Congress has poured tens of billions of dollars into public health since last year. While health officials who have juggled bare-bones budgets for years are grateful for the money, they worry it will soon dry up, just as it has after previous crises such as 9/11, SARS and Ebola. Meanwhile, they continue to cope with an exodus from the field amid political pressure and exhaustion that meant 1 in 6 Americans lost their local health department leader.
El Congreso ha enviado miles de millones a los departamentos de salud para luchar contra covid. Pero históricamente, esta financiación se acaba cuando termina la emergencia sanitaria.
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.
Catalyzed by the paltry response to the pandemic and the inequities it is causing, people are flocking to graduate programs in public health to become the next front-line workers.
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.
A review by KHN and the Associated Press finds at least 49 state and local public health leaders have resigned, retired or been fired since April across 23 states. One of the latest departures came Sunday, when California’s public health director was ousted.