public health and birthing hospitals are partnering to expand access through the Vaccines for Children program. Early results show increased hospital enrollment and fewer RSV related hospitalizations among infants.https://www.astho.org/topic/report/aligning-strategic-plans-across-health-aging-dementia/