Public Health Review Morning Edition

At this year’s Spring Leadership Forum, momentum was unmistakable. With more than 40 health officials convening for a week of strategy, training, and direct engagement with federal leaders, a unified message emerged: the future of public health depends on sustained investment and smarter, more flexible funding.  Catherine Jones, ASTHO Government Affairs Senior Analyst, returns to discuss the biggest takeaways: from the growing impact of the Public Health Infrastructure Grant (PHIG) to the urgent push for $1 billion in FY27 funding. She explains how states are using PHIG to strengthen workforce capacity, modernize data systems, and build resilient health infrastructure, and why predictable funding is critical to keep that progress going.Hill Day Advocacy at ASTHO’s 2026 Spring Leadership Forum | ASTHOSubscribe | ASTHOLeadership Power Hour: Session 5 – The Adaptive Leader

What if public health recruitment started with a summer camp? In this PHIG impact report, Veronika Hanna and Mondi Mason from the Denver Department of Public Health and Environment share how creative workforce strategies powered by the Public Health Infrastructure Grant (PHIG) are opening new pathways into the field.  Veronika Hanna walks through Denver’s innovative three-day public health “summer camp,” where high school and college students step into real-world roles, from testing river water quality to inspecting food trucks and exploring the work of medical examiners. And Mondi Mason expands on how Denver is scaling that vision through deeper partnerships with universities, community colleges, and public schools. From paid internships and long-term placements to co-developing research and securing joint funding, these collaborations are transforming workforce development into a more structured, sustainable system.This work is supported by funds made available from the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS), National Center for STLT Public Health Infrastructure and Workforce, through OE22-2203: Strengthening U.S. Public Health Infrastructure, Workforce, and Data Systems grant. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.Public Health Infrastructure Grant: Resources & Impact - PHIG

Today: bringing oral health into the public health conversation with Flora Nathan, assistant secretary for the Bureau of Oral Health in the Republic of the Marshall Islands. At her first ASTHO Spring Leadership Forum, Flora shares a candid look at the challenges and opportunities of delivering oral healthcare across a U.S. remote island nation. From severe workforce shortages and long clinic wait times to the ripple effects on families, schools, and local economies, she highlights how oral health is deeply connected to broader public health outcomes.  She also discusses the importance of integrating oral health into maternal and child health programs, school-based care, and community outreach, as well as the realities of operating without consistent funding. ASTHO Leadership Institute | ASTHOStorytelling in Public Health: Lessons from STI Prevention & Care

The FY27 federal budget proposal is officially out, and while it’s just the opening move, there’s already a lot to unpack. In this episode, ASTHO’s Senior Director for Government Affairs, Jeffrey Ekoma, breaks down what’s in the proposal, what’s changed from last year, and what it all signals for public health and federal agencies.  He’ll dig into key highlights, including the proposed creation of the Administration for Healthy America (AHA), new structural changes within HHS, and fresh initiatives at the CDC and FDA, from data reporting requirements to food safety oversight. Jeffrey also explains how this year’s proposal compares to previous budgets, where cuts and consolidations stand, and why states may be asked to take on more responsibility.President Trump Releases FY27 Budget Proposal: April 2026 | ASTHOSubscribe | ASTHORSV is still spreading, prompting states to extend the immunization period | CNNRSV immunizations for infants available an additional month this year | Washington State Department of Health

Public health doesn’t stop at hospitals or health departments, it lives in barbershops, grocery stores, schools, and small businesses. In this episode for National Public Health Week, Megan DeNubila-Griffin, ASTHO Assistant Director of Chronic Disease and Health Improvement, explores how agencies are building meaningful partnerships with non-traditional community players to address the social and environmental factors that shape health. From collaborating with local business owners to rethinking transportation and food access, this conversation highlights how public health leaders act as conveners, bringing the right voices to the table and asking who’s missing. Megan shares real-world examples, including a multi-year collaboration in Walworth County, Wisconsin, that shows how cross-sector partnerships can drive measurable impact.National Public Health WeekLeveraging Healthy People 2030 to Build Non-Traditional Multisector Partnerships | ASTHOPima County Elevates Collaboration with IT to Advance Data Modernization | ASTHO

In this National Public Health Week conversation about community leadership and tobacco control, Josh Berry, Director, Chronic Disease Risk Factors at ASTHO, breaks down how state and territorial programs partner with trusted, on-the-ground community organizations to reach at-risk populations and drive real impact. These long-standing relationships aren’t just helpful, they’re essential to building credibility and delivering results where they matter most.  But the landscape is shifting. With the elimination of the CDC’s Office on Smoking and Health and growing uncertainty around funding, programs across the country are being forced to adapt and do more with less while trying to maintain core services like quitlines, surveillance, and policy engagement.Final_The-Future-of-Tobacco-Control-Relies-on-OSH-Funding-.pdfReady. Set. Action: You Partner with Public HealthPast, Present, and Future: Reflections from a Radiation Readiness ProfessionalSubscribe | ASTHO

Scientific advancement has always been at the heart of public health, but as new technologies emerge, the opportunities and challenges are evolving.  In this National Public Health Week conversation, ASTHO Chief Medical Officer, Dr. Susan Kansagra explores how public health can better integrate innovation into everyday practice, from leveraging continuous improvement frameworks like Plan-Do-Study-Act to building stronger partnerships with academic and research institutions. It’s about turning questions from the field into actionable research and using that knowledge to improve real-world outcomes. National Public Health WeekPublic Health Infrastructure Grant: Resources & Impact - PHIGDriving Impact with Flexible Funding

As National Public Health Week kicks off, this episode spotlights a theme that often goes unnoticed but is essential to keeping communities safe: government partners. ASTHO CEO Dr. Joseph Kanter reflects on the “invisible wins” of public health, from behind-the-scenes planning for massive events like Mardi Gras and the World Cup to the work that quietly prevents crises before they start. It’s a reminder that when public health works, most people never see it, but lives are improved and saved every day.  And Carolyn Mullen, ASTHO senior vice president for government affairs and public relations, joins the conversation to explore how state and federal agencies collaborate in a complex and often polarized environment. She shares how public health leaders find common ground across political divides, build trust with policymakers, and tailor their messaging to drive real impact, from food safety to maternal health.Key TopicsNational Public Health WeekStorytelling in Public Health: Lessons from STI Prevention & CarePH-HERO | ASTHO

As the federal budget process stalls, uncertainty continues to ripple through Washington. ASTHO’s senior director of Government Affairs, Jeffrey Ekoma joins us to break down the latest on the ongoing Department of Homeland Security shutdown, which is the longest on record, and what it means for the broader FY26 budget timeline.  He’ll unpack how congressional gridlock is delaying progress on FY27 appropriations, what to expect from the president’s upcoming budget request, and why growing talk of a reconciliation bill could have major implications for public health funding. While current delays may not directly hit public health programs, the indirect effects could shape funding priorities and advocacy efforts in the months ahead.Subscribe | ASTHO

What happens when an entire health system is pushed to the brink of a funding cliff?  In this episode, Dr. Victor Ramos Otero, Secretary of Health for Puerto Rico, joins the show to discuss the urgent challenges facing the island’s health care system. At the center of the conversation is the looming expiration of enhanced Medicaid funding in 2027, a shift that could strip away a third of Puerto Rico’s health care resources and force difficult decisions about services, staffing, and access to care.  Dr. Ramos Otero outlines the structural inequities that set Puerto Rico apart from U.S. states, including capped Medicaid funding, lower Medicare Advantage rates, and gaps in critical programs like long-term care and low-income subsidies. These disparities, he explains, are driving both health care professionals and patients to leave the island in search of more stable support.Past, Present, and Future: Reflections from a Radiation Readiness Professional

What does it take to communicate clearly when the stakes are high and the science is complex?  In this episode, Jessica Wieder, President of Teal Skies Consulting and former leader in external affairs at FEMA and EPA, shares how a career that started with a satellite crash simulation turned into two decades at the forefront of radiological preparedness and risk communication.  Jessica breaks down the evolution of crisis messaging in the digital age, from early “message mapping” techniques to today’s multi-channel, narrative-driven strategies. She explains why people can only absorb a few key messages under stress, how authenticity can make or break public trust, and why validating emotions is just as important as delivering facts.Past, Present, and Future: Reflections from a Radiation Readiness ProfessionalStorytelling in Public Health: Lessons from STI Prevention & CareDriving Impact with Flexible Funding

What if public health could predict outbreaks the way we predict the weather? In this episode, Jason Asher, Director of the Center for Forecasting and Outbreak Analytics at the CDC, joins us to explain how a new generation of data tools is transforming how we detect and respond to infectious diseases.  For decades, public health has relied on lagging data telling us what already happened. Asher and his team are working to change that, building systems that turn real-time data streams into actionable forecasts, simulations, and decision-making tools for health departments across the country.  We dive into how these tools are already being used, from measles outbreak modeling in South Carolina to national “nowcasting” systems that fill in data gaps in real time. Behind the Model: How Scenario Modeling Can Inform Public Health Decision-Making | CFA: Behind the Model | CDCConnect with CFA | CFA | CDCModeling Handbook | CFA: Modeling and Forecasting | CDCLearning Resources | CFA | CDCepiENGAGE Measles Outbreak Simulator v-2.6.0Current Epidemic Trends (Based on Rt) for States | CFA: Modeling and Forecasting | CDCRespiratory Virus Hospitalization Surveillance Network (RESP-NET) | RESP-NET | CDCMeasles Outbreak Simulator | CFA: Modeling and Forecasting | CDCScenario assessment: 2025-2026 Measles Outbreak in South Carolina | CFA: Qualitative Assessments | CDC2025-2026 Respiratory Disease Season Outlook - December Update | CFA: Qualitative Assessments | CDCPast, Present, and Future: Reflections from a Radiation Readiness ProfessionalSubscribe | ASTHO

What does the future of public health look like and what does it cost to build it? In this episode, ASTHO member Dr. James McDonald, Commissioner of Health for New York State, returns to the show to unpack the state’s $1.7 billion investment in a new, state-of-the-art Wadsworth Center Laboratory.  Set to consolidate five aging facilities into one 655,000-square-foot, LEED Gold-certified campus in Albany, the new lab is designed to transform how New York detects, tracks, and responds to public health threats—from infectious diseases and wastewater surveillance to antimicrobial resistance and emerging pathogens. Dr. McDonald explains why co-locating more than 800 scientists alongside academic partners will accelerate research and innovation, how lessons from COVID-19 are shaping flexible, future-proof lab design, and why investments like this are critical to national health security.Journal of Public Health Management and PracticeLiving With Long COVID: Stories, Science, and Public Health

Long COVID didn’t end with the pandemic and in some ways, the challenges are just beginning. In this episode, Heather Drummond, Deputy Director of the Center for Access to Whole Person Care for the Washington State Department of Health joins us to discuss the myths, realities, and urgent gaps surrounding Long COVID today.  With an estimated 6.2% of Washington adults affected and over $1.5 billion in associated medical costs, Long COVID remains a complex and often misunderstood condition. Drummond explains why it’s so difficult to diagnose, how symptoms can vary widely across individuals, and why stigma and low awareness continue to prevent patients from getting the care they need.  We also explore Washington State’s innovative response, from building a multi-source surveillance system to expanding provider training, launching public awareness campaigns, and developing clinical decision tools in partnership with the University of Washington.Living With Long COVID: Stories, Science, and Public HealthPast, Present, and Future: Reflections from a Radiation Readiness ProfessionalNow, Next, and Beyond: Understanding the Rural Health Transformation Program | EY - US

At this year’s ASTHO Spring Leadership Forum, Gaafar Uherbelau, Advisor to the President of Palau and former Minister of Health and Human Services, shared the story behind a long-awaited solution to a quiet but growing challenge in public health.  Palau’s new transition facility is designed for individuals who are medically cleared to leave the hospital but have nowhere to go, or no one to care for them. What sounds like a simple fix is actually the result of decades of cultural shifts, resource challenges, and evolving community needs.  In this episode, Uherbelau unpacks how the facility works, why it took over 20 years to become a reality, and how it reflects broader global trends like aging populations and changing family structures. He also explores the delicate balance between honoring cultural expectations of family caregiving and building formal systems of support.Weathering the Storm – Part 2: The Importance of Environmental Health Preparedness and ResponseLiving With Long COVID: Stories, Science, and Public Health

Suicide remains one of the most urgent and complex public health challenges in the United States, with more than 49,000 lives lost in 2023 alone. In this episode, ASTHO’s Director of State Health Policy, JoAnne Deehr, breaks down how states are responding with more targeted, data-driven strategies.  From identifying high-risk populations like veterans, rural communities, and first responders, to investing in prevention infrastructure, Deehr explains how policymakers are moving beyond one-size-fits-all approaches. She also highlights key actions from the 2025 legislative session, including the creation of suicide prevention offices, advisory bodies, and fatality review processes designed to uncover patterns and improve interventions.Legislative Snapshot: Suicide Prevention Infrastructure and AI Chatbots | ASTHOLeadership Power Hour: Session 2 – Leading Through ConflictSubscribe | ASTHO

Leadership in public health has never been more complex, and navigating conflict is a critical skill for today’s leaders. In this episode, Dawn Morriston, Director of Faculty Advancement in the Office of Faculty Affairs and Leadership Development at UNC School of Medicine, introduces her March 26 session in the new Power Hour webinar series from ASTHO, designed to help supervisors and managers strengthen their leadership skills through focused, one-hour professional development sessions. The five-part series highlights key competencies that help leaders improve decision-making, build trust, and guide teams through organizational change. Morriston will explore why leading through conflict is essential in today’s rapidly changing public health environment. From competing priorities within teams to differing definitions of community needs, leaders often find themselves navigating complex conversations that require negotiation, reflection, and strategic thinking.Leadership Power Hour: Session 2 – Leading Through ConflictLiving With Long COVID: Stories, Science, and Public HealthWeathering the Storm – Part 2: The Importance of Environmental Health Preparedness and Response

In this episode: what happens after Hill Day wraps, and what’s next for public health funding.  We talk with ASTHO Senior Director for Government Affairs, Jeffrey Ekoma, about the fast-moving FY27 appropriations process and what it means for state and territorial health agencies.  From early signals in the House and Senate to the anticipated release of the president’s budget, Ekoma walks through the key milestones shaping the months ahead. He also unpacks recent oversight hearings, including insights from NIH and acting CDC leadership, and what they reveal about priorities like grants management and funding timelines.Subscribe | ASTHOPH-HERO | ASTHO

How do you deliver specialty health care across a 14-island chain spread across the Pacific?  In this episode we talk with Eleanor Cabrera, Chief Strategy Officer of the Commonwealth Healthcare Corporation for the Commonwealth of the Northern Mariana Islands.  She’ll tell us how telehealth is helping transform care delivery in the Northern Mariana Islands and explains how virtual services from telepharmacy and teleradiology to remote specialty consultations are reducing costly off-island referrals and connecting patients on Saipan, Tinian, and Rota with the care they need.  The conversation also explores the unique challenges territorial health systems face, including broadband gaps, workforce shortages, and capped Medicaid funding. Cabrera shares how strategic partnerships with mainland providers, potential collaborations with hospitals across the Asia-Pacific region, and new digital infrastructure investments could dramatically expand access to care.ASTHO Policy Institute Lunch & Learn Series: Medicaid Policy & Implications for STI PreventionNow, Next, and Beyond: Understanding the Rural Health Transformation Program | EY - US

Public health nurses are on the front lines of community health but many are facing stress, burnout, and limited opportunities for advancement. In this episode Shirley Orr, executive director for the Association of Public Health Nurses, talks about the final session in the Public Health Nursing Workforce Learning Lab series and what it reveals about retaining the public health nursing workforce. Drawing on insights from the Association of Public Health Nurses and the Public Health Workforce Interests and Needs Survey (PH WINS), Orr discusses why about a quarter of public health nurses say they may leave the field, and what leaders can do about it. From fostering supportive workplace cultures and strong supervision to creating clear pathways for professional development and shared decision-making, the conversation highlights practical strategies agencies can use to improve satisfaction and keep nurses engaged.Meeting Home PageASTHO (@astho) on X⁠, Bluesky, Instagram, LinkedIn, ⁠Facebook