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Public Health Confronts the Mosquito: Special Considerations for United States Territories and Freely Associated States

Guam,

This report aims to highlight the unique vector-borne disease challenges faced by Island Areas and to dive into the key components of a mosquito control program, that are relevant to these unique jurisdictions.

Guam Behavioral Health and Wellness Center: A Pandemic Lifeline

Blog,
Guam,

The COVID-19 pandemic presented an opportunity for an existing behavioral health resource—the Guam Behavioral Health and Wellness Center’s Crisis Hotline—to become a household name. During the pandemic, the hotline became a lifeline for a ...

Lessons Learned from the U.S. Affiliated Pacific Islands COVID-19 Response

Guam,
Blog,

As COVID spread through the country and infection rates rose in every state, many of the the U.S. Affiliated Pacific Islands (USAPI) received media attention for remaining relatively COVID-free. The USAPI’s unified response in the face of ...

Domestic Holiday Travel Pandemic Restrictions and Recommendations

Blog,
Guam,
Iowa,
Ohio,
Utah,

The 2020 holiday season is coinciding with a nationwide surge of COVID-19 cases. With great concern that holiday travel to see loved ones may exacerbate community spread of the virus, many states are increasing public health measures ...

Jurisdictions Moving Many ASTHO Essential Tobacco Control Policies Forward

Blog,
Guam,
Iowa,

Over the past several years, states and jurisdictions have continued to implement important policies to reduce tobacco and nicotine use, including increasing tobacco prices, expanding areas deemed “smoke-free,” limiting the sale of ...

U.S. Territories Face Healthcare Cuts if Congress Does Not Address Impending Medicaid Financing Cliff

News,
Guam,

U.S. Territories Face Healthcare Cuts if Congress Does Not Address Impending Medicaid Financing Cliff ARLINGTON, VA—Association of State and Territorial Health Officials (ASTHO) member Esther Muña, MHA, chief executive officer at the ...

Including Island Areas in Federal Public Health Datasets

Guam,

Collecting and sharing data are crucially important to improving health equity, because those datasets inform effective policymaking. Despite having some of the most challenging population health outcomes, the U.S. island areas are often ...

Dengue Preparedness in the U.S. Territories and Freely Associated States

Blog,
Guam,

Both the Pacific and Caribbean are on the front lines of the dengue health security threat. As a result, many island areas, especially in the USAPI and Puerto Rico, are doing great work to combat dengue.

Reflections From the Field: Pacific and Atlantic Jurisdictions Remain Resolute Amid Adversity

Guam,
Blog,

In the late fall of 2021, ASTHO leadership visited select jurisdictions in the Pacific and the Atlantic for the first time since COVID-19 curtailed travel to these regions. It was a fantastic to reconnect with our leadership and dedicated ...

Sharing Island Stories on Health Equity: Setting the Stage for Equity in the Island Areas

Blog,
Guam,

In the spring of 2022, ASTHO’s island area members convened at the first island-focused COVID-19 Health Equity Action Institutes and asked each other what creating an equitable and sustainable public health and healthcare system looks like ...

Jurisdictions Using Policy to Address Unique Island Area Health Challenges

Blog,
Guam,

ASTHO has several members from the territories and Freely Associated States—jurisdictions with unique challenges, and do not fall under the category of a state or federal district. This post is a brief look at some of the public health ...

Insular Areas Consider Variety of Public Health Related Legislation

Blog,
PFAS,
Guam,

Each year, ASTHO tracks and analyzes key legislation that impacts public health, and highlights the emerging trends for our members. While the bulk of the tracked legislation arises in state legislatures, ASTHO also follows legislation ...

ASTHO Addresses Insular Areas Health Equity Through Federal Engagement

Blog,
Guam,

As the Association of State and Territorial Health Officials, ASTHO is committed to the T in our name. The health officials from the territories and freely-associated states are valued members and we are committed to advocating for the ...

Using Boundary Spanning Leadership to Improve Population Health

Blog,
Guam,

Understanding boundary spanning principles helps public health practitioners recognize the types of boundaries that come naturally when navigating relationships that may involve managing up, down, and across.

Overcoming Baked-In Inequities and Promoting Health Equity in the Island Areas

Blog,
Guam,

Many health equity frameworks have been built in the context of the states, as such, they do not always translate easily to the U.S. territories and freely associated states.