At least 181 public health leaders in 38 states have resigned, retired or been fired amid the turmoil of the pandemic. The departures come as backlash against public health is rising with threats to officials’ personal safety and legislative and legal efforts to strip their governmental public health powers.
Estas partidas son una erosión adicional a la ya frágil infraestructura de salud pública del país, antes de la campaña de vacunación más grande en la historia de los Estados Unidos.
A KHN review found more than 20 states either don’t count or have incomplete data on the use of COVID-19 antigen tests, leaving the public in the dark about the true scope of the pandemic.
As the nation hollowed out its public health infrastructure for decades, staffing and funding fell faster and further in Florida. Then the coronavirus ran roughshod, infecting more than half a million people and killing thousands.
A medida que la nación empezó a drenar su sistema de salud pública, personal y fondos cayeron más rápidamente en este estado, dejándolo desprotegido para la peor crisis de salud en un siglo.
Congress has allocated trillions of dollars to ease the coronavirus crisis. A joint KHN and AP investigation finds that many communities with big outbreaks have spent little of that federal money on local public health departments for work such as testing and contact tracing. Others, like Minnesota, were slow to do so. Bureaucracy has bogged things down, politics have crept into the process, and understaffed departments have struggled to take time away from critical needs to navigate the red tape required to justify asking for more money.
Desde que comenzó la pandemia, el Congreso ha reservado miles de millones para aliviar la crisis. Pero parte de ese dinero no se ha distribuido, o gastado, apropiadamente.
We’re releasing our public health infrastructure data on Github for journalists, researchers and interested readers to use.
The U.S. public health system has been starved for decades and lacks the resources necessary to confront the worst health crisis in a century. An investigation by The Associated Press and KHN has found that since 2010, spending for state public health departments has dropped by 16% per capita and for local health departments by 18%. At least 38,000 public health jobs have disappeared, leaving a skeletal workforce for what was once viewed as one of the world’s top public health systems. That has left the nation unprepared to deal with a virus that has sickened at least 2.6 million people and killed more than 126,000.
To assess the state of the public health system in the United States, KHN and The Associated Press analyzed data on government spending and staffing at national, state and local levels. Here’s what data we used and how we did it.