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Press Release on health-related topics.

Nuevo informe: Las tasas de obesidad en adultos continua en aumentando, particularmente en comunidades que enfrentan dificultades para lograr una alimentación saludable y tienen menos oportunidades para realizar actividad física

El vigésimo informe anual revela que 22 estados presentan niveles de obesidad en adultos superiores al 35 por ciento

(Washington, DC – 21 de septiembre del 2023) – Según el nuevo informe, publicado el día de hoy sobre el Estado de la obesidad 2023: Mejores políticas para una América más saludable (State of Obesity 2023: Better Policies for a Healthier America), demuestra que la cantidad de adultos en los Estados Unidos con obesidad sigue aumentando. Dicho informe es la vigésima edición anual producida por Trust for America’s Health (TFAH), el cual examina las causas fundamentales del aumento de las tasas de obesidad en el país y hace recomendaciones de políticas para abordarlas.

De acuerdo con el análisis de TFAH de los datos más recientes del Centros para el Control y la Prevención de Enfermedades (CDC, por sus siglas en inglés) y del Sistema de Vigilancia de Factores de Riesgo del Comportamiento, en el 2022, 22 estados tenían una tasa de obesidad en adultos igual o superior al 35 por ciento, en comparación a 19 estados registrados el año anterior. Hace una década atrás, no se registraba una tasa de obesidad igual o superior del 35 por ciento en ningún estado.

Virginia Occidental (41%), Luisiana (40,1%), Oklahoma (40,0%) y Mississippi (39,5%) tienen las tasas más altas de obesidad en adultos. El Distrito de Columbia (24,3%), Colorado (25,0%) y Hawaii (25,9%) tienen las tasas más bajas de obesidad en adultos.

En las últimas dos décadas, las tasas de obesidad han aumentado en todos los grupos de población, y ciertas poblaciones de color experimentan las tasas más altas, a menudo debido a dificultades de estructura referente a una alimentación saludable y a la falta de oportunidades y lugares para estar físicamente activo.

Los resultados de la data en el informe de la Encuesta Nacional de Examen de Salud y Nutrición (NHANES) 2017-2020 rastrean las tendencias de la obesidad a nivel nacional y dentro de los grupos de población. A nivel nacional, el 41,9 por ciento de los adultos tienen obesidad. Los adultos negros, latinos y las personas que viven en comunidades rurales tienden a tener las tasas más altas de obesidad.

  • Los adultos negros tienen el nivel más alto de obesidad adulta con un 49,9 por ciento.
  • Los adultos hispanos tienen una tasa de obesidad del 45,6 por ciento.
  • Los adultos blancos tienen una tasa de obesidad del 41,4 por ciento.
  • Las zonas rurales del país tienen mayores índices de obesidad que las zonas urbanas y suburbanas.

Las tasas de obesidad también están aumentando entre los niños y adolescentes: casi el 20 por ciento de los niños estadounidenses de 2 a 19 años tienen obesidad según los datos de NHANES de 2017-2020. Estas tasas se han más que triplicado desde mediados de la década de 1970, siendo los jóvenes negros y latinos los que tienen las tasas de obesidad sustancialmente más altas que sus pares blancos.

Una comprensión en evolución de la obesidad

Desde la primera publicación del informe de TFAH en el 2004, la tasa nacional de obesidad en adultos ha aumentado en un 37 por ciento y la tasa nacional de obesidad juvenil aumentó en un 42 por ciento. Los aumentos generalizados muestran que la obesidad es un problema que afecta a toda la sociedad a nivel poblacional, es decir, que tiene sus raíces en factores sociales y ambientales, lo que significa que a menudo están más allá de la elección individual. TFAH concluye que resolver la crisis de obesidad del país requerirá abordar los factores económicos y estructurales que impactan el lugar donde vive la gente y su acceso al empleo, el transporte, la atención médica, alimentos asequibles y saludables, y lugares para estar físicamente activo.

En los últimos 20 años, se han logrado avances importantes en la comprensión de que la obesidad es una enfermedad y cómo prevenirla, entendiendo el papel que desempeñan los determinantes sociales de la salud y las desigualdades en el ámbito salubre a la hora de impulsar las tasas de obesidad. Además, la implementación de muchas políticas y programas relacionados con la obesidad, brindando un mayor acceso y beneficios dentro de los programas de apoyo nutricional, tienen un historial comprobado de éxito, pero se necesita una mayor inversión para llegar a más personas y comunidades.

“Es fundamental reconocer que la obesidad es una enfermedad multifactorial que involucra mucho más que el comportamiento individual”, dice J. Nadine Gracia, M.D., MSCE, presidente y director ejecutivo de Trust for America’s Health. “Para detener la tendencia de décadas de aumentar las tasas de obesidad, debemos reconocer que la crisis de la obesidad tiene sus raíces en desigualdades económicas, sanitarias y ambientales. Garantizar que todas las personas y comunidades tengan oportunidades equitativas y acceso a alimentos saludables y actividad física es fundamental para abordar esta crisis”.

Abordar la obesidad es fundamental porque está asociada con una variedad de enfermedades, como diabetes tipo 2, enfermedades cardíacas, accidentes cerebrovasculares, artritis, apnea del sueño y algunos cánceres. Se estima que la obesidad aumenta el gasto sanitario en Estados Unidos en 170.000 millones de dólares al año (incluidos miles de millones de Medicare y Medicaid).

Recomendaciones para abordar la crisis de la obesidad

El informe propone un plan de acción, promoviendo ciertas recomendaciones para ser consideradas por funcionarios federales, estatales, locales y otras partes interesadas en cinco áreas en particular:

  • Promover la equidad en salud dedicando estratégicamente recursos federales a esfuerzos que reduzcan las disparidades relacionadas con la obesidad y las condiciones relacionadas, incluso aumentando la financiación para los programas de prevención de enfermedades crónicas y obesidad de los CDC.
  • Disminuir la inseguridad nutricional y al mismo tiempo mejorar la calidad nutricional de los alimentos disponibles. Las medidas de acción incluyen garantizar comidas escolares saludables para todos los estudiantes, aumentar el acceso al Programa de Asistencia Nutricional Suplementaria (SNAP) y otros programas de apoyo nutricional, e implementar un sistema obligatorio de etiquetado frontal en los envases de alimentos para ayudar a los consumidores a tomar decisiones informadas.
  • Cambiar las estrategias de marketing y precios que conducen a disparidades en materia de salud, incluido el cierre de lagunas fiscales y la eliminación de las deducciones de costos comerciales por anunciar alimentos no saludables a los niños.
  • Hacer que la actividad física y el entorno construido sean más seguros y accesibles para todos. Las medidas de acción incluyen aumentar los fondos federales para la educación para apoyar la salud y la educación física en las escuelas e invertir en proyectos donde la gente pueda transportarse activamente por senderos para peatones y bicicletas.
  • Trabajar en el sistema de atención médica para reducir las disparidades sociales y aumentar el acceso al seguro médico mediante la expansión de Medicaid, haciendo que los seguros en el mercado sean más asequibles, ampliando los exámenes de atención médica para las necesidades sociales.

Acceda al informe completo

 

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

New Report: Rates of Adult Obesity Continue to Climb, Particularly in Communities Experiencing Barriers to Healthy Eating and Few Opportunities for Physical Activity

20th Annual Report Finds 22 States Have Adult Obesity Levels Above 35 Percent

(Washington, DC – September 21, 2023) – The number of adults in the United States with obesity continues to climb according to a new report, State of Obesity 2023: Better Policies for a Healthier America, released today. The report, the 20th annual edition produced by Trust for America’s Health (TFAH), examines the root causes of the nation’s rising obesity rates, and makes policy recommendations to address them.

According to TFAH’s analysis of the latest data from the Centers for Disease Control and Prevention’s (CDC) Behavioral Risk Factor Surveillance System, in 2022, 22 states had an adult obesity rate at or above 35 percent, up from 19 states the prior year. A decade ago, no state had an adult obesity rate at or above the 35 percent level.

West Virginia (41%), Louisiana (40.1%), Oklahoma (40.0%), and Mississippi (39.5%) have the highest rates of adult obesity. The District of Columbia (24.3%), Colorado (25.0%), and Hawaii (25.9%) have the lowest adult obesity rates.

Over the past two decades obesity rates have climbed for all population groups with certain populations of color experiencing the highest rates, often due to structural barriers to healthy eating and a lack of opportunities and places to be physically active.

Data summarized in the report from the 2017 – 2020 National Health and Nutrition Examination Survey (NHANES) tracks obesity trends nationally and within populations groups. Nationally, 41.9 percent of adults have obesity. Black and Latino adults and people living in rural communities tend to have the highest rates of obesity.

  • Black adults have the highest level of adult obesity at 49.9 percent.
  • Hispanic adults have an obesity rate of 45.6 percent.
  • White adults have an obesity rate of 41.4 percent.
  • Rural areas of the country have higher rates of obesity than urban and suburban areas.

Obesity rates are also increasing among children and adolescents with nearly 20 percent of U.S. children ages 2 to 19 having obesity according to 2017–2020 NHANES data. These rates have more than tripled since the mid-1970s, and Black and Latino youth have substantially higher rates of obesity than do their white peers.

An Evolving Understanding of Obesity

Since TFAH’s initial report, published in 2004, the national adult obesity rate has increased by 37 percent and the national youth obesity rate increased by 42 percent. The widespread increases show that obesity is a society-wide, population-level issue, i.e., one rooted in societal and environmental factors that are often beyond individual choice. TFAH concludes that solving the nation’s obesity crisis will require addressing the economic and structural factors that impact where people live and their access to employment, transportation, healthcare, affordable and healthy food, and places to be physically active.

Over the past 20 years, important strides have been made in understanding that obesity is a disease and how to prevent it, including the role that social determinants of health and health inequities play in driving obesity rates. Furthermore, many obesity-related policies and programs that have been implemented, such as increased access to and benefits within nutrition support programs, have a proven record of success but need increased investment to reach more people and communities.

“It’s critical to recognize that obesity is a multifactored disease involving much more than individual behavior,” says J. Nadine Gracia, M.D., MSCE, President and CEO of Trust for America’s Health.  “In order to stem the decades long trend of increasing obesity rates we have to acknowledge that the obesity crisis is rooted in economic, health, and environmental inequities.  Ensuring all people and communities have equitable opportunity and access to healthy food and physical activity is fundamental to addressing this crisis.”

Addressing obesity is critical because it is associated with a range of diseases, including type 2 diabetes, heart disease, stroke, arthritis, sleep apnea, and some cancers. Obesity is estimated to increase U.S. healthcare spending by $170 billion annually (including billions by Medicare and Medicaid).

Recommended Policy Steps to Address the Obesity Crisis

The report includes recommendations for policy actions that should be taken by federal, state, and local officials and other stakeholders within five issue areas:

  • Advance health equity by strategically dedicating federal resources to efforts that reduce obesity-related disparities and related conditions, including by increasing funding for CDC’s chronic disease and obesity prevention programs.
  • Decrease nutrition insecurity while improving nutritional quality of available food. Actions steps include guaranteeing healthy school meals for every student, increasing access to the Supplemental Nutrition Assistance Program (SNAP) and other nutrition support programs, and implementing a mandatory front-of-package labeling system on food packaging to help consumers make informed choices.
  • Change the marketing and pricing strategies that lead to health disparities, including closing tax loopholes and eliminating business-cost deductions for advertising unhealthy food to children.
  • Make physical activity and the built environment safer and more accessible for everyone. Action steps include increasing federal education funding to support health and physical education in schools and investing in active transportation projects like pedestrian and bike paths.
  • Work within the healthcare system to reduce disparities and close gaps in clinical-to-social service referrals by increasing access to health insurance through expanding Medicaid, making marketplace insurance more affordable, and expanding healthcare screenings for social needs.

 

Read the full report

Over 110 Organizations Call on Senate to Oppose Cuts to Prevention Fund

(Washington, DC – September 20, 2023) – Trust for America’s Health, American Public Health Association, Association of Public Health Laboratories, Big Cities Health Coalition, Campaign for Tobacco-free Kids, Council of State and Territorial Epidemiologists, National Association of County and City Health Officials, and more than 100 other organizations representing public health, healthcare, research, social services, and other sectors, today released a letter to the Senate Health, Education, Labor, and Pensions (HELP) Committee opposing a committee proposal to cut $980 million from the Prevention & Public Health Fund (“the Prevention Fund”) to pay for other health legislation.

The Prevention Fund is a critical source of funding for the Centers for Disease Control and Prevention and other agencies across Health and Human Services. The Prevention Fund invests in states and communities across the nation to strengthen systems and the workforce that allow us to provide immunizations, detect and control outbreaks, and prevent illness and early deaths from tobacco and chronic diseases. It supports activities outside one’s doctor’s office – separate and distinct from individual health concerns and treatments.

In an already challenging budget environment, this would further endanger the health of Americans. These cuts would impact not only health programs, but also labor and education, as it will leave a significant gap in base appropriations for the Labor-HHS-Education spending bill that will need to be backfilled. This pay-for has far reaching consequences for all ofthe  programs that fall under the spending bill’s purview.

The letter in part reads:

“The nation can no longer afford to underfund public health…. Despite spending more than any other high-income nation on treating disease, the U.S. has substantially worse health outcomes, with life expectancy declining in recent years. Now is the time to invest in public health and prevention…

Cuts to the Prevention Fund will translate into funding shortfalls in programs that states have long relied upon to keep their residents healthy and safe. In its first 14 years (FY2010–23), the Prevention Fund has invested more than $12.3 billion in resources to states, localities, and tribal and community organizations in support of critical prevention and public health programs. These investments include the 317 immunization program that enables prevention of outbreaks, epidemiologists and public health laboratory grants in every state and territory to detect and investigate outbreaks and prevent further infections, the Preventive Health and Health Services (Prevent) Block Grant that enables states and localities to address their most pressing health concerns, supporting cancer screenings, and other critically important programs. Across the U.S. Department of Health and Human Services, the Prevention Fund supports programs such as suicide prevention, Alzheimer’s disease prevention, and chronic disease self-management.

Funding prevention not only saves lives, but it also saves money. The Prevention Fund’s Tips from Former Smokers Campaign alone saved an estimated $7.3 billion in smoking-related healthcare costs from 2012 to 2018 and helped more than one million Americans quit smoking for good. Public health funding has not kept up with the range of threats that public health must address. For many of these conditions, we know what works, but public health does not have the resources to address these growing health threats.”

The full text of the letter is linked here.

Information about the Prevention and Public Health Fund can be found here.

Organizations Joining the Letter:

ADAP Advocacy

American Academy of Pediatrics

American Association on Health and Disability

American College of Clinical Pharmacy

American College of Obstetricians and Gynecologists

American College of Physicians

American College of Preventive Medicine

American College of Sports Medicine

American Heart Association

American Lung Association

American Public Health Association

American Society for Microbiology

American Society on Aging

American Statistical Association

Association for Prevention Teaching and Research

Association for Professionals in Infection Control and Epidemiology

Association of American Medical Colleges

Association of Immunization Managers

Association of Maternal & Child Health Programs

Association of Pathology Chairs

Association of Public Health Laboratories

Association of Schools and Programs of Public Health

Association of State and Territorial Health Officials

Asthma and Allergy Foundation of America

Big Cities Health Coalition

CAEAR Coalition

Campaign for Tobacco-Free Kids

Center for Advocacy for the Rights and Interests of Elders (CARIE)

Children’s Environmental Health Network

Christian Council of Delmarva

City-County Health District

Colorado Public Health Association

Community Access National Network

Connecticut Public Health Association

Cook County Department of Public Health

Council of State and Territorial Epidemiologists

Dorchester County Health Department

Early Impact Virginia

Endocrine Society

Eta Sigma Gamma

Foundation for Healthy Generations

Futures Without Violence

GLMA: Health Professionals Advancing LGBTQ+ Equality

GO2 for Lung Cancer

Green & Healthy Homes Initiative, Inc

Health Promotion Consultants

Healthy Weight Partnership Inc.

HIV Medicine Association

HLN Consulting, LLC

Illinois Society for the Prevention of Blindness

Immunize.org

Institute for Public Health Innovation

International WELL Building Institute

Johns Hopkins Center for Health Security

Kansas Breastfeeding Coalition

Kentucky Voices for Health

Kids and Car Safety

Lakeshore Foundation

Linn County Public Health

Maine Public Health Association

March of Dimes

Marked By Covid

MaryCatherine Jones Consulting, LLC

Mel Leaman Free Clinic

Mental Health America

Minnesota Public Health Association

NASTAD

National Alliance of Public Health Students and Alums

National Association of Chronic Disease Directors

National Association of County and City Health Officials

National Association of Social Workers

National Center for Healthy Housing

National Center on Domestic and Sexual Violence

National Network of Public Health Institutes

National Nurse-Led Care Consortium

National Prevention Science Coalition

Nemours Children’s Health

New Jersey Public Health Association

New York State Public Health Association

Oregon Coalition of Local Health Officials

Peggy Lillis Foundation

Pennsylvania Public Health Association

Population Association of America

Prevent Blindness

Prevent Blindness Georgia

Prevent Blindness Ohio

Prevent Blindness Wisconsin

Prevent Child Abuse America

Prevention Institute

Public Health Foundation

Public Health Institute

Redstone Global Center for Prevention and Wellness

Resolve to Save Lives

RiverStone Health

Safe States Alliance

Society for Healthcare Epidemiology of America

Society for Maternal-Fetal Medicine

Society for Public Health Education

Society for Women’s Health Research

Sound Generations

Sound Generations – Project Enhance

Spina Bifida Association

Task Force for Global Health

The 317 Coalition

The Foundation for Sustainable Communities

The Gerontological Society of America

Trust for America’s Health

USAging

Vaccinate Your Family

Voices for Vaccines

Washington State Association of Local Public Health Officials

Washington State Public Health Association

Well-Being and Equity in the World

Wisconsin Public Health Association

YMCA of the USA

 

 

 

The CDC is in Crisis – Can its New Leader Save It?

July 2023
Nature

Once regarded as the gold standard for public-health agencies, the US Centers for Disease Control and Prevention (CDC) faces an unprecedented crisis, fueled by chronic underfunding and anger about the agency’s response to the COVID-19 pandemic. But now the agency has a new leader to try to put things right: Mandy Cohen, a physician who served as North Carolina’s health secretary until the end of 2021, started her tenure as CDC director on Monday.

Read the article

Statement from TFAH Board Chair Dr. Stephanie Mayfield Gibson and President and CEO Dr. J. Nadine Gracia on the passing of Governor Lowell Weicker

(Washington, DC – June 30, 2023) – “On behalf of the staff and Board of Directors of Trust for America’s Health (TFAH), we are saddened to learn of the passing of our organization’s founding president, Governor Lowell Weicker.  Governor Weicker lived a life of public service and a commitment to protecting the health of all communities.  His work leading TFAH’s Board of Directors helped establish and strengthen the organization as a voice for public health in the decade after 9/11.  We extend our thoughts of comfort to his family and friends during this sorrowful time.” 

Nuevo informe: La inversión insuficiente en salud pública deja a la nación menos preparada para los riesgos de salud actuales y futuros

El financiamiento de emergencia del COVID-19 ayudó a controlar la pandemia, pero no abordó las debilidades estructurales en el sistema de salud pública de la nación

(Washington, DC – 14 de junio de 2023) – Décadas de financiación insuficiente han dejado al sistema de salud pública del país mal equipado para proteger la salud de los estadounidenses, según un nuevo informe, El impacto de la financiación insuficiente crónica en el sistema de salud pública de Estados Unidos: Tendencias, Riesgos y recomendaciones 2023, publicado hoy por Trust for America’s Health.

La financiación insuficiente de los programas de salud pública ha sido un problema de larga data. La crisis del COVID-19 demostró las debilidades en la infraestructura de salud pública de la nación, incluidos los sistemas de datos anticuados, la capacidad insuficiente de los laboratorios de salud pública, una fuerza laboral de salud pública con recursos insuficientes y la necesidad de mejorar las comunicaciones de salud pública. Estas capacidades fundacionales de salud pública requieren una financiación mayor, flexible y sostenida.

Si bien el financiamiento de emergencia para la respuesta a la pandemia fue fundamental para abordar la crisis, representó un financiamiento único y, a menudo, se limitó a gastos específicos del COVID-19, es decir, no se pudo gastar en necesidades de infraestructura subyacentes. Además, en la mayoría de los casos, esta financiación ha finalizado o se rescindió en el reciente acuerdo de límite de deuda. Por lo tanto, la nación corre el riesgo de volver a un patrón de auge y caída de aumentos esporádicos de fondos para la salud pública durante emergencias, seguido de fondos insuficientes en períodos que no son de emergencia.

Los Centros para el Control y la Prevención de Enfermedades (CDC) de los Estados Unidos, la principal fuente de financiación de la salud pública para los departamentos de salud estatales, locales, tribales y territoriales, dependen del proceso anual de asignaciones federales. Durante la última década (año fiscal 2014 – 2023), el presupuesto de los CDC aumentó solo un 6 % después de ajustarse a la inflación, lo que generó una financiación insuficiente en áreas clave del programa, como la preparación para emergencias y la prevención de enfermedades crónicas.

Dos programas de los CDC enfocados en la preparación y respuesta de salud pública, el Programa de Preparación para Emergencias de Salud Pública (PHEP) y el Programa de Preparación y Recuperación de Atención Médica, han experimentado importantes recortes presupuestarios en las últimas dos décadas. Después de ajustar por inflación, la financiación de PHEP se ha reducido a la mitad desde el 2003, y el presupuesto para el Programa de Preparación y Recuperación de Atención Médica se ha reducido en casi dos tercios durante el mismo período.

Además de los riesgos asociados a las emergencias sanitarias, el país enfrenta un número creciente de personas que viven con enfermedades crónicas y los costos de salud asociados. Hoy en día, aproximadamente el 60 % de la población adulta de los Estados Unidos tiene al menos una enfermedad crónica, como obesidad, diabetes o enfermedades cardíacas. El tratamiento de estas enfermedades crónicas, junto con las afecciones de salud mental, representa la gran mayoría del gasto en atención médica de los Estados Unidos. Si bien los programas de salud pública basados en evidencia que ayudan a prevenir enfermedades crónicas están haciendo un trabajo importante, la financiación insuficiente ha limitado su accesibilidad e impacto en muchas comunidades.

“Debemos abordar el grave desajuste entre las necesidades de salud pública de la nación y su inversión en salud pública”, dijo J. Nadine Gracia, M.D. MSCE, Presidenta y Directora Ejecutiva de Trust for America’s Health. “La inversión en salud pública dirige el gasto hacia programas de seguridad y prevención en salud. Dicho gasto no solo nos prepararía mejor para futuras emergencias de salud pública, sino que también ayudaría a abordar las causas profundas de la mala salud y las disparidades en la salud”.

TFAH solicita una financiación anual para CDC de al menos $ 11,581 mil millones en el año fiscal 2024, el nivel solicitado en el presupuesto del presidente para el año fiscal 24 (la financiación de CDC para el año fiscal 2023 es de $ 9,2 mil millones).

Otras recomendaciones de política dentro del informe incluyen:

  • Aumentar y mantener el financiamiento relativo a enfermedades para fortalecer la infraestructura de salud pública. Los expertos en salud pública calculan un déficit anual de $4500 millones en fondos necesarios para que los departamentos de salud estatales y locales brinden servicios integrales de salud pública en sus comunidades.
  • Fortalecer la preparación para emergencias de salud pública, incluso dentro del sistema de salud. Las inversiones deben incluir la restauración de los fondos para el Acuerdo de Cooperación de Preparación para Emergencias de Salud Pública, el Programa de Preparación y Recuperación de Atención Médica y programas diseñados para respaldar la infraestructura de vacunas, así como para prevenir, detectar y contener infecciones resistentes a los antimicrobianos.
  • Modernizar el sistema de datos de salud pública para garantizar el intercambio de datos completos y en tiempo real durante las emergencias de salud pública. Los expertos en salud pública estiman que se necesitan al menos $7840 millones en los próximos cinco años para que la Iniciativa de Modernización de Datos de los CDC fortalezca la recopilación y el informe de datos de salud pública a nivel estatal y local. El Congreso también debe proporcionar financiamiento sostenido para el nuevo Centro de pronóstico y análisis de brotes de los CDC.
  • Reforzar el reclutamiento y la retención de la fuerza laboral de salud pública. En el 2021, se estimó que los departamentos de salud pública estatales y locales necesitaban contratar 80 000 empleados adicionales para poder brindar un conjunto mínimo de servicios de salud pública. La naturaleza de una sola vez de la financiación de emergencia a corto plazo significa que los departamentos de salud están, o pronto estarán, gravemente faltos de personal nuevamente.
  • Invertir en programas para prepararse y mitigar los impactos del cambio climático.
  • Abordar las disparidades de salud y las causas profundas de las enfermedades tomando en cuanta los determinantes sociales de la salud e invirtiendo en la prevención de enfermedades crónicas.

 

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.

New Report: Under-Investment in Public Health Leaves Nation Less Prepared for Current and Future Health Risks

COVID-19 Emergency Funding Helped Control the Pandemic, but Did Not Address Structural Weaknesses in the Nation’s Public Health System

(Washington, DC – June 14, 2023) – Decades of underfunding have left the nation’s public health system ill-equipped to protect the health of Americans, according to a new report, The Impact of Chronic Underfunding on America’s Public Health System: Trends, Risks, and Recommendations, 2023, being released today by Trust for America’s Health.

Insufficient funding for public health programs has been a long-standing problem. The COVID-19 crisis illuminated weaknesses in the nation’s public health infrastructure, including antiquated data systems, insufficient public health laboratory capacity, an under-resourced public health workforce, and the need for improved public health communications. These foundational public health capacities require increased, flexible, and sustained funding.

While pandemic response emergency funding was critical for addressing the crisis, it represented one-time funding and was often limited to COVID-19-specific spending, i.e., it could not be spent on underlying infrastructure needs. Furthermore, in most instances, this funding has now ended or was rescinded in the recent debt limit agreement. The nation is therefore at risk of returning to a boom-and-bust pattern of sporadic funding increases for public health during emergencies followed by insufficient funding in non-emergency periods.

The U.S. Centers for Disease Control and Prevention (CDC), the primary source of public health funding for state, local, tribal, and territorial health departments, is itself reliant on the annual federal appropriations process. Over the past two decades (FY 2014 – 2023), the CDC’s budget has increased by just 6 percent after adjusting for inflation, leading to insufficient funding in key program areas such as emergency preparedness and chronic disease prevention.

Two CDC programs focused on public health preparedness and response, the Public Health Emergency Preparedness Program (PHEP) and the Healthcare Readiness and Recovery Program, have both experienced major budget cuts over the past two decades. After adjusting for inflation, PHEP funding has been reduced by about half since 2003, and the budget for the Healthcare Readiness and Recovery Program has decreased by nearly two-thirds during the same period.

In addition to the risks associated with health emergencies, the country faces a growing number of people living with chronic diseases and the associated healthcare costs. Today, roughly 60 percent of the U.S. adult population has at least one chronic disease, such as obesity, diabetes, or heart disease. Treating these chronic diseases, along with mental health conditions, accounts for the vast majority of U.S. healthcare spending. While evidence-based public health programs that help prevent chronic disease are doing important work, insufficient funding has limited their accessibility and impact in many communities.

“We must address the serious mismatch between the nation’s public health needs and its public health investment,” said J. Nadine Gracia, M.D. MSCE, President and CEO of Trust for America’s Health. “Public health and prevention represent only a small fraction of the more than $4 trillion in annual health spending in our nation. Increased and sustained investment in public health would not only better prepare us for future public health emergencies, it would also help address the root causes of poor health and health disparities.”

TFAH is calling for annual funding for CDC of at least $11.581 billion in FY 2024, the level requested in the President’s FY 24 budget (FY 2023 CDC funding is $9.2 billion).

Other policy recommendations within the report include:

  • Increase and sustain disease-agnostic funding to strengthen public health infrastructure. Public health experts estimate an annual shortfall of $4.5 billion in necessary funding for state and local health departments to provide comprehensive public health services in their communities.
  • Strengthen public health emergency preparedness, including within the healthcare system. Investments should include the restoration of funding to the Public Health Emergency Preparedness Cooperative Agreement, the Healthcare Readiness and Recovery Program, and programs designed to support vaccine infrastructure as well as prevent, detect, and contain antimicrobial-resistant infections.
  • Modernize the public health data system to ensure comprehensive and real-time data sharing during public health emergencies. Public health experts estimate that at least $7.84 billion is needed over the next five years for CDC’s Data Modernization Initiative to strengthen public health data collection and reporting at the state and local levels. Congress should also provide sustained funding for CDC’s new Center for Forecasting and Outbreak Analytics.
  • Bolster the recruitment and retention of the public health workforce. In 2021, it was estimated that state and local public health departments needed to hire an additional 80,000 employees to be able to deliver a minimum set of public health services. The one-time nature of short-term emergency funding means that health departments will continue to experience understaffing.
  • Address health disparities and the root causes of disease by addressing the social determinants of health and investing in chronic disease prevention.
  • Invest in programs to prepare for and mitigate the impacts of climate change.

Read the full report

 

 

 

The State of Emergency Preparedness in the US

(Washington DC – June 7, 2023)

With the expiration of the COVID-19 emergency, how prepared are states for another crisis? Dr. Nadine Gracia, President and CEO of Trust for America’s Health, joins the public health podcast to discuss the 2023 Ready or Not report which assesses states’ performance in key areas related to emergency preparedness—including infectious disease, natural and artificial disasters, and bioterrorism.

Listen to the podcast.

Report: Suicide Rates Fell in Iowa While Rising Nationwide

May 2023
Radio Iowa

Iowa appears to have bucked a national trend of rising suicide rates in recent years. While more people across the country took their own lives in 2021 compared to 2020, a report from a nonprofit, nonpartisan organization finds suicide rates dropped during that period in Iowa. Brandon Reavis is the senior government relations manager at Trust for America’s Health.

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