Trust for America’s Health (TFAH) Statement in Recognition of Juneteenth, 2022

Chair of the TFAH Board of Directors Gail Christopher, D.N. and President and CEO J. Nadine Gracia, M.D., MSCE released the following statement in recognition of Juneteenth, 2022

(Washington, DC – June 17, 2022) — “Juneteenth is a celebration of freedom. It’s also a day on which we should recognize that as a nation we have more work to do before all Americans are free from the burdens of social, economic, and health inequities.

Well over a century after the first Juneteenth, structural racism continues to have far-reaching impacts on health, well-being, and opportunity.

Our goal is to recommend policies that will advance the social, economic, and environmental conditions that promote health by ensuring equitable access to high-quality childcare, education, employment, safe and affordable housing, transportation, and healthcare for all Americans.”

Trust for America’s Health calls for the following policy actions to reverse the impact of structural racism in America:

  • Make advancing health equity and eliminating health disparities a national priority. This includes increasing funding for programs that advance healthy equity, such as the Centers for Disease Control and Prevention’s (CDC) Racial and Ethnic Approaches to Community Health and Healthy Tribes Programs.
  • Invest in multisector efforts to address upstream drivers of poor health through CDC’s Social Determinants of Health program.
  • Target the elimination of poverty by increasing the minimum wage and expanding the Earned Income Tax Credit at the national and state levels.
  • Increase access to high-quality healthcare for all by strengthening incentives to expand Medicaid in all states and by making marketplace coverage more affordable for low-and moderate-income people.
  • Create a national standard mandating job-protected paid family and medical leave for all employees.
  • Increase funding for programs that promote long-term security and good health for children and families, including programs designed to expand access to affordable housing, Head Start, Early Head Start, and nutrition support programs such as Healthy School Meals for All, the Supplemental Nutrition Assistance Program (SNAP), and the Special Supplemental Nutrition Assistance Program for Women, Infants, and Children (WIC).

For more information about these and other policy recommendations see these TFAH reports:

A Blueprint for the 2021 Administration and Congress – The Promise of Good Health for All: Transforming Public Health in America.

Leveraging Evidence-Based Policies to Improve Health, Control Costs, and Create Health Equity

Additional statement from the National Collaborative for Health Equity

The National Collaborative for Health Equity (NCHE) applauds the work of TFAH and supports these vital social policy actions. NCHE recognizes that we have to generate the public will for enacting and sustaining the needed policies. One vehicle for doing this is the Truth, Racial Healing, and Transformation (TRHT) work of communities across America. This work involves changing false narratives, building trusted relationships, as well as addressing the systemic and institutional legacies of the false ideology of the hierarchy of human value.

While the federal holiday, Juneteenth, enables us to celebrate the end of slavery, we must all remember that the beliefs that animated it for centuries lived on and continue to exist today. Racism must end.

Dr. Christopher is the Executive Director of the National Collaborative for Health Equity, in addition to her role as the TFAH Chair of the Board of Directors.

 

Trust for America’s Health Announces Two Additions to its Leadership Team

Dr. Tekisha Everette to join as Executive Vice President and Stacy Molander as Chief Operating Officer

“I am thrilled that Dr. Tekisha Everette and Stacy Molander will join the leadership team of Trust for America’s Health at this critical time. The challenges that confront our nation are many, including the critical need to modernize our public health system and to address longstanding social, economic, and health inequities. These two excellent leaders bring vast experience and skills that are vital to accelerating TFAH’s mission of promoting optimal health for every person and community.  They share our talented and dedicated team’s commitment to ensuring that prevention and health equity are foundational to policymaking at all levels.”

J. Nadine Gracia, M.D., MSCE, President and CEO, Trust for America’s Health

(Washington, DC – June 17, 2022)

Tekisha Dwan Everette, PhD, MPA will serve as TFAH’s Executive Vice President. In this role, she will work in partnership with TFAH’s President and CEO to chart and implement the organization’s strategic direction and priorities, will provide counsel on current and emerging policy issues, and will engage with key organizations, policymakers, and other partners to advance policy priorities to improve public health and promote equity.

A successful executive leader and public policy strategist with a passion for health justice, Everette’s career spans service in the non-profit, state, and private sectors. Most recently, she served as the inaugural Executive Director of Health Equity Solutions, a statewide non-profit dedicated to advancing health equity through policy and advocacy in Connecticut. Prior to Health Equity Solutions, Everette was the Managing Director of Federal Government Affairs with the American Diabetes Association, where she provided strategic leadership on policy and advocacy initiatives with the White House, several federal agencies, and Congress. Everette also worked as a government relations consultant with Drinker, Biddle, and Reath, LLC, where she represented the interests of several non-profit healthcare organizations on issues such as health reform, Medicare, Medicaid, and federal appropriations. Everette has also worked for the Service Employees International Union and the State of Maryland. Recognized for her achievements in health policy and advocacy, Everette is an alumna of the National Urban Fellows America’s Leaders of Change program and is a member of the Association of Black Sociologists.

Everette earned a doctorate in Sociology from American University with a concentration in race, gender, and social justice as it relates to social policy. She received a Master of Public Administration from Virginia Tech and holds two Bachelor of Arts degrees in Political Science and Interdisciplinary Studies also from Virginia Tech. She will complete a Master of Public Health from Yale University in December 2022.

 

Stacy Molander will serve as the Chief Operating Officer of Trust for America’s Health. In this role, she will work in partnership with TFAH’s President and CEO to shape and implement the organization’s strategic direction and organizational priorities, will conceptualize and help build and execute strategic partnerships to promote public health and equity, and will oversee and manage TFAH’s core business functions and internal operations.

A mission-focused executive and accomplished leader who is passionate about public health, Molander has extensive leadership experience in the non-profit and corporate sectors.  Most recently, she served as the Chief Operating Officer of Partnership for a Healthier America (PHA), a national non-profit organization working to ensure that every family, in every zip code, has affordable access to healthy food. As Chief Operating Officer, Molander served as a strategic advisor to the CEO, oversaw the organization’s operations, and managed the finance and development teams. During her decade of service at PHA, Molander led the development of partnerships with Fortune 500 companies that improved the nutritional composition of food products, increased availability of healthy food, and created opportunities for physical activity. She led the creation and execution of PHA’s signature campaign, Pass the Love—a collaboration with Netflix and Higher Ground Productions, a production company founded by former President Barack Obama and former First Lady Michelle Obama. The campaign delivered more than a million meals to low-income families in communities nationwide. Prior to PHA, Molander served as Senior Vice President and General Manager at Pierce Global, an Omnicom marketing agency, where she launched the Washington, DC office. Molander spent nearly a decade in policy and communications with roles at CNN, Discovery Communications, and on Capitol Hill.

Molander earned a Bachelor of Arts degree in Public Communications with a minor in International Studies from American University. She completed the Nonprofit Financial Stewardship Program of the Harvard Kennedy School Executive Education Program. She is also a graduate of L’Academie de Cuisine.

Everette and Molander will join Trust for America’s Health in the summer of 2022.

Trust for America’s Health Celebrates Older Americans Month

The month of May provides America with the opportunity to celebrate our families, neighbors, colleagues, and friends as we all age.  It is an opportunity to recognize and share the collective wisdom and rich history afforded by older age.  It is also a time to reflect on how we, as a nation, view ourselves as we age, and to reflect on how well we are working to create supportive environments for equitable health and well-being across the lifespan.

Trust for America’s Health (TFAH), as a non-profit public health policy, research, and advocacy organization committed to ensuring healthy environments for all individuals and communities, prioritizes the roles of the public health sector in creating such supportive environments.  We have seen the significant toll that the COVID-19 pandemic has taken on not just the health, but also the social and economic well-being of older adults.  We commend the public health sector for actively addressing these challenges and working across sectors to collaboratively and equitably support our nation’s older adults, their families, and caregivers.

Older Americans Month offers us the opportunity to examine the public health practices that can be expanded to include older adults beyond the COVID-19 pandemic.  We must continue to elevate healthy aging as a core public health function, from collecting robust data on older adult health, to embedding multi-sector partnerships, to prioritizing and advancing health equity, to exploring how the social determinants of health can be framed with an aging lens.  And public health departments can continue to collaborate with America’s aging services network to support and build opportunities and options for more older adults to age in the communities and spaces of their choice.

TFAH will continue to explore new opportunities with state and local health departments to embed healthy aging within public health practice, to develop resources to support this engagement, and to advocate for policy changes to ensure appropriate authority and funding for these efforts.  For more information on TFAH’s Age-Friendly Public Health Systems initiative, please visit www.afphs.org.

Estados Unidos experimentó las tasas combinadas más altas de muertes debido al alcohol, las drogas y el suicidio durante la pandemia de COVID-19

Las muertes abarcaron edades, grupos raciales y étnicos y geografía, pero dañaron de manera desproporcionada a ciertos jóvenes y personas de color.

Las soluciones son conocidas y deben implementarse

 

(Washington, DC – 24 de mayo de 2022) – Las muertes asociadas con el alcohol, las drogas y el suicidio cobraron la vida de 186.763 estadounidenses en el 2020, un aumento del 20 % en un año en la tasa de mortalidad combinada y la mayor cantidad de muertes por uso indebido de sustancias jamás registrada durante un solo año, según un informe publicado hoy por Trust for America’s Health (TFAH) y Well Being Trust.

Además, los datos provisionales de los Centros para el Control y la Prevención de Enfermedades muestran que las muertes por sobredosis de drogas continuaron aumentando en el 2021.

Si bien las muertes por alcohol, drogas y suicidio han aumentado durante décadas, el aumento durante el 2020 no tuvo precedentes y fue impulsado por un aumento del 30 % en la tasa de muertes inducidas por drogas y un aumento del 27 % en la tasa de muertes inducidas por el alcohol. Las tasas combinadas de muertes por alcohol, drogas y suicidio aumentaron en los 50 estados excepto New Hampshire, y por primera vez dos estados (Virginia Occidental y Nuevo México) superaron las 100 muertes por cada 100,000 residentes estatales por alcohol, drogas y suicidio combinados en un solo año

o La tasa general de muertes inducidas por drogas aumentó en un 30 por ciento, en gran parte impulsada por aumentos en las muertes debido al uso de opioides sintéticos y psicoestimulantes. La tasa de muerte inducida por drogas aumentó para todos los grupos de población menos uno: los mayores de 75 años. Hubo aumentos particularmente grandes en las comunidades de color, entre los jóvenes (de 17 años o menos) y los adultos jóvenes (de 18 a 34 años) y en las regiones sur y oeste del país.

o Las tasas de mortalidad inducida por el alcohol aumentaron en un 27 por ciento, y el aumento abarcó grupos demográficos y partes del país, incluidos los 50 estados y el Distrito de Columbia. Los aumentos fueron particularmente altos entre los adultos jóvenes, los indios americanos/nativos de Alaska y las comunidades asiáticas, y entre los que viven en el Medio Oeste.

o Las tasas generales de suicidio disminuyeron en un 3 por ciento, pero esa tendencia no fue universal. La disminución se produjo entre los blancos, pero las muertes por suicidio durante el año aumentaron entre los indios americanos, los negros y los latinos. Las tasas de suicidio de adultos de 35 a 74 años de edad disminuyeron, pero las tasas de jóvenes y adultos jóvenes aumentaron.

“Con las tendencias que continúan yendo en la dirección equivocada, debemos preguntarnos, ¿qué se necesita para pasar a una acción sólida e integral? La historia detrás de estos datos es más que devastadora y desgarradora para aquellas familias que han sufrido pérdidas”, dijo el Dr. Benjamin F. Miller, presidente de Well Being Trust. “Empecemos a atender esta crisis con la urgencia que se merece llevando atención donde está la gente. Desde las escuelas hasta la atención primaria y nuestros lugares de trabajo, asegurémonos de que todos los lugares estén equipados para abordar la salud mental y el abuso de sustancias. Esta no es solo la responsabilidad del campo de la salud mental y las adicciones, sino toda nuestra responsabilidad”.

TFAH y Well Being Trust han estado informando muertes inducidas por alcohol, drogas y suicidio como parte de su iniciativa Pain in the Nation desde 2018. En el informe inaugural de la iniciativa de 2018, las muertes por alcohol, drogas y suicidio representaron 55,403 muertes por año, en comparación con las 186.763 muertes asociadas con el alcohol, las drogas o el suicidio en el informe de este año. Según los autores del informe y otros expertos, el sorprendente aumento de las muertes por alcohol y drogas en el 2020 se vio exacerbado por: un aumento continuo de las sobredosis de opioides sintéticos y psicoestimulantes y la ansiedad, el estrés, el dolor, la interrupción de los programas de recuperación del abuso de sustancias y las dificultades financieras muchas personas y familias experimentaron durante la pandemia de COVID-19.

El informe incluye recomendaciones sobre los pasos que los gobiernos federal, estatal y local deben tomar para comenzar a revertir la crisis de las muertes por desesperación. Incluyen:

Invertir en programas que promuevan la salud y prevengan el uso indebido de sustancias y el suicidio:

  • Apoyar programas en la escuela enfocados en la salud mental de los estudiantes y la prevención del uso de sustancias.
  • Fortalecer los programas informados sobre el trauma y culturalmente competentes y lingüísticamente apropiados dentro de todas las agencias que atienden a los jóvenes, incluido el sistema de justicia juvenil.
  • Fortalecer la continuidad de los programas de intervención en crisis con un enfoque en la línea de vida “988” recientemente establecida.
  • Expandir los esfuerzos integrales de prevención del suicidio de los CDC, incluidas medidas para fortalecer los apoyos económicos, promover la conexión y crear entornos protectores.
  • Desarrollar programas que aborden los determinantes sociales de la salud y promuevan la resiliencia en los niños, las familias y las comunidades, incluidos aquellos enfocados en la prevención de experiencias infantiles adversas.

 

Abordar las crisis de uso indebido y sobredosis de sustancias:

  • Promover políticas de reducción de daños para reducir las sobredosis y las infecciones transmitidas por la sangre, incluido el aumento del acceso a programas de servicio de jeringas, naloxona y tiras reactivas de fentanilo.
  • Preservar y ampliar los programas que crean un acceso más flexible al tratamiento del trastorno por consumo de sustancias durante la pandemia.
  • Financiamiento directo del acuerdo de litigio de opioides para la prevención primaria del abuso de sustancias por parte de los jóvenes.
  • Reducir el consumo excesivo de alcohol mediante políticas que limiten dónde y cuándo se puede servir/comprar alcohol y mediante el uso de impuestos especiales sobre el alcohol.

Transformar el sistema de prevención de salud mental y abuso de sustancias

  • Aumentar el acceso al tratamiento de salud mental y uso de sustancias a través de la plena aplicación de la Ley de Equidad en Adicción y Paridad en Salud Mental.
  • Combatir el estigma sobre los problemas de salud mental y el acceso al servicio.
  • Modernizar los servicios de salud física y mental alineando la prestación de servicios, el pago de los proveedores, las medidas de calidad y la capacitación hacia la salud integral de las personas y la atención integrada.
  • Desarrollar la capacidad comunitaria de base para la identificación e intervención tempranas de personas con trastornos de salud mental y uso de sustancias, incluso a través de entornos comunitarios o no tradicionales.

“Es imperativo que los funcionarios de todos los niveles del gobierno actúen sobre las políticas recomendadas en este informe. Los datos son sorprendentemente claros: las vidas corren peligro en todas las comunidades debido al alcohol, las drogas y el suicidio, y las comunidades que experimentan desventajas debido a las desigualdades sociales, económicas y ambientales de larga data sufren un impacto desproporcionado. Existe una necesidad urgente de actuar para salvar vidas”, dijo J. Nadine Gracia, presidenta y directora ejecutiva de Trust for America’s Health.

 

Lea el informe completo

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Trust for America’s Health es una organización no partidista y sin fines de lucro que promueve la salud óptima para cada persona y comunidad y hace de la prevención de enfermedades y lesiones una prioridad nacional.

Well Being Trust es una filantropía de impacto dedicada a promover la salud mental, social y espiritual de la nación.

 

U.S. Experienced Highest Ever Combined Rates of Deaths Due to Alcohol, Drugs, and Suicide During the COVID-19 Pandemic

Deaths spanned ages, racial and ethnic groups, and geography but disproportionally harmed young people and people of color

Solutions are known and must be implemented

(Washington, DC – May 24, 2022) – Deaths associated with alcohol, drugs, and suicide took the lives of 186,763 Americans in 2020, a 20 percent one year increase in the combined death rate and the highest number of substance misuse deaths ever recorded for a single year, according to a report released today by Trust for America’s Health (TFAH) and Well Being Trust.  In addition, provisional data from the Centers for Disease Control and Prevention show drug overdose deaths continued to increase in 2021.

While alcohol, drug, and suicide deaths have been increasing for decades, the 2020 increase was unprecedented and driven by a 30 percent increase in the rate of drug-induced deaths and a 27 percent increase in the rate of alcohol-induced deaths.  Combined rates of alcohol, drug, and suicide deaths increased in all 50 states except New Hampshire, and for the first time two states – West Virginia and New Mexico – surpassed 100 deaths per 100,000 state residents from alcohol, drugs, and suicide combined in a single year.

  • The overall drug-induced death rate increased by 30 percent, largely driven by increases in deaths due to use of synthetic opioids and psychostimulants. The rate of drug-induced death rose for all but one population group – those over 75 years of age. There were particularly large increases in communities of color, among youth (17 years old and younger) and young adults (18-34 years of age) and in the South and West regions of the country.
  • Alcohol-induced death rates increased by 27 percent, and the increase spanned demographic groups and parts of the country, including in all 50 states and the District of Columbia. Increases were particularly high among young adults, American Indians/Alaska Native and Asian communities, and for those living in the Midwest.
  • Overall suicide rates declined by 3 percent but that trend was not universal. The decline occurred among white people but suicide deaths for the year increased among American Indian, Black, and Latino people. Suicide rates for adults ages 35-74, declined, but rates for youth and young adults increased.

“With the trends continuing to go in the wrong direction we must ask ourselves, what will it take to move to robust and comprehensive action? The story behind these data is beyond devastating and heartbreaking to those families who have suffered loss,” said Dr. Benjamin F. Miller, President, Well Being Trust. “Let’s begin to address this crisis with the urgency it deserves by bringing care to where people are. From schools to primary care to our workplaces, let’s ensure that all places are equipped to address mental health and substance misuse. This is not just the responsibility of the mental health and addiction field – but all our responsibility.”

TFAH and Well Being Trust have been reporting alcohol-induced, drug-induced and suicide deaths as part of their Pain in the Nation initiative since 2017.  In the initiative’s inaugural 2017 report, alcohol, drug and suicide deaths accounted for 55,403 deaths per year, as compared to the 186,763 deaths associated with alcohol, drugs or suicide in this year’s report. According to the report authors and other experts, the stunning increase in alcohol and drug deaths in 2020 was exacerbated by: a continued rise in synthetic opioid and psychostimulant overdoses and the anxiety, stress, grief, disruption to substance misuse recovery programs, and financial hardship many individuals and families experienced during the COVID-19 pandemic.

The report includes recommendations for steps the federal, state, and local governments should take to begin to reverse the deaths of despair crisis.  They include:

Invest in programs that promote health and prevent substance misuse and suicide:

  • Support in-school programs focused on students’ mental health and preventing substance use.
  • Strengthen trauma-informed and culturally competent and linguistically appropriate programs within all youth-serving agencies, including the juvenile justice system.
  • Strengthen the continuum of crisis intervention programs with a focus on the newly established “988” lifeline.
  • Expand CDC comprehensive suicide-prevention efforts, including measures to strengthen economic supports, promote connectedness, and create protective environments.
  • Build programs that address the social determinants of health and promote resilience in children, families and communities including those focused on the prevention of adverse childhood experiences.

Address the substance misuse and overdose crises:

  • Promote harm-reduction policies to reduce overdose and blood-borne infections, including increasing access to syringe service programs, naloxone, and fentanyl test strips.
  • Preserve and extend programs that create more flexible access to substance use disorder treatment during the pandemic.
  • Direct funding from the opioid litigation settlement to primary prevention of youth substance misuse.
  • Lower excessive alcohol use through policies that limit where and when alcohol can be served/purchased and by the use of alcohol excise taxes.

Transform the mental health and substance abuse prevention system

  • Increase access to mental health and substance use treatment through full enforcement of the Mental Health Parity and Addiction Equity Act.
  • Combat stigma about mental health issues and access to service.
  • Modernize physical and mental health services by aligning service delivery, provider payment, quality measures, and training toward the whole health of individuals and integrated care.
  • Build grassroots community capacity for early identification and intervention for individuals with mental health and substance use disorders, including through community-based or non-traditional settings.

“It is imperative that officials at every level of government act on the recommended policies in this report.  The data are shockingly clear – lives are at risk in every community due to alcohol, drugs, and suicide and communities that experience disadvantage because of long-standing social, economic and environmental inequities suffer a disproportionate impact. There is an urgent need for action in order to save lives,” said J. Nadine Gracia, M.D., MSCE, President and CEO of the Trust for America’s Health.

Read the full report

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Trust for America’s Health is a nonprofit, nonpartisan organization that promotes optimal health for every person and community and makes the prevention of illness and injury a national priority. 

Well Being Trust is an impact philanthropy dedicated to advancing the mental, social, and spiritual health of the nation.

TFAH’s Portal of COVID-19 Resources

The following is a list of TFAH resources and documents related to the novel coronavirus read of COVID-19 and better equip the nation’s public health system to deal with this and future health emergencies.

Press Releases and Statements

20 Public Health Organizations Condemn Herd Immunity Scheme for Controlling Spread of SARS-CoV-2   The virus that causes COVID-19 has infected at least 7.8 million people in the United States and 38 million worldwide. It has led to over 215,000 deaths domestically, and more than 1 million globally – with deaths continuing to climb… read more (October 14, 2020)

Newly Announced Order for Hospitals to Bypass CDC and Send Coronavirus Patient Information Directly to Washington Database Likely to Worsen Pandemic Response Rather than Improve It  The U.S. Centers for Disease Control and Prevention (CDC), as the nation’s lead public health agency, is uniquely qualified to collect, analyze and disseminate information regarding infectious diseases… read more (July 16, 2020)

Nearly 350 Public Health Organizations Implore HHS Secretary Azar to Support CDC’s Critical Role in the COVID-19 Pandemic Response  The expertise of the U.S. Centers for Disease Control and Prevention (CDC) and all public health agencies is critical to protecting Americans’ health during the COVID-19 crisis, said a letter to Health and Human Services Secretary Alex Azar from 347 health and public health organizations released today… read more (July 7, 2020)

Public Health Needs Our Support “As our nation’s struggles to manage the continued surge of COVID-19 cases, we need to strengthen the public health response… read more (June 23, 2020)

Summary of CDC Morbidity and Mortality Weekly Report on COVID-19 Impact Patterns This is the first data reported on U.S. patients and is consistent with findings from other countries. Key takeaways… read more (March 31, 2020)

Trust for America’s Health Statement in Response to Congressional Passage of the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”)
“Congress took an important step today to begin giving public health the resources it needs now to respond to the COVID-19 pandemic. We are seeing in real-time the impact of the chipping away at public health budgets over the past 15 years… read more (March 27, 2020)

Cross-Sector Group of Eighty-eight Organizations Calls on Congress to Address Americans’ Mental Health and Substance Misuse Treatment Needs as Part of COVID-19 Response
A cross-sector group of 88 organizations from the mental health and substance misuse, public health and patient-advocacy sectors are jointly calling on the Trump Administration and Congress to address the immediate and long term mental health and substance misuse treatment needs of all Americans as part of their COVID-19 response… read more (March 20, 2020)

55 Organizations Call for Passage and Fast Implementation of Paid Sick Leave for all Workers as a Critical Part of COVID-19 Response
A cross-sector group of 55 public health, health, labor, business, and social policy organizations are jointly calling on the Trump Administration and Congress to pass and quickly implement a federal paid sick leave law that provides 14 days of such leave to all workers, available immediately… read more (March 13, 2020)

TFAH Applauds Passage of Supplemental Funding for COVID-19 Response: Now Funding Must Move Quickly to States and Other Entities
TFAH applauds Congress’ fast action in approving the Coronavirus Preparedness and Response Supplemental Appropriations Act (H.R 6074). We now call on the tasked federal agencies to move quickly to send the appropriated monies to the agencies and localities working at the frontlines of the COVID-19 crisis… read more (March 5, 2020)

TFAH Statement on COVID-19 Preparations
Now that the U.S. has transitioned from the planning phase to the response phase of the COVID-19 outbreak, the Federal Executive Branch and Congress as well as state and local governments and other stakeholders should prioritize… read more (March 3, 2020)

Congressional Testimony and Sign-on Letters

Commentaries and Op-Eds

Additional News Coverage We Recommend

Coronavirus in the U.S.: Latest Map and Case Count

as compiled by the New York Times

 

 

CDC COVID-19 Information Resources

COVID-19 and Response: Webinars and Briefings

Related Reports

TFAH Applauds Announcement of White House Conference on Hunger, Nutrition, and Health

(Washington, DC – May 4, 2022) – Trust for America’s Health (TFAH) applauds the Biden-Harris Administration’s announcement that it will hold a White House Conference on Hunger, Nutrition, and Health this coming September.  The conference, which was authorized and funded by Congress with bipartisan support, will be the second of its kind. The first, held in 1969, resulted in critical legislation to support Americans’ nutritional needs.

The conference will be held at a time the country is facing epidemic level numbers of diet-related health problems including obesity, diabetes, and heart disease. According to the Centers for Disease Control and Prevention (CDC), 6 in 10 Americans have a chronic disease, many associated with having obesity or being overweight.  Over 42 percent of all U.S. adults have obesity and social determinants, such as poverty and neighborhood resources, contribute to persistent disparities in obesity prevalence.  Furthermore, the COVID-19 pandemic and its related economic and social stressors led to an increase in food insecurity and weight gain for many American families. Food insecurity–being unable to access enough affordable, nutritious food–is related to obesity and other nutrition-based diseases.

“This conference will be an important opportunity to create an action plan to address America’s nutrition and hunger crisis,” said J. Nadine Gracia, MD, MSCE, President and CEO, Trust for America’s Health.  “A growing number of Americans are dealing with diet-related chronic health problems, and parts of the population – individuals and families who live in rural areas, people with lower income and many people of color – face even higher rates of diet-related diseases and food insecurity. The stark amount of preventable disease that is related to the nation’s current food system and food environment needs urgent attention. Addressing these issues will make our country healthier and more equitable.”

TFAH tracks the nation’s obesity crisis in its annual report, State of Obesity: Better Policies for a Healthier America  which includes recommendations for policy action in five broad areas:

  • Ensure access to healthy school meals for all children, which would decrease food insecurity, improve educational achievement, and decrease rates of diet-related disease. Nutrition standards of school meals and snacks should also be strengthened.
  • Expand access to nutrition support programs, such as the Supplemental Nutrition Assistance Program (SNAP) and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), and maintain eligibility and flexibility provisions created in response to the COVID-19 pandemic. In addition, nutrition support programs should expand voluntary pilots to evaluate innovative approaches to healthy eating, such as providing increased incentives for the purchase of fruits and vegetables.
  • Advance health equity by targeting obesity prevention programs in communities with high levels of individuals living with obesity and unhealthy excess weight, including expanding CDC’s obesity-prevention programs like the State Physical Activity and Nutrition program and the Racial and Ethnic Approaches to Community Health program.
  • Strengthen obesity prevention programs within the healthcare system by expanding access to healthcare coverage and requiring health insurers to cover obesity-related prevention services, such as the Childhood Obesity Research Demonstration program.
  • Call on the private sector to change marketing strategies that lead to poor nutritional choices and pursue pricing strategies that tax sugary drinks and eliminate business-cost deductions related to the advertising of unhealthy food to children.
  • Make physical activity safer and more accessible for everyone by providing funding for programs in the CDC’s Division on Nutrition, Physical Activity, and Obesity, which increase physical education in early care and education systems and create activity-friendly routes to everyday destinations.

 

New Report: Fewer States Placed in Top Performance Tier for Public Health Preparedness in 2021

COVID–19 Pandemic Continues to Illustrate the Critical Need to Invest in Public Health Infrastructure and the Social Determinants of Health

(Washington, DC – March 10, 2022) – As the nation enters its third year of the COVID-19 pandemic, a new report calls for urgent investment to create a public health system able to protect all Americans’ health during emergencies. The report, released today by Trust for America’s Health, measures states’ performance on 10 key emergency preparedness indicators and identifies gaps in states’ readiness to respond to emergencies. The report includes policy recommendations for strengthening the nation’s health security.

The report, Ready or Not 2022: Protecting the Public’s Health from Diseases, Disasters and Bioterrorism, measures states’ degree of preparedness to respond to a wide spectrum of health emergencies and to provide ongoing public health services, including disease surveillance, seasonal flu vaccination, safe water, and expanded healthcare services during emergencies. It tiers states and the District of Columbia into three performance levels: high, middle, and low, placing 17 states and DC in the high-performance tier, 20 states in the middle performance tier, and 13 states in the low performance tier. The 2021 report placed, 20 states and the District of Columbia in the high-performance tier.

States’ Performance by Tiers

Performance Tier States Number of States
High Tier AL, CO, CT, DC, FL, IL, IA, KS, MD, MA, NJ, OH, PA, SC, UT, VA, VT, WA 17 states and DC
Middle Tier AZ, CA, DE, GA, ID, ME, MI, MO, MS, NE, NH, NM, NY, NC, ND, OK, RI, TN, TX, WI 20 states
Low Tier AK, AR, HI, IN, KY, LA, MN, MT, NV, OR, SD, WV, WY 13 states

 

This year’s report found that 12 states improved their performance while 16 states slipped in their ranking. All states’ performance is relative to that of other states.

Three states, Ohio, Pennsylvania and South Carolina, improved their performance by two tiers.

Nine states improved by one tier: Alabama, Arizona, Florida, Illinois, Iowa, Missouri, New Hampshire, New Jersey, and New York.

Sixteen states fell one tier: Delaware, Georgia, Idaho, Kentucky, Louisiana, Maine, Minnesota, Mississippi, Montana, Nebraska, New Mexico, North Carolina, Oklahoma, Oregon, Rhode Island, and Wisconsin.

In addition, the report found:

  • A majority of states had plans in place to expand healthcare and public health laboratory capabilities in an emergency.
  • Most states are accredited in the areas of public health, emergency management or both.
  • A large majority of Americans who receive their household water through a community water system had access to safe water.
  • Only about half of the U.S. population is served by a comprehensive local public health system.
  • Seasonal flu vaccination rates have risen significantly in recent years but are still lower than the goal set by Healthy People 2030.
  • Just over half of workers used some kind of paid time-off in a one-month sample. The need for paid time off has become particularly apparent during the pandemic, as many workers became ill or needed to care for a sick family member.
  • Only 28 percent of hospitals, on average, earned a top-quality patient safety grade during the year, down from 31 percent the year prior.

“The major takeaway of this report is that underinvestment in the nation’s public health system, and attacks on its authority, have had deadly consequences during the COVID-19 pandemic. Action and investment are urgently needed. This report’s findings can help federal and state officials identify gaps in public health preparedness and the steps needed to better protect lives and the economy during the next health emergency,” said J. Nadine Gracia, MSCE, President and CEO of Trust for America’s Health.

The report measured states’ performance during a year that presented intense demands on the nation’s public health system. In addition to the ongoing COVID-19 pandemic, 2021 saw record heat in many places, extensive flooding, wildfires throughout the Western U.S., a highly active hurricane season, and unusual and deadly December tornados in eight states. At the same time, hundreds of public health officials having experienced burn-out, threats to their safety, and attempts to limit their public health authorities have resigned, retired, or been fired.

While critical progress was made in fighting COVID-19 during 2021, particularly through the widespread availability of vaccines and a more coordinated federal response, the pandemic continued to illuminate the ways in which health inequities put communities of color and low-income communities at heightened risk for worse health outcomes during an emergency.

“Social, economic, and health inequities undermine a community’s ability to prepare for, respond to, and recover from a public health emergency. If we enter the next public health crisis with the same magnitude of health inequities in our communities as has been evident during this pandemic, the impact will be similar: preventable loss of life, disproportionate impact on communities of color and low-income communities, and widespread social and economic disruption.  It is impossible to separate strong public health emergency preparedness and health equity,” said Dr. Gracia.

Among the report’s policy recommendations:

  • Congress and states should provide stable, flexible, and sufficient funding for public health, including for infrastructure, data systems, and the public health workforce.
  • Congress should create a COVID-19 Commission to review and address gaps in the pandemic response, and leaders at all levels of government should reject attempts to weaken public health authorities.
  • Policymakers should take steps to prevent disease outbreaks by investing in vaccination infrastructure, antibiotic resistance programs, and by providing paid leave for all workers.
  • Congress should create programs to help build resilient communities by investing in health equity and the social determinants of health, including anti-poverty programs and programs that build financial security for families.
  • Congress should invest in the development and distribution of medical countermeasures to enable rapid development and effective deployment of life-saving products during emergencies and federal and state policymakers and healthcare systems leaders should work together to prioritize effective coordination and communication during emergencies.
  • The White House, Congress, and states should develop plans and provide funding to minimize the health impacts of climate change and do so in ways that address health equity.

Trust for America’s Health is a nonprofit, nonpartisan organization that promotes optimal health for every person and community and makes the prevention of illness and injury a national priority.  Twitter: @HealthyAmerica1