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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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  • Ensuring Vaccine Coverage with School Vaccination Requirements

    With the number of measles cases across the country reaching a level not seen in nearly three decades, policymakers continue to explore a variety of ways to increase vaccine coverage and prevent future outbreaks. When enough people are vaccinated against a communicable disease, such as measles, the spread of the disease is limited and exposure to the disease decreases. This is particularly important for those who, because of age or a medical condition, cannot be vaccinated. This community-wide vaccine protection is known as herd immunity. The amount of coverage needed to reach herd immunity varies with the disease and often depends on the disease’s contagiousness. For example, measles, a highly contagious disease, requires a high rate of vaccination, between 93-95 percent by some estimates.

  • Recognizing 25 Years of Tobacco Control Success and Collaboration

    This year, the Tobacco Control Network (TCN), an ASTHO peer network, celebrates the 25th anniversary of its successful work supporting state and territorial tobacco control programs in their common pursuit of working towards a nation free from the health and disease burdens of tobacco use. TCN was formed in 1994 as an information sharing initiative between CDC, the National Cancer Institute, and the tobacco control programs in each state and territorial health agency. Following CDC’s creation of the National Tobacco Control Program in 1999, the network reorganized, with a focus on increasing the importance of tobacco control in state and territorial health agencies and fostering collaboration and communication among state and territorial tobacco control and cessation programs. With the support of ASTHO and funding from CDC’s Office on Smoking and Health, TCN continues to facilitate education, information sharing, and collaboration among state and territorial tobacco control stakeholders across the country.

  • State Policy Approaches to Address Healthcare Workforce Shortages

    Healthcare workforce shortages can reinforce or contribute to health disparities. Rural communities tend to have fewer physicians, nurses, specialists, and other healthcare workers, while also facing higher rates of chronic disease, mental illness, and obesity than their urban counterparts. Retaining adequate healthcare personnel in shortage areas is a contributing factor, especially as healthcare personnel working in shortage areas often experience isolation from their peers and burnout from seeing a greater number of patients and working longer hours than those in non-shortage areas. An essential element to ensuring an adequate healthcare workforce is to improve the reach of provider recruitment programs, which can build a strong and diverse healthcare workforce that represents the population served.