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Domestic Holiday Travel Pandemic Restrictions and Recommendations

Blog,
Health Policy Update,
Infectious Disease,
COVID-19,
COVID and Community Mitigation,
COVID and Law/Policy,
COVID Preparedness,
Health Equity,
Tribal Health,
Preparedness,
Emergency Powers,
Policy,
State Health Policy,
Territories and Freely Associated States,
Alabama,
Alaska,
American Samoa,
Arizona,
Arkansas,
California,
Colorado,
Connecticut,
Delaware,
Washington, D.C.,
Federated States of Micronesia,
Florida,
Georgia,
Guam,
Hawaii,
Idaho,
Illinois,
Indiana,
Iowa,
Kansas,
Kentucky,
Louisiana,
Maine,
Marshall Islands,
Maryland,
Massachusetts,
Michigan,
Minnesota,
Mississippi,
Missouri,
Montana,
Nebraska,
Nevada,
New Hampshire,
New Jersey,
New Mexico,
New York,
North Carolina,
North Dakota,
Northern Mariana Islands,
Ohio,
Oklahoma,
Oregon,
Palau,
Pennsylvania,
Puerto Rico,
Rhode Island,
South Carolina,
South Dakota,
Tennessee,
Texas,
Utah,
Vermont,
Virgin Islands,
Virginia,
Washington,
West Virginia,
Wisconsin,
Wyoming,
Maggie Davis

The 2020 holiday season is coinciding with a nationwide surge of COVID-19 cases. With great concern that holiday travel to see loved ones may exacerbate community spread of the virus, many states are increasing public health measures ...

Public Health Confronts the Mosquito: Special Considerations for United States Territories and Freely Associated States

Report,
Territories and Freely Associated States,
Environmental Health,
Vector-Borne Disease,
American Samoa,
Federated States of Micronesia,
Guam,
Marshall Islands,
Northern Mariana Islands,
Palau,
Puerto Rico,
Virgin Islands

This report aims to highlight the unique vector-borne disease challenges faced by Island Areas and to dive into the key components of a mosquito control program, that are relevant to these unique jurisdictions.

U.S. Territories Face Healthcare Cuts if Congress Does Not Address Impending Medicaid Financing Cliff

News Release,
News,
ASTHO Member News,
Preparedness,
Natural Disasters,
Funding,
Territories and Freely Associated States,
Population Health and Prevention,
Health Care Access,
Medicaid and Public Health Partnerships,
Esther L. Muña,
Northern Mariana Islands,
Guam,
Puerto Rico,
American Samoa,
Virgin Islands,
Member Testimony

U.S. Territories Face Healthcare Cuts if Congress Does Not Address Impending Medicaid Financing Cliff ARLINGTON, VA—Association of State and Territorial Health Officials (ASTHO) member Esther Muña, MHA, chief executive officer at the ...

Avoiding the Cliff: Financing Medicaid in the Territories

Podcast,
Territories and Freely Associated States,
Members,
Health Equity,
Population Health and Prevention,
Health Care Access,
Medicaid and Public Health Partnerships,
Funding,
Policy,
Federal Government Affairs,
Territorial Health Policy,
Puerto Rico,
Virgin Islands,
Robert Johnson,
Jorge Galva,
Justa Encarnacion,
Karl Ensign,
Public Health Review

Medicaid plays a critical role in providing access to health services for low-income U.S. citizens in the five U.S. territories. However, Medicaid financing in the territories has been underfunded compared to states. In this episode, ...

Centralizing Grant Management Functions: Puerto Rico’s Work and Vision

Blog,
People of Public Health,
Territories and Freely Associated States,
Public Health Infrastructure and Systems Improvement,
Grants and Contracts Management,
Preparedness,
Puerto Rico,
Kristin Sullivan,
Lourdes Romero Reyes,
Brenda Castro Voltaggio

Lourdes Romero Reyes and Brenda Castro Voltaggio of the Puerto Rico Department of Health discuss the Public Health Infrastructure Grant Program and ASTHO's Management Office Optimization Toolkit.

Jurisdictions Moving Many ASTHO Essential Tobacco Control Policies Forward

Blog,
Health Policy Update,
Policy,
State Health Policy,
Population Health and Prevention,
Social and Behavioral Health,
Tobacco Control,
Chronic Disease Prevention and Health Improvement,
Health Equity,
Elimination of Disparities,
Alaska,
American Samoa,
California,
Florida,
Georgia,
Guam,
Hawaii,
Illinois,
Iowa,
Kentucky,
Louisiana,
Maryland,
Massachusetts,
Mississippi,
Nebraska,
New Jersey,
New Mexico,
New York,
Northern Mariana Islands,
Oregon,
Puerto Rico,
Rhode Island,
Tennessee,
Virgin Islands,
Washington,
Washington, D.C.,
West Virginia,
Wisconsin,
Joshua Berry,
Ann Abraham,
Territories and Freely Associated States,
Evidence or Fact-Based Measures

Over the past several years, states and jurisdictions have continued to implement important policies to reduce tobacco and nicotine use, including increasing tobacco prices, expanding areas deemed “smoke-free,” limiting the sale of ...

ASTHO and NAMD Letter Urging Congress to Fully Fund Medicaid and CHIP in U.S. Territories

Advocacy,
Policy,
Federal Government Affairs,
Funding,
Territories and Freely Associated States,
Partnership,
American Samoa,
Guam,
Northern Mariana Islands,
Puerto Rico,
Virgin Islands,
Joseph Kanter,
Jeffrey O. Ekoma,
Kate McEvoy

ASTHO and NAMD Letter Urging Congress to Fully Fund Medicaid and CHIP in U.S. Territories Dear Chair Wyden, Chair Rodgers, Ranking Member Crapo, and Ranking Member Pallone: Strong, sustainably funded Medicaid and Children's Health ...

Including Island Areas in Federal Public Health Datasets

Report,
Territories and Freely Associated States,
Public Health Infrastructure and Systems Improvement,
Health Equity,
American Samoa,
Federated States of Micronesia,
Guam,
Marshall Islands,
Northern Mariana Islands,
Palau,
Puerto Rico,
Virgin Islands,
Island Areas Workgroup

Collecting and sharing data are crucially important to improving health equity, because those datasets inform effective policymaking. Despite having some of the most challenging population health outcomes, the U.S. island areas are often ...

Embedded: Puerto Rico’s Public Health Emergency Preparedness Academy

Blog,
People of Public Health,
Health Equity,
Preparedness,
Pandemics,
Territories and Freely Associated States,
Puerto Rico,
Beatriz Vallejo,
Haley Burrous,
Disability Inclusion,
Series,
Embedded

When Beatriz Vallejo, the disability and preparedness specialist in Puerto Rico, first joined the health agency, she took on planning a novel program to share knowledge and clarify each sectors’ roles and responsibilities during an ...

Strengthening Grant Management Functions in Puerto Rico

Brief,
Infographic,
Public Health Infrastructure and Systems Improvement,
Grants and Contracts Management,
Public Health Infrastructure and Systems Improvement,
STAR Center,
Funding,
Territories and Freely Associated States,
Puerto Rico

Strengthening Grant Management Functions in Puerto Rico ASTHO | Toolkit helps to optimize grant activities and funds in Puerto Rico The Grants Management Office Structure Optimization Toolkit helps to assess a health department's ...

Business Process Improvement: A Territorial Public Health Agency Perspective

Blog,
People of Public Health,
Territories and Freely Associated States,
Public Health Infrastructure and Systems Improvement,
Business Process Improvement,
Preparedness,
Natural Disasters,
Puerto Rico,
Catherine de la Cruz-Duran

Catherine de la Cruz-Duran, Puerto Rico's territorial health official designee, explains how the island worked after Hurricane Maria to rebuild and improve its infrastructure and processes to better recover from future natural ...

Strengthening Maternal and Infant Health Data in the U.S. Territories

Brief,
Population Health and Prevention,
Women, Infant, and Family Health,
Infant and Child Health,
Maternal Morbidity and Mortality,
PRAMS,
Puerto Rico,
Northern Mariana Islands,
Territories and Freely Associated States,
Stephany Strahle

Strengthening Maternal and Infant Health Data in the U.S. Territories ASTHO, association of state and territorial health officials, maternal and infant health data, U.S. territories, public health, surveillance programs, pregnancy risk ...

Improving Indirect Cost Rate Use in Island Jurisdictions

Report,
Territories and Freely Associated States,
Public Health Infrastructure and Systems Improvement,
Public Health Infrastructure and Systems Improvement,
Grants and Contracts Management,
American Samoa,
Federated States of Micronesia,
Guam,
Marshall Islands,
Northern Mariana Islands,
Palau,
Puerto Rico,
Virgin Islands,
Profile,
Island Areas Workgroup

Learn how increasing the use of indirect cost rates in the territories and freely associated states can help improve public health financing in these jurisdictions.

Reflections From the Field: Pacific and Atlantic Jurisdictions Remain Resolute Amid Adversity

Territories and Freely Associated States,
Guam,
Northern Mariana Islands,
Puerto Rico,
Infectious Disease,
COVID-19,
COVID and Community Mitigation,
COVID and Contact Tracing/Disease Intervention,
COVID Testing and Screening,
Blog,
Karl Ensign,
Funding,
Public Health Infrastructure and Systems Improvement,
Grants and Contracts Management,
COVID and Workforce,
Partnership

In the late fall of 2021, ASTHO leadership visited select jurisdictions in the Pacific and the Atlantic for the first time since COVID-19 curtailed travel to these regions. It was a fantastic to reconnect with our leadership and dedicated ...

Sharing Island Stories on Health Equity: Setting the Stage for Equity in the Island Areas

Blog,
Territories and Freely Associated States,
Health Equity,
At-Risk Populations,
Elimination of Disparities,
Preparedness,
Infectious Disease,
COVID-19,
COVID and Community Mitigation,
Population Health and Prevention,
Health Care Access,
Community Health Workers,
Public Health Infrastructure and Systems Improvement,
American Samoa,
Federated States of Micronesia,
Guam,
Marshall Islands,
Northern Mariana Islands,
Palau,
Puerto Rico,
Virgin Islands,
Alex Wheatley,
Julia Von Alexander,
Kelsey Donnellan,
Neyling Fajardo,
Operationalizing Equity,
Island Equity

In the spring of 2022, ASTHO’s island area members convened at the first island-focused COVID-19 Health Equity Action Institutes and asked each other what creating an equitable and sustainable public health and healthcare system looks like ...