Environmental Health

Digging Deeper Into Legionnaires’ Disease Guidance Needs for State and Territorial Health Agencies

August 26, 2021

As a follow-up to a 2019 report, ASTHO conducted key informant interviews with five state health agencies to better understand key topics. Targeted areas of discussion were the overall structure of Legionnaires’ disease programs, diagnosis and clinical testing protocols, surveillance and reporting, outbreak and response, water management programs and prevention, and risk communication. This report shares results and key takeaways from these interviews, including notable challenges.Read More »

Implementing a Health in All Polices Approach to Lead Poisoning Prevention

August 03, 2021

There is no one-size-fits-all approach to using a Health in All Policies (HiAP) strategy to address lead poisoning prevention. When implementing HiAP activities, health agencies can exist in multiple phases of engagement at the same time, depending on the types of activities. ASTHO held key informant interviews with staff from four state health agencies to learn more about their state childhood lead poisoning prevention programs and better understand how each agency employs a HiAP approach in its programmatic work. The key themes pulled from the discussions can be found in this report.Read More »

Framing Health in All Policies: Terms That Resonate

July 29, 2021

Health in All Policies (HiAP) can be a successful strategy to expand collaboration between S/THAs and other partners, but the terminology used in programs focused on these efforts can differ. While some states use the term “health in all policies” to name these programs, others shy away from the terminology to avoid a feeling of health imperialism and other agencies’ limited understanding of what HiAP means. Equity is often a prominent part of these efforts, but is not always included in the program title. ASTHO partnered with the Kansas Health Institute to host listening sessions to better understand state terminology and framing around HiAP; explore lessons learned, challenges, and alternative framing for HiAP terminology; and assess how HiAP framing and associated efforts have evolved over time, especially in the context of COVID-19 and the increased spotlight on the importance of racial equity.Read More »

State Approaches to Insecticide Resistance Testing

March 08, 2021

Emerging mosquito-borne threats are rising, and one new threat state and territorial health agencies must prepare for is the potential for mosquitoes to develop resistance to the insecticides typically used for their control. This report includes two case studies capturing how states are building capacity to address the threat of insecticide resistance. The case studies and analyses in this report may serve as a guide as states respond to similar problems in their jurisdictions.Read More »

State and Territorial Preparedness for Drinking Water Emergencies

August 10, 2020

Managing an effective response to public drinking water emergencies is essential to maintaining critical operations of community infrastructure and protecting public health. ASTHO has worked with state and territorial health agencies and partners to facilitate dialogue and collect data on current gaps and resource needs in drinking water emergency preparedness. This report summarizes recent findings and recommendations for enhancing state and territorial water preparedness and collaborative emergency response efforts.Read More »

Case Studies in Tick Surveillance and Tick-Borne Disease Prevention

June 01, 2020

Between 2004 and 2016, tick-borne disease cases almost doubled in the United States. This ASTHO report includes three case studies capturing how state vector-borne disease control officials have responded to specific issues relating to the public health threats posed by ticks. Given the rise in tick-borne disease, the case studies and analyses in this report may serve as a guide as states respond to similar problems in their jurisdictions.Read More »

Public Health Confronts the Mosquito: Developing Sustainable State and Local Mosquito Control Programs

May 21, 2019

Mosquito control has historically been and remains an important and basic public health function. Given the emergence of viruses such as dengue, chikungunya, and Zika in the United States and U.S. territories, the second edition of this report provides guidance to assist local, state, and territorial mosquito control programs in developing and maintaining an effective mosquito control infrastructure to meet the ongoing challenges surrounding vector-borne diseases.Read More »

State of Water Preparedness: A 2018 Scan of Water Preparedness and Response Infrastructure in State and Territorial Health Agencies

January 17, 2019

ASTHO conducted a survey of state and territorial directors of public health preparedness and environmental health to learn more about the protocols, tools, resources, infrastructure, and gaps related to drinking water emergency preparedness and response infrastructure. The data provided in this report is one effort to identify strengths and understand the complexities of water preparedness, but also to examine opportunities for improvement in the future.Read More »

Effectively Communicating About Mosquito Control: A Guide for Mosquito Control Partners

October 30, 2018

The updated second edition of this guide is intended to help public health and vector control professionals advance mosquito control efforts. It provides factsheet templates and tools that can be used to educate others about the need for adequate mosquito protection in communitiesRead More »

State and Territorial Health Agency Organizational Structures and Partnerships for Mosquito Control Management

August 13, 2018

This report presents findings from ASTHO’s 2017 Mosquito Control Survey, including information from thirty-eight jurisdictions about the organizational structure of mosquito control activities and the roles of key external partnerships at both the state and territorial levels.Read More »

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