About

ASTHO Board of Directors

Officers

John WiesmanPresident
John M. Wiesman, DrPH, MPH
Secretary of Health, Washington State Department of Health

John Wiesman was appointed secretary of health for the Washington State Department of Health in April 2013.

He has worked in four local public health departments in Washington and Connecticut. He started his public health career in Connecticut in 1986 and was in its first group trained to provide HIV counseling and testing.

During his career, Wiesman has transformed health departments from providing individual clinical services to implementing policies, systems and environmental changes that make healthy choices easier and less expensive. He also partnered with a community clinic to provide integrated primary care and behavioral health. Wiesman also worked at the University of Washington, School of Public Health as a project director on a back pain outcome assessment team grant.

A native of Wisconsin, Wiesman earned his Doctorate of Public Health in public health executive leadership from the University of North Carolina-Chapel Hill in 2012. He received a Master of Public Health in chronic disease epidemiology from Yale University in 1987 and his Bachelor of Arts degree in biology from Lawrence University in Wisconsin in 1983.

 

Nicole Alexander-ScottPresident-Elect
Nicole Alexander-Scott, MD, MPH
Director, Rhode Island Department of Health

Nicole Alexander-Scott has been the director of the Rhode Island Department of Health since May 2015. She brings to this position tremendous experience from her work as a specialist in infectious diseases for children and adults at hospitals in Rhode Island affiliated with Brown University and at the Rhode Island Department of Health. Her clinical and academic responsibilities were balanced with serving as a consultant medical director for the Office of HIV/AIDS, Viral Hepatitis, STDs, and TB in the Division of Infectious Diseases and Epidemiology at the Rhode Island Department of Health. Alexander-Scott is board certified in pediatrics, internal medicine, pediatric infectious diseases, and adult infectious diseases. She obtained a Master of Public Health degree from Brown University in 2011. She is also an assistant professor of pediatrics and medicine at the Warren Alpert Medical School of Brown University.

Originally from Brooklyn, New York, Alexander-Scott attended Cornell University, majoring in human development and family studies, and subsequently graduated from medical school in 2001 from SUNY Upstate Medical University at Syracuse. After completing a combined internal medicine-pediatrics residency at SUNY Stony Brook University Hospital in 2005, Alexander-Scott finished a four-year combined fellowship in adult and pediatric infectious diseases at Brown in 2009.

 

Jay ButlerImmediate Past President
Jay Butler, MD
Director of Public Health, Alaska Department of Health and Social Services

Jay Butler was appointed chief medical officer for the Alaska Department of Health and Social Services and director of the Division of Public Health by Governor Bill Walker in December 2014. From 2010 to 2014, Butler served as senior director for community health services at the Alaska Native Tribal Health Consortium in Anchorage, where he was also a clinical infectious diseases consultant and medical director for infection control and employee health. His earlier work includes serving as chief medical officer of the Alaska Department of Health Social Services from 2007 to 2009, Alaska state epidemiologist, 2005-07, director of CDC's Arctic Investigations Program, 1998-2005, and medical epidemiologist in CDC’s National Center for Infectious Diseases in Atlanta, 1991-98.

He is a graduate of the University of North Carolina Medical School, has completed clinical training at Vanderbilt and Emory universities, and maintains clinical board certifications in infectious diseases, internal medical, and pediatrics. He has authored or co-authored over 100 scientific papers and medical textbook chapters on infectious diseases and emergency preparedness, and he is an affiliate professor of medicine at the University of Alaska Anchorage. In 2010, he received ASTHO’s National Excellence in Public Health Award.

 

Edward P. Ehlinger Past President
Edward P. Ehlinger, MD, MSPH
Commissioner of Health, Minnesota Department of Health

Prior to being appointed commissioner in January of 2011, Edward Ehlinger served as director and chief health officer for Boynton Health Service at the University of Minnesota, from 1995 to 2011. He has also served as an adjunct professor in the Division of Epidemiology and Community Health at the U of M School of Public Health. From 1980 to 1995, Ehlinger served as director of Personal Health Services for the Minneapolis Health Department.

Ehlinger holds a Doctor of Medicine degree from the University of Wisconsin, Madison; a Master of Science in Public Health degree from the University of North Carolina, Chapel Hill; and a bachelor's degree from the University of Wisconsin, Madison. He has been honored with the Albert Justus Chesely Award from the Minnesota Public Health Association, the Advancement of Justice Award from the Hennepin County Bar Association, the first Ed Ehlinger Award from CityMatCH (urban maternal and child health directors), and the Physician Communicator Award from the Minnesota Medical Association.

 

Gerd W. Clabaugh Secretary-Treasurer
Gerd W. Clabaugh, MPA
Assistant Secretary for Public Health, Iowa Department of Health

Gerd Clabaugh was appointed by Governor Branstad in May 2014 as the Director of the Iowa Department of Public Health (IDPH). Clabaugh has served in many capacities within IDPH, including Deputy Director, Director of Health Promotion and Chronic Disease Prevention, Director of Acute Disease Epidemiology and Emergency Response. During the early 1990s, he was appointed Director of the Center for Health Policy.

Clabaugh has experience in both state government operations and nonprofit organizations. He is the former director of operations at the Iowa Healthcare Collaborative (IHC) where he worked with Iowa hospitals in promoting infection reduction strategies. As a private consultant, he supported public health agencies in assessing community health needs, program development, planning for public health improvement, and grant writing.

He is past-president and past-legislative chair of the Iowa Public Health Association, and has served as an adjunct faculty member at the University of Iowa, Montana State University-Billings, Des Moines University, and Iowa State University. He has authored or contributed to academic publications in the journals Value in Health, American Journal of Medical Quality, and Vaccine.

Clabaugh has pursued doctoral studies at the University of Iowa, holds a Master's degree in Public Administration from Iowa State University and a Bachelor’s degree from Drake University. He is married with four children.

 

Regional Representatives

Nicole Alexander-ScottRepresentative, Region I [Map]
Nicole Alexander-Scott, MD, MPH
Director, Rhode Island Department of Health

Nicole Alexander-Scott has been the director of the Rhode Island Department of Health since May 2015. She brings to this position tremendous experience from her work as a specialist in infectious diseases for children and adults at hospitals in Rhode Island affiliated with Brown University and at the Rhode Island Department of Health. Her clinical and academic responsibilities were balanced with serving as a consultant medical director for the Office of HIV/AIDS, Viral Hepatitis, STDs, and TB in the Division of Infectious Diseases and Epidemiology at the Rhode Island Department of Health. Alexander-Scott is board certified in pediatrics, internal medicine, pediatric infectious diseases, and adult infectious diseases. She obtained a Master of Public Health degree from Brown University in 2011. She is also an assistant professor of pediatrics and medicine at the Warren Alpert Medical School of Brown University.

Originally from Brooklyn, New York, Alexander-Scott attended Cornell University, majoring in human development and family studies, and subsequently graduated from medical school in 2001 from SUNY Upstate Medical University at Syracuse. After completing a combined internal medicine-pediatrics residency at SUNY Stony Brook University Hospital in 2005, Alexander-Scott finished a four-year combined fellowship in adult and pediatric infectious diseases at Brown in 2009.

 

Howard A. Zucker Representative, Region II [Map]
Howard A. Zucker, MD, JD
Commissioner of Health, New York Department of Health

Howard Zucker is commissioner of health for New York State. In his previous role as first deputy commissioner, Zucker led the state department of health's preparedness and response initiatives in natural disasters and emergencies. He worked closely with the New York City Department of Health and Mental Hygiene and other health-related entities in New York City.

A native of the Bronx, Zucker earned his medical degree from George Washington University School of Medicine at age 22, becoming one of America's youngest doctors. He trained in pediatrics at Johns Hopkins Hospital, anesthesiology at the Hospital of the University of Pennsylvania, pediatric critical care medicine/pediatric anesthesiology at The Children's Hospital of Philadelphia, and pediatric cardiology at Children's Hospital Boston/Harvard Medical School.

Before joining the state department of health in September 2013, Zucker was a professor of Clinical Anesthesiology at Albert Einstein College of Medicine of Yeshiva University and pediatric cardiac anesthesiologist at Montefiore Medical Center in the Bronx. He was also an adjunct professor at Georgetown University Law School, where he taught biosecurity law.

 

Marissa Levine Representative, Region III [Map]
Marissa Levine, MD, MPH
Commissioner of Health, Virginia Department of Health

Marissa Levine was appointed by Governor Terry McAuliffe as the State Health Commissioner at the Virginia Department of Health (VDH) effective March 14, 2014. She previously served as the Interim State Health Commissioner, Chief Deputy Commissioner for Public Health and Preparedness and, prior to that, held the position of Deputy Commissioner for Public Health and Preparedness beginning February 2009.

Levine directed local health departments in two districts within Virginia from 2002 until 2009. Levine is a board-certified family physician who also completed a Masters of Public Health (MPH) from the Johns Hopkins Bloomberg School of Public Health. She received her MD from the Albert Einstein College of Medicine in Bronx, NY and completed family practice residency training at the University of Virginia in Charlottesville.

Levine started her career in private medical practice in Pennsylvania. She subsequently joined the staff of an academic medical center and became the director of a family practice residency training program in northwestern Pennsylvania. While in Pennsylvania, Levine was also very involved in community health improvement efforts and was a member of the local board of health.

 

Mary Currier Representative, Region IV [Map]
Mary Currier, MD, MPH
State Health Officer, Mississippi State Department of Public Health

Mary Currier became Mississippi's state health officer in 2010 after serving as state epidemiologist from 1993 to 2003, and again from 2007 to 2009.

Currier has 30 years of state service experience and 25 years serving in public health. Prior to serving as state epidemiologist, Currier was a medical consultant with the Mississippi State Department of Health, where she began her career as a staff physician for the prenatal care, family planning, STD, and pediatrics programs.

Currier is a member of the American Medical Association, the Mississippi Central Medical Society, the American Public Health Association, and is board certified in general preventive medicine and public health. She received her Doctor of Medicine degree from the University of Mississippi School of Medicine in 1983 and her Master of Public Health degree from the Johns Hopkins School of Hygiene and Public Health in 1987.

 

Karen McKeownRepresentative, Region V [Map]
Karen McKeown, MSN, RN
Administrator and State Health Official, Wisconsin Department of Health

Karen McKeown is the state health officer and has served as administrator of the division of public health in the Wisconsin Department of Health Services since January 2012. In this role, she leads the division and works with many partners to realize the vision of Everyone Living Better, Longer.

As an oncology staff nurse and leader for 11 years, McKeown previously oversaw the clinical operations of inpatient and outpatient oncology departments. McKeown’s health policy experience includes a student fellowship with the U.S. Senate finance committee and a graduate fellowship with the Heritage Foundation. McKeown holds a bachelor’s degree from the University of Texas in Tyler, and a master’s degree in nursing management, policy and leadership from Yale University.

 

Nate SmithRepresentative, Region VI [Map]
Nathaniel Smith, MD, MPH
 
Director and State Health Officer, Arkansas Department of Health

As a member of the governor’s cabinet, Nate Smith serves as director and state health officer of the Arkansas Department of Health. In this position, he provides senior scientific and executive leadership for the agency with over 5,000 personnel and a budget of over $400 million delivering services throughout the state in more than 94 locations. He was selected as interim director in May 2013 by Gov. Mike Beebe and then appointed director in August 2013.

Smith has a strong commitment to the mission of ADH: “To protect and improve the health and well-being of all Arkansans.” In his role as director, he strives to help colleagues achieve their full potential using public health best practices supported by science-based decisions.

Smith previously served the Arkansas Department of Health as branch chief for infectious diseases, state epidemiologist, and deputy director for public health programs. He is board-certified in internal medicine and infectious diseases and holds voluntary faculty positions in the Division of Infectious Diseases at the UAMS College of Medicine and in the Epidemiology Department at the College of Public Health. From July 2006 until he returned to Arkansas in August 2009, Smith served as infectious diseases consultant at Kijabe Hospital, country medical director for the University of Maryland School of Medicine in Kenya, and senior medical technical advisor for the AIDSRelief program in East Africa.

 

Randall W. Williams, MD, FACOG Representative, Region VII [Map]
Randall W. Williams, MD, FACOG

Director, Missouri Department of Health & Senior Services

Randall W. Williams, MD, FACOG, is an obstetrician and gynecologist who graduated from the University of North Carolina with Honors in History and Zoology and received his medical training at the University of North Carolina where he was a Holderness Fellow.

Dr. Williams was appointed by Governor Eric Greitens to serve in his Cabinet as Director of Health and Senior Services (DHSS) and was subsequently unanimously confirmed by the Missouri Senate on March 9, 2017. He believes a fundamental tenet of effective leadership is to be readily available and accessible and he has visited all of Missouri’s 115 counties to listen and learn from all of Missouri’s citizens.

DHSS accomplishments to date with Dr. Williams include passage of Missouri’s Good Samaritan Law and Universal Narcan Availability Law; working with Governor Grietens on the Executive Order establishing a statewide PDMP; holding opioid summits throughout the state; and bringing together and meeting with all 115 local health departments for the first time in more than a decade. The department is also working to increase the number of providers in rural and underserved areas; improve behavioral health services for veterans and their families; promote physical fitness and community engagement through the My Missouri Steps Up initiative; enhance interagency coordination and collaboration with the state Departments of Social Services and Mental Health; and improve all aspects of women’s health, especially to reduce infant and maternal mortality.

Dr. Williams previously served as both the Deputy Secretary for Health and State Health Director in the Department of Health and Human Services in North Carolina. His responsibilities there included developing, integrating and communicating state health policy and helping lead a 17,000 member agency with a 20 billion dollar budget that combined Medicaid, social services, public health and mental health services.

To help patients and families affected by the opioid crisis, Dr. Williams led efforts in North Carolina that resulted in the legislature voting unanimously to implement a statewide standing order to treat narcotic overdoses by making naloxone available to everyone in North Carolina under his authority. He also visited stakeholders and citizens in all 100 counties in the state during his time with the department.

Dr. Williams has also previously served on local and state boards of health, in addition to delivering 2000 babies as a practicing obstetrician. He also helped serve the medical needs of people in overseas conflict zones. His ongoing work has taken him to Iraq 12 times, and he has also worked in Afghanistan, Libya and Haiti. Recognition of these efforts was reflected in his selection as Triangle Red Cross Humanitarian of the Year and the Raleigh News & Observer’s Tar Heel of the Week.

He is also an avid runner. Dr. Williams believes physical exercise contributes greatly to a sense of wellness and led a campaign to encourage families to run 5Ks for charity. He enjoys training for and running marathons and has run marathons in Boston, New York, Paris, Athens, Florence and Jerusalem.

 

Mylynn TufteRepresentative, Region VIII [Map]
Mylynn Tufte
State Health Officer North Dakota Department of Health

State Health Officer Mylynn Tufte’s previous experiences as a health management executive and former critical care nurse bring an extensive background to the top leadership role in the North Dakota Department of Health. Tufte brings more than 20 years of experience in the health industry, serving in a strategic and health advisory role to some of the largest payers and providers in the country. Her diverse experience includes working with state governments, national and regional health plans, integrated delivery networks, academic and community medical centers, physician groups, and accountable care organizations.

As a progressive leader with extensive experience in strategy, operations, and health information technology, she has helped organizations develop and implement innovative solutions that improve healthcare for broad populations. Her experience in population health management has helped organizations improve quality and access to care, decrease the total cost of care, and improve the overall experience for consumers.

Tufte earned a bachelor’s degree in nursing from Case Western Reserve University in Cleveland, Ohio, followed by a Master of Business Administration degree and a master’s degree in information management degree from Arizona State University.

 

Karen Smith, MD, MPH Representative, Region IX [Map]
Karen Smith, MD, MPH 
Director and State Public Health Officer, California Department of Public Health

On March 23, 2015, Karen Smith was sworn in as director of the California Department of Public Health and state public health officer. Smith is a physician specializing in infectious disease and public health. Prior to her appointment, she served as public health officer and deputy director at the Napa County Health and Human Services Agency beginning in 2004. She was also on medical staff for infectious disease at Queen of the Valley Medical Center in Napa from 2012 to 2014.

Smith served as clinical faculty at the Santa Clara County Valley Medical Center Division of Infectious Diseases from 1997 to 2004. She served as assistant section chief at the California Department of Health Services Tuberculosis Control Branch from 2000 to 2001 and was a faculty consultant for the Francis J. Curry International Tuberculosis Center at the University of California, San Francisco from 1997. Smith held several positions at the Stanford University School of Medicine from 1992 to 2004, including resident, fellow, and international health course director. Smith also served as TB Controller and Deputy Health Officer for Santa Clara County from 1997 to 2004.

Smith completed her medical training and infectious diseases fellowship at Stanford University after having obtained a Master of Public Health degree at Johns Hopkins School of Hygiene and Public health. Prior to her medical training, Smith served in the Peace Corp as Public Health Laboratory Director for the Marrakesh Province in Morocco and at the Wichienburi Regional Hospital in Thailand.

 

Elke Shaw-Tulloch Representative, Region X [Map]
Elke Shaw-Tulloch, MHS
Public Health Administrator, Idaho Department of Health and Welfare

Elke Shaw-Tulloch began her current position as administrator of the Idaho Department of Health and Welfare on Sept. 2, 2012. The division of health provides services ranging from immunizations, testing for communicable diseases, regulating food safety, certifying emergency medical personnel, vital record administration, and compilation of health statistics to bioterrorism preparedness. The division’s programs and services actively promote healthy lifestyles and prevention activities, while monitoring and intervening in disease transmission and health risks as a safeguard for Idaho citizens.

Shaw-Tulloch began working for the division of health as a health education specialist in 1996. She was promoted to manager of the Radiation Health Effects Program (1998) and then became manager of the Environmental Health Education and Assessment Program (1998-2001). In 2001, Shaw-Tulloch was hired as bureau chief for environmental health and safety, which evolved under her leadership to become the Bureau of Community and Environmental Health in 2003.

Shaw-Tulloch has an undergraduate degree in environmental health with a biology minor and a Master of Health Science degree with an environmental health emphasis from Boise State University.

 

Esther L. Muña, MHA, CPC, CEOUSAPI Director
Esther L. Muña, MHA, CPC, CEO
Chief Executive Officer and Financial Services Administrator, Commonwealth Healthcare Corporation

Esther Muña was appointed chief executive officer for the Commonwealth Healthcare Corporation (CHCC), the health agency for the Commonwealth of the Northern Mariana Islands in April 2014. As CEO, Muña oversees strategic direction and all operations of the Commonwealth Health Center Hospital, Rota Health Center, Tinian Health Center, Public Health Services, and Behavioral Health Services and provides leadership and direction of Kagman Community Health Center.

Past experiences include: 

  • April 2013-April 2014: interim CEO for CHCC
  • October 2012-April 2013: chief operations officer for CHCC; instrumental in the abatement of immediate jeopardies issued in September 2012 CMS survey
  • January 2012-September 2012: Medicaid advisor and Medicaid HIT coordinator under the governor’s office; instrumental in the amendment of the Medicaid State Plan to change the payment methodology for the only hospital in the CNMI (CHC)

Muña also worked for the Commonwealth Health Center Hospital under the Department of Public Health for several years. She was a hospital administrator for one and a half years and hospital CFO for four years. She held other healthcare management positions including business office manager, privacy officer, and medical records manager.

She received a Master of Health Administration degree from Saint Joseph’s College of Maine and is an alumna of Indiana University, Bloomington, Indiana (social and behavioral science major) and Northern Marianas College (accounting major).

She is active in several membership organizations, including the Pacific Island Health Officers Association – Board of Directors secretary, 2013 to current, the American Public Health Association, the American College of Healthcare Executives, the Healthcare Financial Management Association, the American Hospital Association, and the American Association of Professional Coders – president (Guam-CNMI Chapter), 2010.

Other recognitions of note include being featured in the February 2010 issue of AAPC Coding Edge Magazine: “Minute with a Member”, the winner of CDC Sustainable Management Project and presented winning project in CDC Sustainable Management Conference in Cape Town, South Africa (2006): “Improving Revenue Collections with Total Quality Management”. She is also a certified professional coder since 2004 and AHIMA-Approved ICD-10 coding instructor since 2012.

 

Ex Officio Members

Michael Fraser Michael Fraser, PhD, CAE, FCPP
Executive Director, ASTHO

Michael Fraser has served as ASTHO's executive director since August 2016. Most recently, he served as the executive vice president and CEO of the Pennsylvania Medical Society in Harrisburg, Pa. During his tenure there, he worked with physician leaders to transform the organization into a dynamic, relevant, and effective membership organization representing all of the state’s physicians, and tackling critical issues such as the opioid misuse and drug abuse crisis.

Fraser served as CEO of the Association of Maternal and Child Health Programs (AMCHP) from 2007 to 2013, where his leadership was recognized nationally by the Maternal and Child Health Bureau’s Director’s Award in 2014. In addition, the American Public Health Association’s MCH Section awarded AMCHP the Outstanding Leadership and Advocacy Award. Prior to joining AMCHP, Fraser was the deputy executive director of the National Association of County and City Health Officials (NACCHO) from 2002 to 2007, and served in several capacities at the U.S. Department of Health and Human Services, including positions at the Health Resources and Services Administration and CDC.

Fraser received a doctorate in sociology from the University of Massachusetts at Amherst in May 1997 and a Master of Arts degree in sociology in 1994. He is currently pursuing a Master of Science degree in Management, Strategy, and Leadership from the Eli Broad School of Business at Michigan State University. He received his Bachelor of Arts degree in sociology from Oberlin College in 1991. He is a Certified Association Executive and a Fellow of the College of Physicians of Philadelphia.

 

Joan Duwve Joan Duwve, MD, MPH
Chair, Senior Deputies Committee

Chief Medical Officer, Indiana State Department of Health

Joan Duwve is the associate dean for public health practice at the IU Fairbanks School of Public Health and the chief medical officer at the Indiana State Department of Health. Duwve received her bachelor’s degree from The Ohio State University, a Masters of Public Health degree from the University of Michigan and her medical degree from The Johns Hopkins School of Medicine. She completed a residency in Family Medicine at St. Vincent’s Hospital and Health Services in Indianapolis. Duwve spent her pre-medical years serving in the Peace Corps and working in international public health in North Africa and the Middle East and then worked as a private practice family physician for 11 years.

Duwve serves on several state committees, including the Mental Health and Addiction Prevention Advisory Committee, and the Covering Kids and Families Board of Directors. She co-chairs the State Prescription Drug Overdose Prevention Task Force. Regionally, Duwve serves as an advisor to the Midwest Injury Prevention Alliance Board of Directors and co-chairs the MIPA Prescription Drug Abuse Task Force.

 

Lori Tremmel Freeman, BS, MBA Lori Tremmel Freeman, BS, MBA
Chair, Affiliate Council

CEO, Association of Maternal & Child Health Programs

Lori Tremmel Freeman, BS, MBA is currently the Chief Executive Officer at the Association of Maternal & Child Health Programs (AMCHP) in Washington, DC. In her role, Ms. Freeman provides direction and leadership for organizational mission, vision and objectives, working every day to protect and promote the optimal health of women, children, and families and to strive for a nation that values and invests in the wellbeing of all women, children, families, and communities. She also manages the organization’s operations, ensures partnerships with federal, state, and local agencies, national policy makers, organizations, foundations, and the public; ensures that member needs are addressed through organization’s committees, programs and activities; and supports the work of the President, Executive Committee and the Board of Directors. Ms. Freeman has had a 27-year career in nonprofit management, holding senior leadership positions with the National Association of County and City Health Officials (NACCHO); the International Test and Evaluation Association (ITEA); the Association for the Advancement of Medical Instrumentation (AAMI); the Society of Nuclear Medicine and Molecular Imaging (SNMMI); the American Public Health Association (APHA); and Grant Thornton LLP.

Ms. Freeman received a Bachelor of Science degree in Management Science from Lock Haven University in Pennsylvania, and went on to complete a Masters degree in Business Administration and Marketing minor from Indiana University of Pennsylvania. She is active in her local community holding leadership positions on the Paul VI Catholic High School Board, Middleburg Horse Trials, and Middleburg Pony Club. Ms. Freeman currently resides in Haymarket, Virginia with her husband and twin children.

 

David L. Lakey David L. Lakey, MD
Alumni Board Member

Vice Chancellor for Health Affairs, University of Texas System
Senior Vice President for Population Health and Isadore Roosth Distinguished Professor, University of Texas Health Science Center Tyler

David Lakey serves as the vice chancellor for health affairs for the University of Texas System, and the senior vice president for population health and Isadore Roosth Distinguished Professor at the University of Texas Health Science Center in Tyler (UTHCT). He is the dean of the School of Community and Rural Health at UTHCT. He currently serves on a federal public health advisory committee for CDC and the Defense Health Board.

Lakey served as commissioner of the Texas Department of State Health Services from January 2007 to February 2015, leading the Texas public health response to multiple high profile events including hurricanes Ike, Gustov, and Dolly, the H1N1 influenza pandemic, and the Ebola outbreak in Dallas.

During his tenure as commissioner, Lakey served as president of ASTHO in 2011-2012, and received several national awards including the AMCHP President’s Award, the March of Dimes President’s Public Health Leadership Award, the Arthur T. McCormack Award, and the American College of Obstetricians and Gynecologists Distinguished Service Award. As ASTHO president, he issued ASTHO's 2012 Healthy Babies President's Challenge focused on reducing infant mortality and prematurity in the United States. In 2015, Lakey was elected by the March of Dimes to a five-year term on its board of trustees.