Annual Review of Public Health,
Journal Year:
2023,
Volume and Issue:
45(1), P. 359 - 374
Published: Dec. 18, 2023
The
financing
of
public
health
systems
and
services
relies
on
a
complex
fragmented
web
partners
funding
priorities.
Both
underfunding
“dys-funding”
contribute
to
preventable
mortality,
increases
in
disease
frequency
severity,
hindered
social
economic
growth.
These
issues
were
both
illuminated
magnified
by
the
COVID-19
pandemic
associated
responses.
Further
complicating
is
difficulty
constructing
adequate
estimates
current
resources
necessary
resources.
Each
these
challenges
inhibits
delivery
services,
leads
inequitable
access
resourcing,
contributes
resource
volatility,
presents
other
deleterious
outcomes.
However,
actions
may
be
taken
defragment
paradigms
toward
more
flexible
spending,
modernize
standardize
data
systems,
assure
equitable
sustainable
investments.
JAMA Network Open,
Journal Year:
2024,
Volume and Issue:
7(3), P. e241435 - e241435
Published: March 22, 2024
Importance
The
adverse
effects
of
climate
change
are
now
apparent,
disproportionately
affecting
marginalized
and
vulnerable
populations
resulting
in
urgent
worldwide
calls
to
action.
Health
professionals
occupy
a
critical
position
the
response
change,
including
mitigation
adaptation,
their
professional
expertise
roles
as
health
messengers
currently
underused
society-wide
this
crisis.
Observations
Clinical
public
have
important
responsibilities,
some
which
shared,
that
they
must
fill
for
society
successfully
mitigate
root
causes
build
system
can
reduce
morbidity
mortality
impacts
from
climate-related
hazards.
When
viewed
through
preventive
framework,
unique
synergizing
responsibilities
provide
blueprint
investment
change–related
prevention
(primary,
secondary,
tertiary),
capacity
building,
education,
training
workforce.
Substantial
increasing
competence
collaboration
is
required,
be
undertaken
an
urgent,
coordinated,
deliberate
manner.
Conclusions
Relevance
Exceptional
collaboration,
knowledge
sharing,
workforce
building
essential
tackle
complex
ways
threatens
health.
This
framework
serves
guide
leaders,
education
institutions,
policy
planners,
others
seeking
create
more
resilient
just
system.
American Journal of Public Health,
Journal Year:
2025,
Volume and Issue:
unknown, P. e1 - e10
Published: Feb. 13, 2025
Objectives.
To
estimate
the
size
of
US
governmental
public
health
nurse
(PHN)
workforce
by
setting
and
specialty,
including
those
working
outside
departments.
Methods.
We
used
2022
data
from
National
Council
State
Boards
Nursing,
representing
2846
registered
nurses
(RNs)
in
almost
all
states,
with
weights
applied.
examined
“setting”
“specialty”
PHNs
according
to
broad
more
restricted
definitions.
Results.
Using
a
definition,
government
settings
made
up
3.7%
RN
workforce,
1.8%
when
specialty
areas
were
narrowly
defined.
These
percentages
varied
state.
health,
school
correctional
largely
indicated
their
practice
as
“unspecified”
rather
than
narrow
areas.
Conclusions.
are
small
proportion
workforce.
They
consider
themselves
generalists
can
be
identified
Public
Health
Implications.
States
few
may
underserving
communities.
Better
needed
understand
specific
functions
activities
PHN
(
Am
J
Health.
Published
online
ahead
print
February
13,
2025:e1–e10.
https://doi.org/10.2105/AJPH.2024.307950
)
Journal of Occupational and Environmental Hygiene,
Journal Year:
2021,
Volume and Issue:
18(4-5), P. 169 - 179
Published: April 16, 2021
The
coronavirus
pandemic
has
taken
a
detrimental
toll
on
the
lives
of
individuals
globally.
In
addition
to
direct
effect
(e.g.,
being
infected
with
virus),
this
negatively
ravaged
many
industries,
particularly
food
retail,
services,
and
hospitality.
Given
novelty
disease,
true
impact
COVID-19
remains
be
determined.
Because
nature
their
work,
characteristics
workers,
in
service,
hospitality
industries
are
group
whose
vulnerability
is
at
its
most
fragile
state
during
pandemic.
Through
qualitative
study,
we
explored
workers'
perspectives
mental
health
coping,
including
screening
for
post-traumatic
stress
disorder
(PTSD)
alcohol
use
symptoms.
Twenty-seven
individual
interviews
were
conducted,
audio-recorded,
transcribed,
analyzed
using
content
analysis.
Four
key
themes
emerged:
infecting
others,
unknown,
isolation,
work
customer
demands.
Considering
uncertainties
COVID-19,
workers
these
three
experiencing
heightened
levels
distress
because
where
they
worked
already
existing
disparities
faced
daily
basis
before
started.
Yet
remained
hopeful
better
future.
More
studies
needed
fully
understand
magnitude,
short-term,
long-term
effects
COVID-19.
Based
study's
findings,
programs
critically
promote
positive
coping
behaviors
among
at-risk
distressed
workers.
Recommendations
employers,
occupational
safety
professionals,
policy
stakeholders
further
support
service
discussed.
Health Promotion Perspectives,
Journal Year:
2021,
Volume and Issue:
11(4), P. 382 - 392
Published: Dec. 19, 2021
Surveillance
forms
the
basis
for
response
to
disease
outbreaks,
including
COVID-19.
Herein,
we
identified
COVID-19
surveillance
systems
and
associated
challenges
in
13
African
countries.
Health Security,
Journal Year:
2021,
Volume and Issue:
19(6), P. 573 - 581
Published: Nov. 1, 2021
The
mental
health
impacts
of
the
COVID-19
pandemic
on
frontline,
patient-facing
healthcare
staff
have
been
described
in
several
studies,
but
effects
response
US
public
workforce
not
well
characterized.
In
early
2021,
we
conducted
interviews
with
a
subset
practitioners
United
States
who
participated
cross-sectional
survey
and
indicated
their
willingness
to
participate
follow-up
interview.
An
interview
guide
was
developed
collect
information
about
professional
roles
since
start
pandemic,
aspects
individual
that
impacted
health,
organizational/institutional
as
strengths
weaknesses
of,
opportunities
for,
threats
professionals
organizations
going
forward.
Interviews
were
transcribed
inductively
coded
identify
themes.
Of
48
people
invited
participate,
24
completed
an
between
January
28
February
23,
2021.
Five
key
themes
identified
through
inductive
coding
transcripts:
(1)
teamwork
workplace
camaraderie,
(2)
potential
for
growth
field
(3)
considerations
adaptive
work
environments
(eg,
remote
work,
out
jurisdiction,
transition
telework),
(4)
politicization
response,
(5)
constrained
hiring
capacity
burnout.
After
more
than
year
emergency
it
is
critically
important
understand
detrimental
supportive
factors
good
among
workforce.
Public Health Reports,
Journal Year:
2021,
Volume and Issue:
136(4), P. 493 - 507
Published: May 25, 2021
Objectives
Lesbian,
gay,
bisexual,
transgender,
or
queer
and
questioning
(LGBTQ+)
people
populations
face
myriad
health
disparities
that
are
likely
to
be
evident
during
the
COVID-19
pandemic.
The
objectives
of
our
study
were
describe
patterns
testing
among
LGBTQ+
differentiate
rates
test
results
by
sociodemographic
characteristics.
Methods
Participants
residing
in
United
States
US
territories
(N
=
1090)
aged
≥18
completed
an
internet-based
survey
from
May
through
July
2020
assessed
characteristics,
including
sexual
orientation
gender
identity
(SOGI).
We
analyzed
data
on
receipt
polymerase
chain
reaction
(PCR)
antibody
for
SARS-CoV-2
symptoms
relation
Results
Of
1090
participants,
182
(16.7%)
received
a
PCR
test;
these,
16
(8.8%)
had
positive
result.
124
(11.4%)
who
test,
45
(36.3%)
antibodies.
Rates
higher
participants
non–US-born
(25.4%)
versus
US-born
(16.3%)
employed
full-time
part-time
(18.5%)
unemployed
(10.8%).
Antibody
gay
cisgender
men
(17.2%)
other
SOGI
groups,
(12.6%)
Northeast
(20.0%)
regions.
Among
groups
with
sufficient
cell
sizes
(n
>
10),
highest
(16.1%).
Conclusions
differential
positivity,
particularly
sample,
confirm
need
create
public
messaging
programming
attend
population.
American Journal of Public Health,
Journal Year:
2023,
Volume and Issue:
113(6), P. 689 - 699
Published: June 1, 2023
Objectives.
To
compare
rural
versus
urban
local
public
health
workforce
competencies
and
training
needs,
COVID-19
impact,
turnover
risk.
Methods.
Using
the
2021
Public
Health
Workforce
Interest
Needs
Survey,
we
examined
association
between
agency
location
in
United
States
(n
=
29
751)
individual
staff
reports
of
skill
proficiencies,
risk,
experiences
bullying
due
to
work
as
a
professional,
posttraumatic
stress
disorder
symptoms
attributable
COVID-19.
Results.
Rural
had
higher
odds
than
reporting
proficiencies
community
engagement,
cross-sectoral
partnerships,
systems
strategic
thinking
well
needs
data-based
decision-making
diversity,
equity,
inclusion.
were
also
more
likely
report
leaving
because
stress,
bullying,
avoiding
situations
that
made
them
think
about
Conclusions.
Our
findings
demonstrate
have
unique
but
experience
significant
stress.
Implications.
provide
opportunity
accurately
target
development
trainings
illustrate
need
address
reported
bullying.
(Am
J
Health.
2023;113(6):689–699.
https://doi.org/10.2105/AJPH.2023.307273
)
American Journal of Public Health,
Journal Year:
2024,
Volume and Issue:
114(6), P. 626 - 632
Published: April 11, 2024
The
COVID-19
pandemic
presented
wide-ranging
leadership
challenges
to
public
health
leaders
and
organizations.
In
its
wake,
as
the
necessity
of
reconstructing
modernizing
Centers
for
Disease
Control
Prevention
(CDC)
is
considered,
we
reviewed
reports
from
Commonwealth
Fund
CDC
other
leadership-focused
literature
identify
common
themes
a
new
generation
leaders.
We
posit
that
this
must
have
ability
communicate
(build
maintain
trust
accountability);
forge,
facilitate,
promote
partnerships;
connect
care
systems;
build
information
systems
provide
accessible,
actionable
data;
engage
in
strategic
thinking
action;
center
equity
inclusivity
understand
structural
racism
fundamental
driver
creator
inequities;
achieve
resilience
self-care.
For
each
7
abilities,
offer
description,
assess
what
taught
us
about
leaders,
suggestions
developing
(or
honing)
one’s
skill
set,
mindset,
tool
set
regard.
(
Am
J
Public
Health.
2024;114(6):626–632.
https://doi.org/10.2105/AJPH.2024.307633
)
Health Affairs,
Journal Year:
2024,
Volume and Issue:
43(6), P. 750 - 758
Published: June 1, 2024
The
COVID-19
pandemic
and
other
ongoing
public
health
challenges
have
highlighted
deficiencies
in
the
US
system.
United
States
is
a
unique
moment
that
calls
for
transformation
builds
on
Public
Health
3.0
its
focus
social
determinants
of
partnerships
with
diverse
sectors
while
also
acknowledging
how
altered
landscape
health.
Based
relevant
literature,
our
experience,
interviews
leaders,
we
describe
seven
areas
within
three
broad
categories
to
support
transformational
change.
Contextual
include
increasing
accountability
addressing
politicization
polarization.
Topical
highlight
prioritizing
climate
change
sharpening
equity.
Technical
advancing
data
sciences,
building
workforce,
enhancing
communication
capacity.
A
transformed
system
will
depend
highly
leadership,
funding
incentives,
both
bottom-up
top-down
approaches.
effort
needed
by
agencies,
governments,
academia
accelerate
transition
next
phase
