Reports - TFAH

May | 2025

Pain in the Nation 2025: The Epidemics of Alcohol, Drug, and Suicide Deaths

New data show that deaths due to drug overdose and alcohol are down nationally, but this progress is uneven across population groups and at risk due to cuts to federal health programs and workforce.

March | 2025

Ready or Not 2025: Protecting the Public’s Health from Diseases, Disasters, and Bioterrorism

As the Nation grapples with a multistate measles outbreak, bird flu, and an increasing number and intensity of weather-related events this annual TFAH report measures states' preparedness for public health emergencies and makes recommendations to strengthen the nation’s public health system and improve emergency readiness.

October | 2024

Pathway to a Healthier America: A Blueprint for Strengthening Public Health for the New Administration and Congress

Report provides the Administration and Congress taking office in 2025 a policy roadmap for improving the nation’s health, economy, and national security.

September | 2024

State of Obesity 2024: Better Policies for a Healthier America

This report tracks U.S. obesity rates by state, race, gender, and age and offers policy solutions. Obesity rates nationwide continue to be at epidemic levels and are predominantly highest in communities experiencing barriers to healthy eating and those with few opportunities for physical activity.

August | 2024

The Impact of Chronic Underfunding on America’s Public Health System 2024: Trends, Risks, and Recommendations

This annual report tracks federal and state investment in public health and finds that funding for core public health infrastructure remained flat for the past decade while the nation’s population and health risks grew. The report concludes that decades of underfunding has limited the public health system’s capacity to protect Americans’ health and respond to emergencies.

July | 2024

Pain in the Nation 2024: the Epidemics of Alcohol, Drug, and Suicide Deaths

A decrease in the alcohol-induced mortality rate led to a slightly lower combined rate of all U.S. deaths due to alcohol, drugs, and suicide in 2022, but the long-term trend of such deaths is still alarmingly high.

Focused Mixed Race Business People Listening To African American Colleague.

July | 2024

Building Resilience: How Recent Federal Policy is Laying the Groundwork for Improved Climate Adaptation

Adapting to the changing climate is crucial to protecting Americans’ health and the nation’s public health agencies have a key role to play in climate response planning and programs.

March | 2024

How the 10 Essential Public Health Services Align with the AFPHS 6Cs Framework for Supporting Healthy Aging

This brief illustrates the alignment between Age-Friendly Public Health Systems’ 6Cs Framework for Supporting Healthy Aging and the 10 Essential Public Health Services. Taken together, both frameworks give public health practitioners tools to support healthy aging.

March | 2024

Ready or Not 2024: Protecting the Public’s Health from Diseases, Disasters, and Bioterrorism

As the nation experiences an increasing number of infectious disease outbreaks and extreme weather events, TFAH’s Ready or Not 2024: Protecting the Public’s Health from Diseases, Disasters, and Bioterrorism report identifies key gaps in national and state preparedness to protect residents’ health during emergencies and makes recommendations to strengthen the nation’s public health system and improve emergency readiness.

September | 2023

State of Obesity 2023: Better Policies for a Healthier America

This 2023 version is the 20th annual report on the antecedents and rates of obesity in the U.S. as well as policy solutions. Since TFAH first published the State of Obesity report in 2004, rates of adult and child and adolescent obesity are up sharply, particularly in communities experiencing barriers to healthy eating and few opportunities for physical activity.