Centers for Disease Control and Prevention (CDC)
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TFAH: Persistent Underfunding of America's Public Health System Makes the Nation Vulnerable to Disasters and Puts Lives at Risk
Chronic underfunding of the nation's public health infrastructure has left the nation vulnerable to serious health and safety risks, according to a new report released today by Trust for America's Health...The federal government, primarily through the U.S. Centers for Disease Control and Prevention (CDC), provides critical support for the nation's public health infrastructure including by funding a substantial portion of state and local public health programs. But, between Fiscal Year (FY) 2010 - Fiscal Year 2019, the CDC's budget fell by 10 percent when adjusted for inflation. Cuts to the CDC budget have direct impacts on state and local public health departments' budgets.
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The Changing Face of Public Health System Procurement
The development and acquisition of public health systems is poised to change. Historically, public health agencies had the classic choice when it came to acquiring a new data system. Either they developed the system themselves – usually based on a belief that their requirements were “unique” – or they licensed a COTS/GOTS product from the limited choices available in a small market. Typically, agencies that chose to develop solutions were forced to use a waterfall approach as government procurement is not well suited to the flexibility of Agile systems development. Some agencies have been able to leverage open source offerings. While most do not have the wherewithal to support open source products themselves, many have formed strong partnerships with other organizations, both for-profit and nonprofit, to take advantage of these systems.
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The End Of Tanning?
In the wake of research showing strong connections between indoor tanning and melanoma, the sunbed industry is battered and contracting. But the allure of artificially bronzed skin might be dwindling in general...
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The Grim Future If Ebola Goes Global
If you listened hard over the weekend to the chatter around the political theater of detaining a nurse returning from the Ebola zone in a tent with no heat or running water, you might have heard a larger concern expressed. It was this: What happens if this kind of punitive detention — which went far beyond what medical authorities recommend — deters aid workers from going to West Africa to help?...
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The Grim Propect of Antibiotic Resistance
When people hear about antibiotic resistance creating “superbugs”, they tend to think of new diseases and pandemics spreading out of control. The real threat is less flamboyant, but still serious: existing problems getting worse, sometimes dramatically. Infections acquired in hospital are a prime example. They are already a problem, but with more antibiotic resistance they could become a much worse one. Elective surgery, such as hip replacements, now routine, would come to carry what might be seen as unacceptable risk. So might Caesarean sections. The risks of procedures which suppress the immune system, such as organ transplants and cancer chemotherapies, would increase...
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The Underreported Side Of The Ebola Crisis
Amid the media accounts of the worst Ebola outbreak ever recorded some significant context is largely missing from the major media reporting. Atop this list are links of the outbreak to the climate crisis and global inequality, mal-distribution of wealth, and austerity-driven cuts in public services that have greatly contributed to the rapid spread of Ebola...
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This mock pandemic killed 150 million people. Next time it might not be a drill
A novel virus, moderately contagious and moderately lethal, has surfaced and is spreading rapidly around the globe. Outbreaks first appear in Frankfurt, Germany, and Caracas, Venezuela. The virus is transmitted person-to-person, primarily by coughing. There are no effective antivirals or vaccines...So began a recent day-long exercise hosted by the Johns Hopkins Center for Health Security. The simulation mixed details of past disasters with fictional elements to force government officials and experts to make the kinds of key decisions they could face in a real pandemic. It was a tense day. The exercise was inspired in part by the troubled response to the Ebola epidemic of 2014, and everyone involved was acutely aware of the very real and ongoing Ebola outbreak spreading in Congo.
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Three Reasons the US is Not Ready for the Next Pandemic
One hundred years after the Great Influenza pandemic of 1918, global health leadership stands at a crossroads. The United States continues to expand its policy of isolationism at a time when international cooperation in health could not be more important. The state of pandemic preparedness and the necessary steps for protecting the people throughout the world was the topic of The Scowcroft Institute for International Affairs' 2nd Annual White Paper. As pandemic policy scholars, with two of us spending the majority of our career in the federal government, we believe that it is essential to prepare the country and the world for the next pandemic. It is not a matter of if, but when, the next disease will sweep the world with deadly and costly consequences.
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Time To Measure Public Health Effectiveness
It has historically been difficult for public health officials — especially at cash-strapped state and local departments — to actually gauge whether or not their outreach and initiatives really work. A new tool from the Robert Wood Johnson Foundation and Health Partners aims to change that...
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To Your Health Deadly Fungal Infection That Doctors Have Been Fearing Now Reported in U.S.
Nearly three dozen people in the United States have been diagnosed with a deadly and highly drug-resistant fungal infection since federal health officials first warned U.S. clinicians last June to be on the lookout for the emerging pathogen that has been spreading around the world. The fungus, a strain of a kind of yeast known as Candida auris, has been reported in a dozen countries on five continents starting in 2009, when it was found in an ear infection in a patient in Japan. Since then, the fungus has been reported in Colombia, India, Israel, Kenya, Kuwait, Pakistan, South Korea, Venezuela and the United Kingdom...
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Traveling Abroad? Careful What You Carry Back… In Your Guts
If you do any kind of challenging travel — adventure travel, backpacking, even just going to less-developed parts of the world — you’ve probably evolved some sort of protective routine. [...] But a new study just published in EuroSurveillance, the peer-reviewed journal of Europe’s equivalent of the CDC, raises the possibility that even if you are doing the right thing, you could pick up some very nasty stuff while you’re abroad [...]. Read More »
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Two New Federal Reports Released That Have Major Public Health Impacts
Two new Federal reports were recently released that have a public health impact. First, the Office of the National Coordinator for Health Information Technology (ONC) released its 2022 Report to Congress: Update on Access, Exchange, and Use of Electronic Health Information. This report covers the current state of adoption of health information technology and access to electronic health information guided largely by the requirements of the 2016 21st Century Cures Act. The report observes that, “Although tremendous progress has been made with EHRs that capture and support the use of health information about individuals, the COVID-19 pandemic exposed gaps in health IT systems that support capturing and using population data. The challenges exposed during the public health response to the COVID-19 pandemic pinpointed the importance of health IT to monitor population health regarding public health surveillance of testing, diagnosis, and vaccine distribution.”
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U.S. Hospitals Aren't 'Ebola-Ready'
How did two nurses, both wearing protective gear, get Ebola in a Dallas hospital? That's the frightening question behind the growing criticism of the CDC and Dallas's Texas Health Presbyterian hospital...
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U.S. Travelers Return Home With Tropical Disease. Will It Spread In The States?
...Three states — Rhode Island, North Carolina and Tennessee — all said that they have identified residents who have been diagnosed with the mosquito-borne tropical disease chikungunya...
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UMD Researchers Develop Tool to Counter Public Health IT Challenges
Front-line protection of U.S. communities against disease epidemics relies on seamless information sharing between public health officials and doctors, plus the wherewithal to act on that data. But health departments have faltered in this mission by lacking guidance to effectively strategize about appropriate “IT investments. And incidents like the current Zika crisis bring the issue to the forefront,” says Ritu Agarwal, Robert H. Smith Dean's Chair of Information Systems and Senior Associate Dean for Faculty and Research at the University of Maryland’s Robert H. Smith School of Business...
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