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ASTHO President's Challenge Initiatives

A yearly initiative of ASTHO to improve population health through the work of state public health agencies.

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  • Increasing Number of States Require Naloxone to be Co-Prescribed with Opioids

    This month’s "Vital Signs" report from CDC examines the prescribing and dispensing of naloxone by retail pharmacies. The availability of naloxone, a medication that can reverse the effects of an opioid overdose, has been identified by the U.S. Surgeon General as a key component in the public response to the opioid epidemic. The CDC report reveals that the prescribing and dispensing of naloxone has increased over the last few years while acknowledging additional room for improvement. For example, in 2018, only one naloxone prescription was dispensed for every 69 high-dose opioid prescriptions (i.e., prescriptions for opioid dosages equal to or greater than 50 morphine milligram equivalents, or MME, per day). .

  • State Legislative Approaches to Address Disparities in Maternal Mortality

    The United States is the only developed country with an increasing rate of maternal mortality. The maternal mortality rate has doubled over the past two decades, with evident racial and ethnic disparities. According to data from CDC’s Pregnancy Mortality Surveillance System, non-Hispanic black women are three times more likely to die from pregnancy-related complications compared to their white non-Hispanic counterparts. In fact, reports show that a higher proportion of African American women do not receive the recommended number of pre-natal visits, which is a factor in pregnancy-related deaths. African American women are also more likely to die from pregnancy-related deaths, even after controlling for factors such as age, pre-natal care, and income, according to recent studies. Data from CDC indicates that nearly 60 percent of maternal deaths in the United States are preventable and most occur within 42 days of the postpartum period. .

  • Member Spotlight: Alexander Billioux

    Alexander Billioux, MD, DPhil, is assistant secretary of health for the Louisiana Department of Health's Office of Public Health. Billioux is an internal medicine physician focused on improving individual and community health through innovative public health approaches, including cross-sector population health strategies, business and community engagement, and sharing data to foster coordinated learning health systems. Prior to his current appointment, he served as a senior advisor to the director of the CMS Innovation Center and director of the Division of Population Health Incentives and Infrastructure. Billioux was a 2015-2016 White House Fellow, serving at HHS under former HHS Secretary Sylvia Mathews Burwell. .