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Privacy and Pandemic Flu Guide
The Privacy and Pandemic Flu Guide is designed to aid public, health professionals when privacy concerns are raised about, activities related to pandemic flu planning and response., The guide describes four steps that will walk a public health, professional through an analysis of the activities. The guide, was developed as a result of a May 2007 discussion among, a small group of experts in privacy and preparedness. This, guide is intended to be a dynamic document, and it is hoped, that feedback from the field on its utility will inform future, iterations.
Association of State and Territorial Health Officials (U.S.)
2008-01-08?
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Communicating Effectively About Vaccines: New Communication Resources for Health Officials
From the Project Overview: "Communicating effectively with parents about the importance of vaccines is a key issue for the public health community to address. In August 2009, ASTHO [Association of State and Territorial Health Officials] commissioned a survey of U.S. parents and guardians to gather information about effective messages and materials for state and territorial health officials to use to better address parental concerns and promote the benefits of vaccines. ASTHO partnered with Porter Novelli, a global public relations agency to develop and test new, innovative messages based on data from this study to reach parents about the importance and safety of vaccines. The messages are included in this packet along with a few basic communications tools to help state and territorial health officials create new and effective vaccine campaigns."
Association of State and Territorial Health Officials (U.S.)
2010-11
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Legal Challenges to State COVID-19 Orders
From the Document: "Scores of lawsuits have been filed across the country challenging the use of state executive authority in response to the COVID-19 [coronavirus disease 2019] pandemic. The lawsuits are being brought in both state and federal courts and make claims based on both state and federal law. Two noteworthy categories of lawsuits have emerged. The first category is lawsuits based on state law claims alleging an overreach or misuse of state executive power. The second category is lawsuits accusing state executives of violating civil liberties and other rights protected by the United States Constitution and federal law."
Association of State and Territorial Health Officials (U.S.)
2020-10
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At-Risk Populations and Pandemic Influenza: Planning Guidance for State, Territorial, Tribal, and Local Health Departments
"In 2007, the Association of State and Territorial Health Officials (ASTHO) received funding from the Centers for Disease Control and Prevention (CDC) to develop guidance for state, territorial, tribal, and local health departments on at-risk populations in an influenza pandemic. ASTHO worked with state, local, tribal, and territorial health agencies; federal entities including CDC; and other key stakeholders to develop this guidance. Certain populations are at increased risk of harm during an influenza pandemic; special provisions, plans, and procedures must be arranged prior to an event to ensure the health and safety of these groups. Prior to this project, there was no specific national guidance in place to direct the development of such plans. […] Both CDC and ASTHO recognize that many entities have work in progress to develop plans and procedures for at-risk populations in emergencies. This guidance differs from those projects because of its singular focus on pandemic influenza. While many of the recommendations provided in this guidance will be applicable to all-hazards planning, specific considerations come into play in an influenza pandemic that cannot be addressed in all-hazards planning. Influenza pandemics will be widespread events that affect all jurisdictions. They occur over extended periods of time, affect the entire country, and may include a series of waves rather than one isolated outbreak. During a severe pandemic, hospitals and other healthcare centers are likely to be overwhelmed with patients, and business may experience a substantial reduction in staff."
Association of State and Territorial Health Officials (U.S.)
2008-06
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At-Risk Popluations and Pandemic Influenza: Planning Guidance for State, Territorial, Tribal, and Local Health Departments
"This guidance offers public information and recommendations to health departments on how they can provide support to at-risk populations in such an event. Although not the primary audience, community-based organizations (CBOs), faith-based organizations (FBOs), non-profit service providers, businesses, etc, will also find the guidance useful for identifying key areas where they should collaborate with the public health departments to reach at-risk populations."
Association of State and Territorial Health Officials (U.S.)
2008-06
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COVID-19: Simple Answers to Top Questions: Risk Communication Field Guide Questions and Key Messages (May 20, 2020)
From the Introduction: "This document is the fourth edition of 'COVID-19 [coronavirus disease 2019]: Simple Answers to Top Questions'. It is an updated version of the original document published on March 10, 2020. With the rapid evolution of knowledge and policy regarding COVID-19, future revisions will be produced on an ongoing basis. [...] ASTHO's [Association of State and Territorial Health Officials] 'COVID-19: Simple Answers to Top Questions' is based on message maps and follows the belief that state health officials need both short and long answers. Messages are presented initially in no more than 3-5 short sentences and convey 3-5 key messages, ideally in the least number of words possible. The approach is based on surveys showing that lead or front-page media and broadcast stories usually convey only the soundbite: 3-5 messages usually in less than 9 seconds for broadcast media or 27 words for print. Each primary message normally has 3 to 5 supporting messages that can be used when and where appropriate to provide context for the issue being mapped. A brief description of the message mapping strategy is in the Appendices. In the following pages, you will find 60+ top questions about COVID-19 answered with detailed message maps. Newly added questions are highlighted for reader ease and navigation."
Association of State and Territorial Health Officials (U.S.)
Covello, Vincent T.; Hyer, Randall N.
2020-05-20
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Issue Guide: COVID-19 Case Investigation and Contact Tracing, Considerations for Using Digital Technologies
From the Executive Summary: "As communities relax stay-at-home orders and ramp up testing, the public health system is seeing increases in COVID-19 [coronavirus disease 2019] cases. Until vaccines are broadly available, the primary ways of preventing transmission of COVID-19 include interventions such as case investigation, contact tracing, social distancing, and isolation and quarantine. Case investigation and contact tracing are well-established public health functions that have been implemented for many diseases like Ebola, sexually transmitted infections (STIs), and tuberculosis. However, the scale and speed needed for COVID-19 is unprecedented. An extensive and swift expansion of the case investigation and contact tracing workforce--paired with continuous evaluation to ensure effectiveness--is needed to adequately respond to rising caseloads and rapid investigation cycles. To complement this time-tested, workforce-based solution, technology companies have been engaging with various public health experts to develop new tools that could aid in COVID-19 response efforts. Public health officials may choose to incorporate solutions that can augment and support case investigation and contact tracing while also protecting privacy."
Association of State and Territorial Health Officials (U.S.)
2020?
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School Reopening Planning: Federal, Association, and State Considerations
From the Overview: "As we approach the traditional start of the academic school calendar, school district administrators, educators, staff, and parents are working to determine the feasibility and practicality for schools to reopen in light of COVID-19 [coronavirus disease 2019]. It is imperative that education and public health leaders work collaboratively to develop plans that support the health and wellbeing of students, teachers, staff and the community, while working to reduce possible transmission of COVID-19. Communities across the country and world are identifying hybrid and alternative mechanisms of traditional instruction to ensure that core and ancillary components of education are provided. These plans and recommendations consider a variety of factors, both known and unknown, that should be taken into consideration. The examples below provide guidance and recommendations from national associations, state action plans, and other resources that can be used to inform future recommendations and policy decisions."
Association of State and Territorial Health Officials (U.S.)
2020-07-14
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Systematic Racism, Health Disparities, & COVID-19: Leading Through Complex Trauma [video]
From the Video Description: "How do seemingly unrelated but overwhelming global events connect to create complex trauma? How do we reckon with systemic racism, health disparities, COVID-19 [coronavirus disease 2019], and the unprecedented social and economic stress impacting individuals, families, and communities across cultures, generations, genders, and racial groups? Join us to learn about the tools for supporting individuals as they develop healing and resiliency around complex trauma." The duration of the video is 1 hour, 3 minutes, and 5 seconds.
Association of State and Territorial Health Officials (U.S.)
2020-10-13
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Roadmap to Recovery: A Public Health Guide for Governors
From the Executive Summary: "The global pandemic of COVID-19 [coronavirus disease 2019] poses an unprecedented challenge to the health and well-being of every state and territory across the country. In the absence of treatments and vaccines proven to be safe and effective, states and territories have turned to social distancing to avoid a spike in serious illnesses and deaths that could overwhelm the healthcare system. While there is significant evidence that social distancing is effective at blunting the full force of COVID-19, these actions have come with significant economic and social costs. With the paramount aim of keeping individuals and communities safe, governors are committed to reopening states in a manner that preserves public safety and confidence. Opening prematurely--or opening without the tools in place to rapidly identify and stop the spread of the virus--could send states back into crisis mode, push health systems past capacity, and force states back into strict social distancing measures. [...] There is substantial consensus among national experts that significant preparation will be required by state and national leaders to scale up the required public health infrastructure to limit outbreaks. States will also need to develop plans for a careful, staged reopening that protects the public's health while laying a strong foundation for long-term economic recovery. This report synthesizes and expands upon these expert recommendations by outlining ten key steps and related operational considerations for governors to guide critical decisions in support of the public's health and well-being in the weeks and months ahead."
National Governors' Association; Association of State and Territorial Health Officials (U.S.)
2020-04-21
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Issue Guide: COVID-19 Case Investigation and Contact Tracing
From the Executive Summary: "As communities relax stay-at-home orders and ramp up testing, the public health system is seeing increases in COVID-19 [coronavirus disease 2019] cases. Until vaccines are broadly available, the primary ways of preventing transmission of COVID-19 include interventions such as case investigation, contact tracing, social distancing, and isolation and quarantine. [...] An extensive and swift expansion of the case investigation and contact tracing workforce--paired with continuous evaluation to ensure effectiveness--is needed to adequately respond to rising caseloads and rapid investigation cycles. To complement this time-tested, workforce-based solution, technology companies have been engaging with various public health experts to develop new tools that could aid in COVID-19 response efforts. [...] This guide aims to help health officials think through critical functionalities needed for case investigations and contact tracing, technological options, and issues of implementation in adopting these technologies. It also addresses the latest topic of focus: the Apple|Google exposure notification application programming interface. The background and key considerations included are intended to inform decision-making for technology-enabled enhancement of case investigation and contact tracing capacity."
Association of State and Territorial Health Officials (U.S.); B.Next
George, Dylan; Lane, J. T.; Ruebush, Elizabeth . . .
2020-07-16?
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Meeting the Needs of At-Risk Populations During the 2009 H1N1 Pandemic Response: A Look at Key Strategies, Successes and Challenges
"The arrival of an influenza pandemic in April 2009 made outreach and care for under-resourced people throughout the United States an urgent public health priority. At-risk populations--individuals who are most at risk for severe social, economic and health-related consequences from a pandemic--needed information, messages they could trust and key services to receive antivirals and vaccine. State and local health agencies initially responded to an emergency of unknown severity and magnitude, at a time when staffing levels were often frozen and funding gaps were growing. This context influenced response. Public health agencies responded to the needs of at-risk populations in a variety of new and innovative ways. Other solutions, though not new, yielded valuable reminders and lessons that merit attention. The leadership, flexibility and creativity of many public health agencies should be noted and congratulated; the resulting strategies can be applied to everyday work and response to future public health emergencies."
Center for Infectious Disease Research & Policy; Association of State and Territorial Health Officials (U.S.)
2011-06
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H1N1 & Higher Ed: Lessons Learned: Pandemic Influenza Tools, Tips, and Takeaways from the Big 10+2 Universities
"Colleges and universities played key roles in the nation's response to the 2009 H1N1 influenza pandemic. The goal of The Big 10 + 2 Universities H1N1 Lessons Learned Project has been to find and tell the success stories from this experience and to raise the many issues yet to be resolved before the next influenza pandemic. Information was collected through (1) key informant interviews conducted between March and July 2010, (2) an online conference hosted May 18, 2010, for the Big 10+2 universities, their respective state health departments, and Centers for Disease Control and Prevention (CDC) partners, and (3) follow-up interviews. University of Minnesota coordination and staffing support for the project was provided by the Center for Infectious Disease Research and Policy (CIDRAP), Academic Health Center, Boynton Health Service, and School of Public Health, with CDC funding provided by the Association of State and Territorial Health Officials (ASTHO). In addition to this report, CIDRAP has (1) posted the webinar and presentation slides from the May 18 event and (2) published Promising Practices for higher education at www.PublicHealthPractices.org."
Center for Infectious Disease Research & Policy; Association of State and Territorial Health Officials (U.S.)
2010-11
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Preliminary Report on the Role of Flu Information and Triage Lines in Reducing Surge in Healthcare Facilities and Increasing Access to Antiviral Medication During the 2009 H1N1 Pandemic
From the Executive Summary: "The Nurse Triage Line (NTL) Project is a collaborative effort among the Centers for Disease Control and Prevention (CDC), the Association of State and Territorial Health Officials (ASTHO), and the National Association of County and City Health Officials (NACCHO) to explore the acceptability and feasibility of developing a telephone triage model that would operate nationwide or on a regional basis during a severe influenza pandemic. The model would utilize nurses working under a standard clinical protocol to triage callers, provide advice on whether to seek face-to-face care, and support home management of illness, including providing access to antiviral medications to symptomatic callers that meet certain criteria. Project partners include poison control centers, health insurers, physician and nursing professional societies, and a private-sector technology vendor."
Association of State and Territorial Health Officials (U.S.); National Association of County & City Health Officials (U.S.)
2012-05
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National Plan to Enable Comprehensive COVID-19 Case Finding and Contact Tracing in the US
From the Executive Summary: "To manage COVID-19 [coronavirus disease] epidemics going forward, communities in the United States need: (1) ready access to rapid diagnostic tests for all symptomatic cases or those with a reasonable suspicion of COVID-19 exposure; (2) widespread serological testing to understand underlying rates of infection and identify those who have developed immunity and could potentially return to work or school without fear of becoming infected; and (3) the ability to trace all contacts of reported cases. In order to trace all contacts, safely isolate the sick, and quarantine those exposed, we estimate that our public health workforce needs to add approximately 100,000 (paid or volunteer) contact tracers to assist with this large-scale effort. This workforce could be strategically deployed to areas of greatest need and managed through state and local public health agencies that are on the front lines of COVID-19 response. To do this, we also estimate that Congress will need to appropriate approximately $3.6 billion in emergency funding to state and territorial health departments. This plan outlines a vision for how to accomplish this goal, including ways that case identification and contact tracing capabilities can be greatly expanded; actions that the federal, state, and local governments and other organizations must take to stand up these capabilities as quickly as possible; and resources that will be needed to accomplish comprehensive case finding and contact tracing."
Johns Hopkins Bloomberg School of Public Health; Association of State and Territorial Health Officials (U.S.)
Watson, Crystal R.; Cicero, Anita; Blumenstock, James S. . . .
2020?
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Detection of COVID-19 in Wastewater
From the Overview: "This brief will provide an introduction to the use of SARS CoV-2 [severe acute respiratory syndrome coronavirus 2] monitoring in wastewater as an early warning system for increased infections in communities. Wastewater-based epidemiology (WBE) is a relatively new but quickly evolving surveillance tool that can detect the presence of certain viruses in community water systems, including SARS-CoV-2, the virus that causes COVID-19 [coronavirus disease 2019]. This non-invasive method can measure the presence of COVID-19 genetic material (ribonucleic acid [RNA]) in fecal matter in a sewershed, the area that drains into a community's wastewater collection system."
Environmental Research Institute of the States; Association of State and Territorial Health Officials (U.S.)
2020-11
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Capacity-Building Toolkit for Including Aging & Disability Networks in Emergency Planning
"As natural and human-caused emergencies increase, the nation works to address the reality that emergencies do not discriminate in terms of impacted populations. Using the social determinants of health, it is possible to predict which populations are less likely to be prepared to effectively respond to, cope with, and recover from an emergency based on preexisting vulnerabilities. [...] The purpose of the Capacity-Building Toolkit for Including Aging and Disability Networks in Emergency Planning (hereafter, the 'Toolkit') is to serve as a resource to guide the aging and disability networks in increasing their ability to plan for and respond to public health emergencies and disasters. For organizations already engaged in emergency planning, this Toolkit can help expand and improve their capabilities. For organizations new to emergency planning, this Toolkit will help orient them to the process. Both goals are accomplished through content that guides programs that serve people with access and functional needs, including older adults and people with disabilities, through the emergency planning process of preparedness, response, recovery, and mitigation activities."
National Association of County & City Health Officials (U.S.); United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; Association of State and Territorial Health Officials (U.S.)
2019?
