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  • Keys to Addressing Maternal Mortality at the State Level: Consistency, Collaboration, and Data

    Despite an overall worldwide decline of 44 percent since 1990, pregnancy-related deaths have increased steadily in the United States. CDC estimates that over 700 women die each year due to pregnancy or delivery complications. The rate of severe maternal morbidity (SMM), an unexpected outcome to labor and delivery that results in significant short or long term consequences to a woman’s health, increased nearly 200 percent from 1994 to 2014. To address the increase in maternal mortality, states are focusing efforts on increasing consistency in care, fostering coordination and collaboration, and improving data systems. Fourteen states and CNMI are implementing maternal safety bundles through enrollment in the Alliance for Innovation on Maternal Health (AIM). Thirty-three states have established maternal mortality review processes and several states have developed policies and practices intended to reduce to maternal morbidity and mortality. ASTHO affirms that reducing preventable maternal morbidity and mortality will improve both maternal and infant health outcomes and is crucial for the promotion of health.

  • Striving to Improve Influenza Immunization Uptake in Hispanic Adults in New York State

    While scientific data and the Centers for Disease Control and Prevention agree that the influenza (flu) vaccine is the best way to prevent and reduce the number and severity of illnesses caused by the influenza virus, lower flu vaccination coverage persists within the U.S. population and is even lower in racial and ethnic minorities. Specifically, in New York State, influenza and pneumonia is ranked in the top five leading causes of death among Hispanics, in part due to lower rates of vaccine coverage due to vaccine hesitancy. Vaccine hesitancy is a behavior in which individuals may delay or refuse vaccines due to a variety of factors including misconceptions or misinformation about vaccines, lack of general knowledge about vaccines, and other socio-cultural factors.

  • Qualifying Conditions for Medical Marijuana

    Currently, 31 states and territories, as well as Washington, D.C., authorize the use of medical marijuana and establish the qualifying or debilitating conditions a person must have before being allowed to use it. While all legislatures can add or remove the conditions for medical marijuana, many have delegated the authority to approve new qualifying or debilitating conditions to state and territorial health agencies.