scholarly journals Intent to Vaccinate Children against COVID-19: Low levels of trust in public health agencies trust across rural communities

2021 ◽  
Author(s):  
Enbal Shacham ◽  
Germysha Little ◽  
Steve Scroggins ◽  
Avery Fredman ◽  
Ricardo Wray ◽  
...  
Keyword(s):  
Public Health ◽  
Rural Communities ◽  
Online Survey ◽  
Health Agency ◽  
Special Focus ◽  
Cross Sectional ◽  
Local Public Health ◽  
Public Health Agencies ◽  
Health Agencies ◽  
State And Local

Background: A COVID-19 vaccination for children is positioned to be a critical resource in the pandemic-prevention effort. However, studies have shown hesitation towards COVID-19 vaccination uptake and a lack of trust in government agencies; putting children at risk for not receiving preventative medical care. The purpose of this study was to determine the association between trust in public health agencies and parental intention to vaccinate their children against COVID-19. Methods: Residents of a Midwestern state who reported being parent/guardian of one or more child, aged <18 living at home, were recruited to participate in a cross-sectional online survey conducted during September-October 2020 (n=238). Participants were asked their level of trust in both state and local public health departments and if they planned on vaccinating their children against COVID-19. Resident geography, rural, suburban, and urban, was categorized using definitions from the Health Resource Services Administration (HRSA) and matched to participant county of residence. Descriptive and binomial logistic regression analyses were conducted to predict probability of vaccine intent for children.Results:. Among participants, 132 (55.5%) reported intention to vaccinate their children against COVID-19. Factors that were found to significantly decrease probability of vaccinating child were being a rural resident and lower level of trust in both state and local public health agencies. Discussion: Results from this study highlight the importance of addressing public health agency mistrust among individuals, regardless of geography, to assure more equitable vaccine delivery. Further, special focus may be needed for those living in more isolated, less populated areas, where a higher level of trust may be needed before parents vaccinate their children.

Use of syndromic surveillance data to monitor poisonings and drug overdoses in state and local public health agencies

2016 ◽  
Vol 22 (Suppl 1) ◽  
pp. i43-i49 ◽  
Author(s):  
Amy Ising ◽  
Scott Proescholdbell ◽  
Katherine J Harmon ◽  
Nidhi Sachdeva ◽  
Stephen W Marshall ◽  
...  
Keyword(s):  
Public Health ◽  
Syndromic Surveillance ◽  
Surveillance Data ◽  
Local Public Health ◽  
Public Health Agencies ◽  
Health Agencies ◽  
Drug Overdoses ◽  
State And Local

Opportunities to Improve Employee Satisfaction Within State and Local Public Health Agencies

2019 ◽  
Vol 25 (5) ◽  
pp. 440-447
Author(s):  
Janna M. Wisniewski ◽  
Corey Jacinto ◽  
Valerie A. Yeager ◽  
Brian Castrucci ◽  
Theresa Chapple-McGruder ◽  
...  
Keyword(s):  
Public Health ◽  
Employee Satisfaction ◽  
Local Public Health ◽  
Public Health Agencies ◽  
Health Agencies ◽  
State And Local

Survey of nutritionists in state and local public health agencies

1986 ◽  
Vol 86 (11) ◽  
pp. 1566-1570
Author(s):  
Mildred Kaufman ◽  
Jerianne Heimendinger ◽  
Susan Foerster ◽  
Mary Ann Carroll
Keyword(s):  
Public Health ◽  
Local Public Health ◽  
Public Health Agencies ◽  
Health Agencies ◽  
State And Local

scholarly journals The Economic, Institutional, and Political Determinants of Public Health Delivery System Structures

2012 ◽  
Vol 127 (2) ◽  
pp. 208-215 ◽  
Author(s):  
Richard C. Ingram ◽  
F. Douglas Scutchfield ◽  
Glen P. Mays ◽  
Michelyn W. Bhandari
Keyword(s):  
Public Health ◽  
Delivery System ◽  
Health Agency ◽  
Policy Makers ◽  
Local Public Health ◽  
Public Health Agencies ◽  
Health Delivery ◽  
Health Agencies ◽  
Health Delivery System ◽  
Over Time

Objectives. A typology of local public health systems was recently introduced, and a large degree of structural transformation over time was discovered in the systems analyzed. We present a qualitative exploration of the factors that determine variation and change in the seven structural configurations that comprise the local public health delivery system typology. Methods. We applied a 10-item semistructured telephone interview protocol to representatives from the local health agency in two randomly selected systems from each configuration—one that had maintained configuration over time and one that had changed configuration over time. We assessed the interviews for patterns of variation between the configurations. Results. Four key determinants of structural change emerged: availability of financial resources, interorganizational relationships, public health agency organization, and political relationships. Systems that had changed were more likely to experience strengthened partnerships between public health agencies and other community organizations and enjoy support from policy makers, while stable systems were more likely to be characterized by strong partnerships between public health agencies and other governmental bodies and less supportive relationships with policy makers. Conclusions. This research provides information regarding the determinants of system change, and may help public health leaders to better prepare for the impacts of change in the areas discussed. It may also help those who are seeking to implement change to determine the contextual factors that need to be in place before change can happen, or how best to implement change in the face of contextual factors that are beyond their control.

scholarly journals Communication Between Infectious Disease Physicians and US State and Local Public Health Agencies

2016 ◽  
Vol 131 (5) ◽  
pp. 666-670
Author(s):  
Scott Santibañez ◽  
Philip M. Polgreen ◽  
Susan E. Beekmann ◽  
Catherine Cairns ◽  
Gregory A. Filice ◽  
...  
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Local Public Health ◽  
Public Health Agencies ◽  
Health Agencies ◽  
State And Local

scholarly journals Sars-Cov-2 Wastewater Surveillance for Public Health Action: Connecting Perspectives From Wastewater Researchers and Public Health Officials During a Global Pandemic

2021 ◽  
Author(s):  
Jill McClary-Gutierrez ◽  
Mia Mattioli ◽  
Perrine Marcenac ◽  
Andrea Silverman ◽  
Alexandria Boehm ◽  
...  
Keyword(s):  
Public Health ◽  
Environmental Microbiology ◽  
Surveillance Data ◽  
Surveillance Systems ◽  
Public Attention ◽  
Public Health Action ◽  
Local Public Health ◽  
Public Health Agencies ◽  
Health Agencies ◽  
State And Local

Wastewater surveillance for SARS-CoV-2 has garnered extensive public attention during the COVID-19 pandemic as a proposed complement to existing disease surveillance systems. Over the past year, environmental microbiology and engineering researchers have advanced methods for detection and quantification of SARS-CoV-2 viral RNA in untreated sewage and demonstrated that the trends in wastewater are correlated with trends in cases reported days to weeks later depending on the location. At the start of the pandemic, the virus was also detected in wastewater in locations prior to known cases. Despite the promise of wastewater surveillance, for these measurements to translate into useful public health tools, it is necessary to bridge the barriers between researchers and the public health responders who will ultimately use the data. Here we describe the key uses, barriers, and applicability of SARS-CoV-2 wastewater surveillance for supporting public health decisions and actions. This perspective was formed from a multidisciplinary group of environmental microbiology, engineering, wastewater, and public health experts, as well as from opinions shared during three focus group discussions with officials from ten state and local public health agencies. The key barriers to use of wastewater surveillance data identified were: (1) As a new data source, most public health agencies are not yet comfortable interpreting wastewater data; (2) Public health agencies want to see SARS-CoV-2 wastewater data in their own communities to gain confidence in its utility; (3) New institutional knowledge and increased capacity is likely needed to sustain wastewater surveillance systems; and (4) The ethics of wastewater surveillance data collection, sharing, and use are not yet established. Overall, while wastewater surveillance to assess community infections is not a new idea, by addressing these barriers, the COVID-19 pandemic may be the initiating event that turns this emerging public health tool into a sustainable nationwide surveillance system.

scholarly journals A tale of two parts of Switzerland: regional differences in the impact of the COVID-19 pandemic on parents

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michelle Seiler ◽  
Georg Staubli ◽  
Julia Hoeffe ◽  
Gianluca Gualco ◽  
Sergio Manzano ◽  
...  
Keyword(s):  
Public Health ◽  
Regional Differences ◽  
Online Survey ◽  
Pediatric Emergency ◽  
The South ◽  
Public Health Agencies ◽  
The North ◽  
Regional Strategies ◽  
Health Agencies ◽  
The Impact

Abstract Background We aimed to document the impact of the coronavirus disease 2019 (COVID-19) pandemic on regions within a European country. Methods Parents arriving at two pediatric emergency departments (EDs) in North of Switzerland and two in South of Switzerland completed an online survey during the first peak of the pandemic (April–June 2020). They were asked to rate their concern about their children or themselves having COVID-19. Results A total of 662 respondents completed the survey. Parents in the South were significantly more exposed to someone tested positive for COVID-19 than in the North (13.9 and 4.7%, respectively; P <  0.001). Parents in the South were much more concerned than in the North that they (mean 4.61 and 3.32, respectively; P <  0.001) or their child (mean 4.79 and 3.17, respectively; P <  0.001) had COVID-19. Parents reported their children wore facemasks significantly more often in the South than in the North (71.5 and 23.5%, respectively; P <  0.001). Conclusion The COVID-19 pandemic resulted in significant regional differences among families arriving at EDs in Switzerland. Public health agencies should consider regional strategies, rather than country-wide guidelines, in future pandemics and for vaccination against COVID-19 for children.

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