scholarly journals Participation in local health department investigations by public health student teams.

1988 ◽  
Vol 78 (6) ◽  
pp. 717-717
Author(s):  
H S Teitelbaum ◽  
J McLaughlin ◽  
L Barnaby ◽  
A Paskilas ◽  
S Helgerson ◽  
...  
Keyword(s):  
Public Health ◽  
Health Department ◽  
Local Health Department ◽  
Local Health ◽  
Student Teams

scholarly journals Are Public Health Organizations Tweeting to the Choir? Understanding Local Health Department Twitter Followership

2014 ◽  
Vol 16 (2) ◽  
pp. e31 ◽  
Author(s):  
Jenine K Harris ◽  
Bechara Choucair ◽  
Ryan C Maier ◽  
Nina Jolani ◽  
Jay M Bernhardt
Keyword(s):  
Public Health ◽  
Health Department ◽  
Local Health Department ◽  
Local Health ◽  
Health Organizations ◽  
Public Health Organizations

Leveraging Limited Resources Through Cross-Jurisdictional Sharing: Influences on Breastfeeding Rates

2020 ◽  
pp. 089033442096363
Author(s):  
M. Elizabeth Gyllstrom ◽  
Marcia Burton McCoy ◽  
Gianfranco Pezzini ◽  
Adam Atherly
Keyword(s):  
Public Health ◽  
Community Health ◽  
Relative Rate ◽  
Health Department ◽  
Rate Of Change ◽  
Local Health Department ◽  
Breastfeeding Initiation ◽  
Local Health ◽  
Health Departments ◽  
Health Boards

Background Cross-jurisdictional sharing is gaining traction as an option for increasing the effectiveness and efficiency of public health services in local health departments. Research aim Assess whether breastfeeding initiation among participants in the Special Supplemental Nutrition Program for Women, Infants and Children changed with the addition of a trained breastfeeding specialist funded by cross-jurisdictional integration. Methods A longitudinal retrospective comparative difference in difference design using state-based program data, pre- and post-integration was undertaken. Three local county health departments ( n = 5) that fully integrated into one Community Health Board during January 2015, and four neighboring Community Health Boards ( n = 4) that did not integrate, were included. Results Controlling for confounders and interactions, the relative rate of change over time in breastfeeding initiation rates was greater in the integrated jurisdiction than neighboring Community Health Boards, but not statistically significant. When the integrated Community Health Board’s original three local health departments were considered separately, the relative rate of change over time in breastfeeding rates was greater for one local health department in comparison to three neighbor Community Health Boards ( p = .037, .048, and .034, respectively). Conclusions The addition of a specialized breastfeeding nutritionist led to improved breastfeeding initiation rates. The increase was significant only in the largest original local health department, which also had the lowest breastfeeding initiation rate pre-merger. The greatest positive change was seen in this local health department where the specialist staff was physically located. Public health staff specialization can lead to increases in economic efficiency and in improved delivery of public health services.

scholarly journals The Impacts of Local Health Department Consolidation on Public Health Expenditures: Evidence From Ohio

2015 ◽  
Vol 105 (S2) ◽  
pp. S174-S180 ◽  
Author(s):  
John Hoornbeek ◽  
Michael E. Morris ◽  
Matthew Stefanak ◽  
Joshua Filla ◽  
Rohit Prodhan ◽  
...  
Keyword(s):  
Public Health ◽  
Health Expenditures ◽  
Health Department ◽  
Local Health Department ◽  
Local Health ◽  
Public Health Expenditures

scholarly journals Epidemiological Effectiveness and Cost of a Fungal Meningitis Outbreak Response in New River Valley, Virginia: Local Health Department and Clinical Perspectives

2017 ◽  
Vol 12 (1) ◽  
pp. 38-46
Author(s):  
Nargesalsadat Dorratoltaj ◽  
Margaret L. O’Dell ◽  
Paige Bordwine ◽  
Thomas M. Kerkering ◽  
Kerry J. Redican ◽  
...  
Keyword(s):  
Public Health ◽  
Health Department ◽  
The United States ◽  
River Valley ◽  
Local Health Department ◽  
Local Health ◽  
Public Health Department ◽  
Outbreak Response ◽  
Fungal Meningitis ◽  
Life Years

AbstractObjectiveWe evaluated the effectiveness and cost of a fungal meningitis outbreak response in the New River Valley of Virginia during 2012-2013 from the perspective of the local public health department and clinical facilities. The fungal meningitis outbreak affected 23 states in the United States with 751 cases and 64 deaths in 20 states; there were 56 cases and 5 deaths in Virginia.MethodsWe conducted a partial economic evaluation of the fungal meningitis outbreak response in New River Valley. We collected costs associated with the local health department and clinical facilities in the outbreak response and estimated the epidemiological effectiveness by using disability-adjusted life years (DALYs) averted.ResultsWe estimated the epidemiological effectiveness of this outbreak response to be 153 DALYs averted among the patients, and the costs incurred by the local health department and clinical facilities to be $30,413 and $39,580, respectively.ConclusionsWe estimated the incremental cost-effectiveness ratio of $198 per DALY averted and $258 per DALY averted from the local health department and clinical perspectives, respectively, thereby assisting in impact evaluation of the outbreak response by the local health department and clinical facilities. (Disaster Med Public Health Preparedness. 2018;12:38–46)

Building Public Health Law Capacity at the Local Level

2008 ◽  
Vol 36 (S3) ◽  
pp. 6-28
Author(s):  
Diane E. Hoffmann ◽  
Virginia Rowthorn
Keyword(s):  
Public Health ◽  
Local Level ◽  
Health Department ◽  
Local Health Department ◽  
Local Health ◽  
Health Law ◽  
Hiv Status ◽  
Health Officer ◽  
Hiv Awareness ◽  
Do So

In the early days of HIV awareness, prior to universal precautions, as a local health officer, I was supervising an openly gay employee. The county executive (in his formal capacity) asked me the HIV status of the employee and threatened my employment if I did not reveal it. I was reluctant to do so, believing it would be an invasion of the employee’s privacy. I contacted the county attorney who advised me that I could reveal the employee’s HIV status to the county executive but he was not willing to put his guidance in writing. Ultimately, I spoke with the employee’s attorney and was given permission to reveal the employee’s HIV status. The experience, however, left a bad taste in my mouth. I felt the county attorney was acting politically in support of the county executive rather than doing what was legally appropriate. He certainly did not act as an advocate for the local health department!

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