Civic Intelligence

Council of State and Territorial

EIN 23-7410799 • 501(c)6 • Atlanta, GA

View Organization Page

Profile

See Schedule OCSTE promotes the effective use of epidemiologic data to guide public health practice and improve health. CSTE accomplishes this by supporting the use of effective public health surveillance and good epidemiologic practice through training, capacity development, peer consultation, developing standards for practice, and advocating for resources and scientifically based policy.

2635 Century Parkway NE 700Atlanta, GA 30345

www.cste.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

87th percentile

0.63x

Higher debt load relative to assets than 87% of similar nonprofits.

501(c)6 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

25th percentile

0.22x

Higher debt load relative to revenue than 25% of similar nonprofits.

501(c)6 • $25M-$50M nonprofits • Source year 2024

Net Margin

35th percentile

1.6%

Higher net margin than 35% of similar nonprofits.

501(c)6 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

25th percentile

$351,177

Higher top officer pay than 25% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

501(c)6 • $25M-$50M nonprofits • Source year 2024

Asset Growth

86th percentile

24%

Faster asset growth than 86% of similar nonprofits.

501(c)6 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

78th percentile

20%

Faster revenue growth than 78% of similar nonprofits.

501(c)6 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets87th percentile

Assets

Up

$15,492,047

Up $7,606,416 (+96%) from 2022

Liabilities

Up

$9,690,417

Up $5,778,290 (+148%) from 2022

Net Assets

Up

$5,801,630

Up $1,828,126 (+46%) from 2022

Operations
Liabilities / Revenue25th percentileNet Margin35th percentile

Revenue

Up

$43,920,070

Up $14,907,346 (+51%) from 2022

Expenses

Up

$43,215,279

Up $14,396,752 (+50%) from 2022

Net Income

Up

$704,791

Up $510,594 (+263%) from 2022

Trend Graphs

Balance Sheet Trend

Asset Growth86th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2014: $3,135,671Liabilities 2014: $1,916,091Net Assets 2014: $1,219,5802014Assets 2015: $2,905,098Liabilities 2015: $1,493,637Net Assets 2015: $1,411,4612015Assets 2016: $3,440,692Liabilities 2016: $1,666,751Net Assets 2016: $1,773,9412016Assets 2017: $4,314,631Liabilities 2017: $2,146,919Net Assets 2017: $2,167,7122017Assets 2018: $5,934,263Liabilities 2018: $3,220,330Net Assets 2018: $2,713,9332018Assets 2019: $5,512,088Liabilities 2019: $2,609,759Net Assets 2019: $2,902,3292019Assets 2021: $7,651,256Liabilities 2021: $4,258,905Net Assets 2021: $3,392,3512021Assets 2022: $7,885,631Liabilities 2022: $3,912,127Net Assets 2022: $3,973,5042022Assets 2024: $15,492,047Liabilities 2024: $9,690,417Net Assets 2024: $5,801,6302024

Highlighted filing

2024

Assets$15,492,047
Liabilities$9,690,417
Net Assets$5,801,630
Open 2024 Filing

Operations Trend

Revenue Growth78th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0Revenue 2014: $11,375,687Expenses 2014: $11,251,087Net Income 2014: $124,6002014Revenue 2015: $14,701,038Expenses 2015: $14,509,157Net Income 2015: $191,8812015Revenue 2016: $16,319,246Expenses 2016: $15,973,008Net Income 2016: $346,2382016Revenue 2017: $18,156,258Expenses 2017: $17,822,923Net Income 2017: $333,3352017Revenue 2018: $21,789,397Expenses 2018: $21,243,176Net Income 2018: $546,2212018Revenue 2019: $18,597,191Expenses 2019: $18,408,795Net Income 2019: $188,3962019Revenue 2021: $20,919,000Expenses 2021: $20,503,928Net Income 2021: $415,0722021Revenue 2022: $29,012,724Expenses 2022: $28,818,527Net Income 2022: $194,1972022Revenue 2024: $43,920,070Expenses 2024: $43,215,279Net Income 2024: $704,7912024

Highlighted filing

2024

Revenue$43,920,070
Expenses$43,215,279
Net Income$704,791
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$15,492,047
Liabilities
$9,690,417
Net assets
$5,801,630
Revenue
$43,920,070
Expenses
$43,215,279
Net income
$704,791
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.5$9.69$5.80$43.9$43.2$0.70
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.89$3.91$3.97$29.0$28.8$0.19
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.65$4.26$3.39$20.9$20.5$0.42
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.51$2.61$2.90$18.6$18.4$0.19
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.93$3.22$2.71$21.8$21.2$0.55
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.31$2.15$2.17$18.2$17.8$0.33
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.44$1.67$1.77$16.3$16.0$0.35
2015Detailed filing. Detailed filing data is available for this year.$2.91$1.49$1.41$14.7$14.5$0.19
2014Detailed filing. Detailed filing data is available for this year.$3.14$1.92$1.22$11.4$11.3$0.12
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$43,920,070
Mission and Program Overview

Mission

See schedule ocste promotes the effective use of epidemiologic data to guide public health practice and improve health. Cste accomplishes this by supporting the use of effective public health surveillance and good epidemiologic practice through training, capacity development, and peer consultation, developing standards for practice, and advocating for resources and scientifically based policy.

Development of state surveillance and epidemiologist trainingvision statement:the council of state and territorial epidemiologists is committed to improving the public's health by supporting the efforts of epidemiologists working at the state and local level to influence public health programs and policy based on science and data.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$6,941,494$5,771,950▼ $1,169,544
Pledges and Grants Receivable$2,122,988$3,543,779▲ $1,420,791
Investments in Publicly Traded Securities-$3,097,722-
Prepaid Expenses and Deferred Charges$99,261$234,447▲ $135,186
Accounts Receivable$60,209$90,454▲ $30,245
Land, Buildings, and Equipment, Net$131,117$78,013▼ $53,104
Total Assets$12,492,068$15,492,047▲ $2,999,979
Other Assets Total$3,136,999$2,675,682▼ $461,317
Liabilities
Accounts Payable and Accrued Expenses$3,742,007$4,685,534▲ $943,527
Other Liabilities$3,529,011$2,977,978▼ $551,033
Deferred Revenue$124,211$2,026,905▲ $1,902,694
Total Liabilities$7,395,229$9,690,417▲ $2,295,188
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,096,839$5,801,630▲ $704,791
Total Net Assets Fund Balance$5,096,839$5,801,630▲ $704,791
Total Liabilities and Net Assets / Fund Balance$12,492,068$15,492,047▲ $2,999,979

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$65,289$588,677$653,966
Leasehold Improvements$12,724$37,370$50,094
Other Assets Org$2,557,413--
Compensation and Service Providers
Top Officer Pay25th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Janet HamiltonExecutive DirectorFT$307,075$44,102$351,177
Annie FineChief Science/surveillanceFT$297,704$41,496$339,200
Marcelle LaytonChief Medical OfficerFT$294,154$31,540$325,694
Jennifer LemmingsSenior Director of GssFT$209,703$56,440$266,143
Beverly ChristnerSenior Director of OperatiFT$210,719$46,997$257,716
Dhara ShahSenior Director of ProgramFT$186,607$42,256$228,863
Shelia ScottSenior Director of FinanceFT$175,606$31,145$206,751

Board Members and Trustees

NameTitle
Catherine Brown Dvm Msc MphPresident (incoming)
Sarah Lyon-callo Ma Ms PhdPresident (outgoing)
Kathryn Turner Phd MphPresident - Elect
Angela Dunn Md MphVice President
Bah-he-toya-mah Davenport Mtag MshiMember-at-large
Benjamin Chan Md MphMember-at-large
Erica Pan Md MphMember-at-large
Kate Goodin Ms MphMember-at-large
Ken Komatsu MphMember-at-large
Mary-margaret a Fill Md MphMember-at-large
Melissa Jordan Ms MphMember-at-large
Rachelle Boulton MsphMember-at-large
Sarah Kemble MdMember-at-large
Sherri L Davidson Phd MphMember-at-large
Theresa Sokol MphMember-at-large
Ruth Lynfield MdSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Highwoods Realty Limited PartnershipProperty Rental3100 SMOKETREE COURT STE 600, Raleigh, NC 27604$650,564
Hln Consulting LLCConsulting9 PEMBERLY, Mission Viejo, CA 92692$332,000
Cavarocchi Ruscio Dennis Associates LLCEducation/advocacy600 MARYLAND AVE SW SUITE 220 EAST, Washington, DC 20024$208,046
Kahuina Consulting LLCConsulting80 WALKER LOOP, Springville, TN 38256$186,250
-Consulting40 CONISTON ROAD, Roslindale, MA 02131$150,644
Revenue and Support

Revenue Composition

Contributions and Grants
$41,242,656
Program Service Revenue
$2,553,799
Investment Income
$105,656
Other Revenue
$17,959
All Other Contributions
$240,484
Change in Net Assets
$704,791
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$15,933,190
Salaries, Compensation, and Employee Benefits$15,021,602
Other Expenses$12,260,487
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages---$11,262,535
Grants to Domestic Orgs---$9,359,980
Grants to Domestic Individuals---$6,573,210
Fees for Services Other---$6,152,827
Travel---$2,613,849
Other Employee Benefits---$1,648,519
Information Technology---$1,003,100
Payroll Taxes---$850,276
Conferences and Meetings---$837,484
Current Officers, Directors, Trustees, and Key Employees---$643,653
Occupancy---$629,545
Pension Plan Contributions---$616,619
Office Expenses---$483,951
Depreciation Depletion---$53,104
Insurance---$42,212
Fees for Services Lobbying---$36,666
Fees for Services Accounting---$25,800
All Other Expenses---$19,993
Fees for Services Legal---$16,572
Other Expenses---$15,652
Total Functional Expenses$0$0$0$43,215,279
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Salt Lake County Health DepartmentSalt Lake City, UT-Covid-19 Ishsp$804,492
Michigan DhhsLansing, MI-Covid-19 Ishsp$472,208
Michigan DhhsLansing, MI-Flu$424,168
Salt Lake County Health DepartmentSalt Lake City, UT-Flu$411,787
Ohio Department of HealthColumbus, OH-Flu$387,219
Commonwealth of MassachusettsBoston, MA-Nas$324,945
University of Nebraska Medical CenterOmaha, NE-Mch Fellow$263,366
University of GeorgiaAthens, GA-Flu$258,531
Minnesota Department of HealthSt Paul, MN-Covid-19 Resp Deaths$250,540
University of GeorgiaAthens, GA-Covid-19 Covid Modeling$246,790
Georgia Department of Public HealthAtlanta, GA-Nas$224,999
The Regents of the University of California BerkeleyBerkeley, CA-Covid-19 Outbreak Tools$224,498
Stanford UniversityLos Angeles, CA-Covid-19 Covid Modeling$220,050
Columbia University Medical CenterNew York, NY-Covid-19 Covid Modeling$206,304
Fred Hutchinson Cancer Research CenterSeattle, WA-Covid-19 Covid Modeling$201,981
Cobb-douglas Public HealthMarietta, GA-Covid-19 Resp Deaths$191,003
Brown UniversityProvidence, RI-Covid-19 Outbreak Tools$185,797
University of WashingtonSeattle, WA-Covid-19 Outbreak Tools$184,920
Johns Hopkins UniversityBaltimore, MD-Covid-19 Covid Modeling$184,593
University of Southern CaliforniaLos Angeles, CA-Covid-19 Covid Modeling$179,688
Predictive Science IncSan Diego, CA-Covid-19 Covid Modeling$173,047
Tennessee Department of HealthNashville, TN-Nas$169,483
Dallas County Health and Human ServicesDallas, TX-Covid-19 Resp Deaths$165,422
Northeastern UniversityBoston, MA-Covid-19 Covid Modeling$154,473
Western Michigan University HomerKalamazoo, MI-Covid-19 Resp Deaths$152,319
Predictive Science IncSan Diego, CA-Covid-19 Outbreak Tools$138,409
University of VirginiaCharlottesville, VA-Covid-19 Outbreak Tools$133,763
City of PhiladelphiaPhiladelphia, PA-Nas$129,066
Northeastern UniversityBoston, MA-Flu$125,000
Signature Science LLCAustin, TX-Flu$124,210
Signature Science LLCAustin, TX-Covid-19 Outbreak Tools$112,341
Predictive Science IncSan Diego, CA-Flu$98,449
The University of Texas at AustinAustin, TX-Covid-19 Ishsp$95,956
Minnesota Department of HealthSt Paul, MN-Epi & Surv Base 1$94,351
The Ohio State UniversityDetroit, MI-Flu$86,000
University of VirginiaCharlottesville, VA-Flu$82,883
Houston Health DepartmentHouston, TX-Covid-19 Vuln Pop$72,000
Madera County Department of Public HealthMadera, CA-Covid-19 Vuln Pop$72,000
Two Rivers Public Health DepartmentKearney, NE-Covid-19 Vuln Pop$72,000
Vinton County Health DepartmentMcarthur, OH-Covid-19 Vuln Pop$72,000
Tennessee Department of HealthNashville, TN-Covid-19 Vuln Pop$71,664
Maryland Department of Health Center for Zoonotic and Vector-borne DiseaseBaltimore, MD-Flu$70,000
Washington State Department of HlthTumwater, WA-Covid-19 Vuln Pop$69,871
Ingham County Health DepartmentLansing, MI-Covid-19 Vuln Pop$68,092
Minnesota Department of HealthSt Paul, MN-Flu$67,841
Arizona Department of Health ServicesPhoenix, AZ-Flu$67,232
Arizona Department of Health ServicesPhoenix, AZ-Nas$66,667
Philadelphia Department of Public HealthPhiladelphia, PA-Covid-19 Vuln Pop$65,964
Iowa Department of Health and Human ServicesDes Moines, IA-Flu$64,445
Texas A&m Agrilife Extension ServiceCollege Station, TX-Flu$64,445
Lehigh UniversityBethlehem, PA-Flu$63,525
State of NevadaCarson City, NV-Flu$58,000
State of Nebraska Dept of HhsLincoln, NE-Flu$56,000
West Hartford Bloomfield Health DistrictBloomfield, CT-Covid-19 Vuln Pop$54,000
University of CaliforniaLos Angeles, CA-Flu$51,556
Colorado Dept of Public Health & EnvironmentDenver, CO-Covid-19 Vuln Pop$51,210
Hennepin County HsphdMinneapolis, MN-Epi & Surv Base 1$50,116
Casper-natrona County Health DepartmentCasper, WY-Covid-19 Vuln Pop$48,989
Health Research IncMenands, NY-Social Determinants$30,000
State of Nebraska Dept of HhsLincoln, NE-Inj Partner$29,300
North Dakota Dept of HealthGrand Forks, ND-Flu$20,012

International Summary

Offices
0
Employees
0
Spending
$17,944

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
East Asia and the Pacific - Australia, Brunei, Burma, Cambodia,Program ServicesFlu Surveillance00$8,993
South AsiaProgram ServicesFlu Surveillance00$8,951
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
In-house lobbying only
No
Subject to proxy tax
Yes

Reported Spending and Taxes

Line ItemAmount
Current Year Nondeductible Lobbying and Political Cost$36,666
Total Nondeductible Lobbying and Political Cost$36,666
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease$2,932,265
Tenant Improvement Allowance$45,713
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“The organization has active memberships and associate memberships for persons engaged in the practice of epidemiology. Persons currently enrolled full time in an undergraduate or graduate program who are actively pursuing a degree in public health or related field are eligible for student membership. In fy24, there were 3,646 members.”

Form 990, Part VI, Section A, Line 7A

“The election of the executive board, position statements that do not affect state or territorial public health law, and other similar matters as specified in the bylaws or designated by the executive board shall be determined by a vote of the active members by electronic ballot at a time before the annual meeting or as designated by the executive board.”

Form 990, Part VI, Section A, Line 7B

“Official council decisions, such as position statements that affect public health law, are made by vote with only one vote per state or territory cast by the state epidemiologist or an official active member representative from the state or territory designated by the state epidemiologist.”

Form 990, Part VI, Section B, Line 11B

“Form 990 is prepared by mauldin & jenkins, llc, an independent certified public accounting firm. Form 990 is then provided to the organization's board for review prior to filing.”

Form 990, Part VI, Section B, Line 12C

“Policy requires immediate notification of conflicts and we have annual acknowledgement that all has been disclosed.”

Form 990, Part VI, Section B, Line 15

“Every three to five years an independent contractor is hired to do a salary and wage review. Copies of the report are given to the executive board to use as a tool for setting the executive director's salary, and a copy is given to the executive director for setting the employees' salaries.”

Form 990, Part VI, Section C, Line 19

“Some information is posted on the cste website for the general public to access. Some information is posted on the cste website for member access only. Any information that a requestor could not access themselves, upon request, is provided either by fax or email.”

Filing and Contact Details

Filer

Filer Name
Council of State and Territorial
EIN
23-7410799
Phone
7704583811
Address
2635 CENTURY PARKWAY NE 700, ATLANTA, GA 30345

Signing Officer

Name
Janet Hamilton
Title
Executive Director
Phone
7704583811
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Janet Hamilton
Formed
1992
Legal Domicile
Ga
Voting Board Members
12
Independent Board Members
12
Employees
105
Volunteers
1,000

Preparer

Firm
Mauldin & Jenkins LLC
Address
200 GALLERIA PKWY SE STE 1700, ATLANTA, GA 30339-5946
Preparer
Melissa Seward
Phone
7709558600
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Other consultants & contracts 6,152,827.”

Form 990, Part XII, Line 2C

“The process has not changed from the prior year.”

Financial Statement Notes

PART X, LINE 2:

“The organization accounts for uncertain tax positions in accordance with accounting standards that provide guidance on when uncertain tax positions are recognized in an entity's financial statements and how the values of these positions are determined. No liability has been recorded as of september 30, 2024 or 2023 due to uncertain tax positions.”

Raw XML AppendixShowing 400 of 1,311 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt03742007
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt04685534
IRS990/AccountsReceivableGrp/BOYAmt060209
IRS990/AccountsReceivableGrp/EOYAmt090454
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0DEVELOPMENT OF STATE SURVEILLANCE AND EPIDEMIOLOGIST TRAININGVISION STATEMENT:THE COUNCIL OF STATE AND TERRITORIAL EPIDEMIOLOGISTS IS COMMITTED TO IMPROVING THE PUBLIC'S HEALTH BY SUPPORTING THE EFFORTS OF EPIDEMIOLOGISTS WORKING AT THE STATE AND LOCAL LEVEL TO INFLUENCE PUBLIC HEALTH PROGRAMS AND POLICY BASED ON SCIENCE AND DATA.
IRS990/AllOtherContributionsAmt0240484
IRS990/AllOtherExpensesGrp/TotalAmt019993
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/BackupWthldComplianceInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0JANET HAMILTON
IRS990/BooksInCareOfDetail/PhoneNum07704583811
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt02635 CENTURY PARKWAY NE SUITE 700
IRS990/BooksInCareOfDetail/USAddress/CityNm0ATLANTA
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0GA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd030345
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt06
IRS990/CollectionsOfArtInd00
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0643653
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd01
IRS990/CompensationProcessOtherInd01
IRS990/ConferencesMeetingsGrp/TotalAmt0837484
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd01
IRS990/ContractorCompensationGrp/CompensationAmt0650564
IRS990/ContractorCompensationGrp/CompensationAmt1332000
IRS990/ContractorCompensationGrp/CompensationAmt2208046
IRS990/ContractorCompensationGrp/CompensationAmt3186250
IRS990/ContractorCompensationGrp/CompensationAmt4150644
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt03100 SMOKETREE COURT STE 600
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt19 PEMBERLY
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt2600 MARYLAND AVE SW SUITE 220 EAST
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt380 WALKER LOOP
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt440 CONISTON ROAD
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0RALEIGH
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm1MISSION VIEJO
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm2WASHINGTON
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm3SPRINGVILLE
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm4ROSLINDALE
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0NC
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd1CA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd2DC
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd3TN
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd4MA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd027604
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd192692
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd220024
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd338256
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd402131
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0HIGHWOODS REALTY LIMITED PARTNERSHIP
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1HLN CONSULTING LLC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2CAVAROCCHI RUSCIO DENNIS ASSOCIATES LLC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3KAHUINA CONSULTING LLC
IRS990/ContractorCompensationGrp/ContractorName/PersonNm0MELISSA KAY IVEY
IRS990/ContractorCompensationGrp/ServicesDesc0PROPERTY RENTAL
IRS990/ContractorCompensationGrp/ServicesDesc1CONSULTING
IRS990/ContractorCompensationGrp/ServicesDesc2EDUCATION/ADVOCACY
IRS990/ContractorCompensationGrp/ServicesDesc3CONSULTING
IRS990/ContractorCompensationGrp/ServicesDesc4CONSULTING
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt041242656
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IRS990/Desc0SEE SCHEDULE OINFECTIOUS DISEASE:IN 2023-2024, CSTE CONTINUED TO EMPHASIZE THE EFFECTIVE USE OF FORECASTS AND ANALYTIC TOOLS BY PUBLIC HEALTH DECISION MAKERS DURING INFECTIOUS DISEASE OUTBREAKS. ALONG WITH THE ASSOCIATION OF STATE AND TERRITORIAL HEALTH OFFICIALS (ASTHO) AND CFA, CSTE HOSTED FOUR REGIONAL FORECASTING MEETINGS, INVITING STATE EPIDEMIOLOGISTS AND STATE HEALTH OFFICIALS FROM ALL 50 STATES, WASHINGTON, D.C., TERRITORIAL HEALTH AGENCIES, TECS, AND THE FIVE LARGE LOCAL HEALTH DEPARTMENTS FUNDED THROUGH CDC'S ELC PROGRAM.THE GOALS FOR EACH MEETING WERE TO BUILD RELATIONSHIPS BETWEEN CFA AND PUBLIC HEALTH DECISION MAKERS, ASSESS THE UTILITY OF SPECIFIC CFA PRODUCTS, PROMOTE THE EFFECTIVE USE OF CFA PRODUCTS TO IMPROVE FUTURE OUTBREAK RESPONSES, AND INCREASE COLLABORATION BETWEEN STATE EPIDEMIOLOGISTS AND STATE HEALTH OFFICIALS. SEVERAL THEMES AND DISCUSSION POINTS REPEATEDLY AROSE DURING THE MEETINGS, MOSTLY INVOLVING COMMUNICATION, PUBLIC HEALTH DATA POLICIES, AND PROMOTING CFA PRODUCTS. THESE INCLUDED: - COMMUNICATIONS: ATTENDEES EXPRESSED THE NEED FOR MORE COHESIVE MESSAGING RELATED TO FORECASTS, ESPECIALLY WHEN IT IS RELEASED AT THE NATIONAL LEVEL, AND THAT BETTER COORDINATED COMMUNICATION WILL LEAD TO A MORE COHESIVE MESSAGE BEING RELEASED BY ALL PARTNERS. - PUBLIC HEALTH DATA POLICIES: ATTENDEES DISCUSSED HOW DATA SHARING POLICIES AND ACCESS BETWEEN TRIBES, STATES, AND THE FEDERAL GOVERNMENT CONTINUE TO BE PROBLEMATIC. ENSURING ACCESS TO PUBLIC HEALTH DATA AND HAVING EFFECTIVE PUBLIC HEALTH DATA POLICIES IN PLACE ARE CRITICAL TO SUPPORTING SUCCESSFUL INFECTIOUS DISEASE FORECASTING EFFORTS. - PROMOTING CFA PRODUCTS: ATTENDEES ALSO DISCUSSED A LOW AWARENESS OF CFA PRODUCTS AMONG PARTICIPANTS. HEALTH AGENCY LEADERS DESCRIBED BEING UNPREPARED FOR THE RELEASE OF FORECASTING AND ANALYTIC PRODUCTS BY THE FEDERAL GOVERNMENT AND OTHER ENTITIES.MEETING FEEDBACK WAS POSITIVE, WITH ONE ATTENDEE SAYING, "OVERALL, THE MEETING WAS VERY EFFECTIVE AND I REALLY ENJOYED BEING PART OF THE DISCUSSIONS. I ENJOYED THE IN-PERSON WORKSHOP AS IT ELICITS MORE COMMENTS AND DISCUSSION THAN VIRTUAL SETTINGS." THE FOUR REGIONAL MEETINGS WERE WELL ATTENDED BY CSTE AND ASTHO MEMBERS, AND THE REGIONAL MODEL WAS WELL RECEIVED. IN CONCLUSION, SEVERAL RECOMMENDATIONS WERE BROUGHT FORTH AFTER THE DISCUSSIONS AND MEETINGS. THESE INCLUDE DEVELOPING A UNIFIED COMMUNICATIONS STRATEGY FOR THE RELEASE OF NEW CFA PRODUCTS, SEEKING PRE-RELEASE FEEDBACK FOR NEW PRODUCTS FROM HEALTH AGENCY LEADERS, COMMUNICATIONS TRAINING FOR ALL LEVELS OF THE PUBLIC HEALTH WORKFORCE, AND PRODUCING AND DISTRIBUTING A WRITTEN OVERVIEW OF NEW PRODUCTS TO SUPPORT THEIR USE IN PUBLIC HEALTH DECISION MAKING.THIS WAS A UNIQUE OPPORTUNITY FOR REGIONAL ENGAGEMENT BETWEEN SENIOR HEALTH AGENCY LEADERS, AS WELL AS TEC REPRESENTATIVES. IT WILL HELP HEALTH OFFICIALS ACROSS THE COUNTRY BE BETTER PREPARED TO RESPOND TO FUTURE OUTBREAKS AND PROTECT THE HEALTH OF THEIR COMMUNITIES.OTHER PORTFOLIO HIGHLIGHTS: - MANAGED 17 FUNDED PROJECTS ACROSS MANY ID AREAS, INCLUDING HAI/AR, ZOONOTIC DISEASES, AND FORECASTING - REORGANIZED THE ID STEERING COMMITTEE TO INCLUDE ZOONOTIC DISEASES IN THE VBD SUBCOMMITTEE, EXPAND THE INFLUENZA SUBCOMMITTEE TO INCLUDE COVID AND VIRAL RESPIRATORY DISEASES, AND ELEVATE THE AMD WORKGROUP TO A SUBCOMMITTEE WITH A WASTEWATER SURVEILLANCE WORKGROUP - RELEASED MULTIPLE NEW RESOURCES, INCLUDING AN ENTERIC DISEASE CAPACITY ASSESSMENT, A LEGIONELLA WATER MANAGEMENT PROGRAM EVALUATION TOOL, AND A ZOONOTIC INFLUENZA REFERENCE GUIDE
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IRS990/ProgSrvcAccomActy2Grp/Desc0SEE SCHEDULE OENVIRONMENTAL HEALTH / OCCUPATIONAL HEALTH:AS CLIMATE-RELATED EVENTS SUCH AS WILDFIRES, EXTREME OR PROLONGED HEAT, AND FLOODS BECOME MORE COMMON, THE POTENTIAL FOR DIRECT AND INDIRECT EFFECTS ON THE HEALTH AND WELL-BEING OF WORKERS INCREASES AS WELL. TO ADDRESS EMERGING HEALTH RISKS, PUBLIC HEALTH MUST IMPROVE METHODS FOR TRACKING AND MONITORING HEALTH OUTCOMES AMONG WORKERS WHO MAY BE EXPOSED TO SUCH HAZARDS ON THE JOB.CSTE'S OCCUPATIONAL HEALTH AND CLIMATE CHANGE WORKGROUP, WHICH WAS AN AD HOC GROUP UNDER THE OCCUPATIONAL HEALTH SUBCOMMITTEE, LAUNCHED A NEW RESOURCE IN APRIL 2024 TO HELP OCCUPATIONAL HEALTH PROFESSIONALS ACCELERATE AND TAILOR THEIR APPROACH TO THIS. OCCUPATIONAL HEALTH SURVEILLANCE FOR TRACKING CLIMATE RELATED HEALTH IMPACTS ON WORKERS: HEAT, WILDFIRES & FLOODS PROVIDES GUIDANCE TO JURISDICTIONS ON INTEGRATING CLIMATE-RELATED FACTORS INTO OCCUPATIONAL HEALTH SURVEILLANCE. BY DOING SO, HEALTH DEPARTMENTS CAN GAIN INSIGHT INTO THE RISKS FACED BY WORKERS AND IDENTIFY ACTIVITIES TO MITIGATE HEALTH IMPACTS.UNDERSTANDING WHICH WORKERS WILL BE MOST AFFECTED IS ESSENTIAL FOR PREPAREDNESS AND RESPONSE, BUT THAT CAN BE COMPLICATED. EXPOSURES TO CLIMATE-RELATED HAZARDS DIFFER BY INDUSTRY, OCCUPATION, AND REGION. WORKERS CAN BE AFFECTED BY HAZARDS OF INCREMENTAL CLIMATE CHANGE AND BY ACUTE DISASTERS. AND THERE IS NO SINGLE DATA SOURCE THAT CAN IDENTIFY ALL WORK-RELATED INJURIES AND ILLNESSES, SO MULTIPLE SOURCES ARE OFTEN NEEDED TO ACCESS DATA RELEVANT TO CLIMATE OUTCOMES.THE NEW SURVEILLANCE DOCUMENT INCLUDES DESCRIPTIONS OF AND LINKS TO SELECT DATA SOURCES THAT CONTAIN EXPOSURE DATA RELEVANT TO CLIMATE, SPECIFICALLY FOR HEAT, WILDFIRES, AND FLOODS. IT ALSO HAS INFORMATION ON POTENTIAL HEALTH OUTCOMES AND ENVIRONMENTAL EXPOSURES, RELATED MEASUREMENT OPTIONS, AND SITUATIONAL EXAMPLES FROM JURISDICTIONS IMPLEMENTING SURVEILLANCE TO ADDRESS THE IMPACTS CREATED BY THESE ISSUES.HEALTH DEPARTMENTS CAN USE THESE RESOURCES TO DEVELOP AND ADAPT THEIR OWN PROCESSES FOR MONITORING CLIMATE-RELATED HEALTH OUTCOMES AMONG WORKERS BASED ON THE INDUSTRIES AND VULNERABILITIES OF THEIR REGIONS. THE RESULTING SURVEILLANCE EFFORTS WILL PROVIDE INFORMATION NEEDED TO CREATE INTERVENTIONS AND MAKE DECISIONS ABOUT RESPONSE ACTIVITIES, RECOMMENDATIONS TO WORKERS, AND OTHER TARGETED OUTREACH. SOME JURISDICTIONS HAVE ALREADY GAINED BROADER RECOGNITION OF EVENTS THAT CAN IMPACT THEIR REGIONS.ALL WORKERS DESERVE TO RETURN HOME AT THE END OF THEIR DAY OR SHIFT WITHOUT BEING HARMED WHILE ON THE JOB. BY IMPLEMENTING OCCUPATIONAL HEALTH SURVEILLANCE ON CLIMATE-RELATED HEALTH IMPACTS, PUBLIC HEALTH DEPARTMENTS WILL BE BETTER PREPARED TO PROTECT THEIR WORKING POPULATIONS AND ENABLE THEIR COMMUNITIES TO THRIVE.
IRS990/ProgSrvcAccomActy3Grp/Desc0SEE SCHEDULE OSURVEILLANCE / INFORMATICS:IN 2023-2024, CSTE CONTINUED ITS LONGSTANDING PARTNERSHIP WITH CDC AND OTHER RELEVANT STAKEHOLDERS SUPPORTING SYNDROMIC SURVEILLANCE VIA THE NATIONAL SYNDROMIC SURVEILLANCE PROGRAM (NSSP). CSTE BEGAN ITS FORMAL ROLE AS THE NSSP COMMUNITY OF PRACTICE (COP) CONVENING BODY IN 2019. THE NSSP COP COMPRISES OVER 1,500 SYNDROMIC SURVEILLANCE PRACTITIONERS ACROSS THE COUNTRY WORKING AT THE STLT AND FEDERAL LEVELS. IN ADDITION TO MONTHLY NSSP COP WEBINARS THAT INCLUDE ALL COP MEMBERS, THE NSSP COP CONVENES WEBINARS AND WORKING MEETINGS OF FIVE SUBCOMMITTEES, TWO USER GROUPS, AND THREE WORKGROUPS. CSTE HAS HOSTED FOUR ANNUAL SYNDROMIC SURVEILLANCE SYMPOSIA SINCE 2020. THE ANNUAL SYMPOSIUM HAS EVOLVED OVER TIME IN BOTH SCOPE AND ATTENDANCE. EARLY SYMPOSIUM THEMES FOCUSED ON EXPANDING THE USE OF SYNDROMIC SURVEILLANCE; RECENT SYMPOSIUM THEMES HAVE FOCUSED MORE ON THE APPLICATION OF SYNDROMIC SURVEILLANCE PRACTICE. ATTENDANCE HAS GROWN FROM APPROXIMATELY 500 ATTENDEES IN 2020 TO OVER 1,000 ATTENDEES IN 2023. A POST-EVENT EVALUATION FOUND THAT ATTENDEES VALUED THE DIVERSE RANGE OF TOPICS, AS WELL AS THE PRACTICAL APPLICATION OF THE SYMPOSIUM CONTENT. ONE RESPONDENT SAID, "BEING NEW TO THE TOPIC, THERE WAS A LARGE VARIETY OF TOPICS THAT I COULD ATTEND. I ALSO REALLY APPRECIATED THE VIRTUAL SETUP ALLOWING EASY NAVIGATION OF THE TOPICS, TIMES, AND DAYS. IT WAS BY FAR THE BEST VIRTUAL SYMPOSIUM I HAVE ATTENDED TO DATE." CSTE HAS PLAYED A PIVOTAL ROLE IN FOSTERING ENGAGEMENT BETWEEN THE NSSP COP AND THE WIDER AUDIENCE OF APPLIED EPIDEMIOLOGISTS ACROSS CSTE'S STEERING COMMITTEES AND THE STATE EPIDEMIOLOGISTS. CSTE WORKED CLOSELY WITH CDC TO DEVELOP DATA VISUALIZATIONS FOR RESPIRATORY VIRUS RESPONSE DURING THE 2023-2024 SEASON, WHICH LEVERAGED SYNDROMIC DATA AND WERE DISPLAYED ON THE CDC WEBSITE. THE NSSP COP ALSO WORKED CLOSELY WITH SEVERAL CSTE STEERING AND SUBCOMMITTEES ON VARIOUS PROJECTS, INCLUDING WITH THE NON-INFECTIOUS DISEASE PROGRAM ON AN OUTBREAK RESPONSE RELATED TO THE CONSUMPTION OF DIAMOND SHRUUMZ BRAND CHOCOLATE MUSHROOM EDIBLES. THE NSSP COP ALSO WORKED WITH CSTE'S INJURY EPIDEMIOLOGY AND SURVEILLANCE SUBCOMMITTEE ON THE BEST PRACTICES COMPENDIUM, A COLLECTION OF RECOMMENDATIONS ON HOW TO COLLECT, MANAGE, AND USE SYNDROMIC SURVEILLANCE DATA FOR PUBLIC HEALTH ACTION. THE ABILITY TO WORK ACROSS VARIOUS PROGRAMMATIC DISCIPLINES OF APPLIED EPIDEMIOLOGISTS HAS BECOME INCREASINGLY IMPORTANT AS THE NSSP COP MEMBERSHIP HAS GROWN EXPONENTIALLY AND IS MORE DIVERSE IN TERMS OF PROGRAM AREAS SUPPORTED.OTHER PORTFOLIO HIGHLIGHTS: - INCREASED ECR CAPACITY WITH 213 CONDITIONS AVAILABLE IN THE REPORTABLE CONDITIONS KNOWLEDGE MANAGEMENT SYSTEM; 70 STLTS ARE ACTIVELY USING THE PORTAL TO ENHANCE DISEASE SURVEILLANCE - CONDUCTED A CASE SURVEILLANCE AND NOTIFICATION ASSESSMENT OF 64 JURISDICTIONS - LAUNCHED THE CSTE STORIES FROM THE FIELD WEBSITE, WITH OVER 180 STORIES FROM STLTS HIGHLIGHTING INNOVATIVE DATA MODERNIZATION SOLUTIONS
IRS990/ProgSrvcAccomActyOtherGrp/Desc0WORKFORCE:DATA IS AT THE FOUNDATION OF PUBLIC HEALTH RESPONSE. BUT IT'S MORE THAN JUST NUMBERS MANAGING DATA, IMPROVING DATA EXCHANGE, AND BUILDING THE WORKFORCE'S DATA SKILLS ARE ALL ESSENTIAL FOR RESPONDING EFFECTIVELY TO EMERGING THREATS. THE ENTIRE PUBLIC HEALTH DATA SYSTEM MUST WORK TOGETHER. CSTE'S APPLIED PUBLIC HEALTH INFORMATICS FELLOWSHIP (APHIF) IS ENSURING THAT IT CAN. APHIF WORKS TO BUILD INFORMATICS CAPACITY AT STLT HEALTH DEPARTMENTS WHILE TRAINING RECENT MASTER'S OR DOCTORAL GRADUATES AND EARLY CAREER PROFESSIONALS IN APPLIED PUBLIC HEALTH PRACTICE. IT PROVIDES ON-THE-JOB TRAINING IN PUBLIC HEALTH INFORMATICS, COMMUNICATION SKILLS, AND PUBLIC HEALTH PRACTICE AND POLICY, PREPARING PARTICIPANTS FOR LONG-TERM CAREER PLACEMENT AT THE STATE AND LOCAL LEVEL. ELIZA RAMSEY WORKED WITH THE ALASKA DEPARTMENT OF HEALTH (DOH) AS PART OF APHIF CLASS 6 (2022-2024). "I PICKED THE INFORMATICS FELLOWSHIP BECAUSE THROUGHOUT PRIOR WORK EXPERIENCES AND MY TRAINING, I WAS RUNNING INTO DATA WALLS LEFT AND RIGHT," SHE SAID. "I REALIZED I NEEDED TO THINK ABOUT GOING UPSTREAM AND EQUIPPING MYSELF WITH SOME OF THE TOOLS ABOUT HOW WE GET BETTER DATA IN THE FIRST PLACE." RAMSEY'S PLACEMENT RESULTED IN A FULL-TIME POSITION WITH ALASKA DOH AS A MEDICAID PROGRAM SPECIALIST, WHERE SHE STILL WORKS ON DATA STRATEGY AND ANALYTICS, CARRYING OVER MANY OF THE PROJECTS FROM HER FELLOWSHIP. APHIF IS IMPORTANT NOW MORE THAN EVER. THE COVID-19 PANDEMIC UNDERSCORED THE URGENT NEED FOR DATA MODERNIZATION AND INCREASED DATA ANALYSIS CAPACITY IN PUBLIC HEALTH. CDC LAUNCHED THE DATA MODERNIZATION INITIATIVE (DMI) IN 2019 AND THE PUBLIC HEALTH DATA STRATEGY (PHDS) IN 2023 TO SPEARHEAD ONGOING DATA MODERNIZATION, REDUCTION OF GAPS IN DATA, STREAMLINING OF DATA PROCESSES, AND OTHER RELATED EFFORTS. BY APPLYING THE EXPERIENCE THEY'VE GAINED, FELLOWS CAN ADVANCE DATA MODERNIZATION AND PHDS GOALS WHILE HELPING THEIR HOST SITES. FELLOWS HAVE JUMPSTARTED STAGNANT PROJECTS, WORKED ACROSS PROGRAMMATIC SILOS ON CROSS-CUTTING TOPICS, AND IMPLEMENTED NEW METHODOLOGIES. IN ADDITION, THEY OFFER INVALUABLE INFORMATICS EXPERTISE AS PUBLIC HEALTH DEPARTMENTS MODERNIZE DATA SYSTEMS, IMPLEMENT NEW TECHNOLOGIES, AND MEET THE EVOLVING DATA NEEDS OF PUBLIC HEALTH. APHIF GRADUATES CAN PULL ACTIONABLE INSIGHTS FROM DATA THAT ENABLE EFFICIENT DECISION MAKING AND RESPONSE. THEY UNDERSTAND THAT IN PUBLIC HEALTH, DATA ISN'T JUST NUMBERS - IT'S THE BASIS OF OUR ABILITY TO SUSTAIN THRIVING AND HEALTHY COMMUNITIES EVERYWHERE.OTHER PORTFOLIO HIGHLIGHTS: - HOSTED THE LARGEST COHORT EVER OF THE DATA SCIENCE TEAM TRAINING (DSTT) PROGRAM (40 TEAMS, 180 PARTICIPANTS) AND EXPANDED APHIF TO CLASS 7 - SUPPORTED FUTURE PUBLIC HEALTH LEADERS IN THE LARGEST COHORT EVER OF THE EARLY CAREER PROFESSIONALS MENTORSHIP PROGRAM (173 MENTORS, 256 MENTEES) AND COHORT 4 OF THE LEADING EPIDEMIOLOGISTS, ADVANCING DATA (LEAD) PROGRAM (28 PARTICIPANTS) - PLACED 56 MEMBERS OF AEF CLASS 21 IN HEALTH DEPARTMENTS FOR TWO YEARS OF ON-THE-JOB TRAINING (10 IN LOCAL, 27 IN STATE, AND 1 IN TERRITORIAL DEPARTMENTS)
IRS990/ProgSrvcAccomActyOtherGrp/Desc1PUBLIC HEALTH LAW:IN JANUARY 2023, LAURIE FORLANO (STATE EPIDEMIOLOGIST, VIRGINIA) JOINED CSTE STAFF IN THE 2023-2024 LEGAL EPIDEMIOLOGY LEARNING COHORT THROUGH CHANGELAB SOLUTIONS AND THE CDC PUBLIC HEALTH LAW PROGRAM. THE TEAM EXAMINED STATE LAWS AND REGULATIONS THAT GOVERN PUBLIC HEALTH DATA SHARING WITH TRIBES IN SIX STATES.THE TEAM RESEARCHED AND ANALYZED WHETHER LAWS IN ALASKA, CALIFORNIA, FLORIDA, NEW MEXICO, OKLAHOMA, AND SOUTH DAKOTA ENABLE OR PROHIBIT THE SHARING OF IDENTIFIABLE HEALTH INFORMATION BETWEEN STATE HEALTH DEPARTMENTS AND TRIBAL PUBLIC HEALTH AUTHORITIES, INCLUDING TRIBAL NATIONS AND TRIBAL EPIDEMIOLOGY CENTERS (TECS).IN DEVELOPING THEIR RESEARCH FOCUS, CSTE HIGHLIGHTED THE AUTHORITY OF TRIBAL NATIONS AND TECS TO TAKE ACTION TO PROTECT PUBLIC HEALTH THROUGH INHERENT RIGHTS AND FEDERAL LAW. THEY ALSO EMPHASIZED HOW ACCESS TO IDENTIFIABLE HEALTH INFORMATION AND OTHER DATA CAN AFFECT SUCH ENTITIES' ABILITY TO FULFILL THEIR PUBLIC HEALTH RESPONSIBILITIES. THE TEAM AIMED TO UNDERSTAND WHAT LAWS EXIST THAT DEFINE AND ADDRESS PUBLIC HEALTH AUTHORITY STATUS, IDENTIFIABLE HEALTH DATA, AND DATA SHARING FOR PUBLIC HEALTH PURPOSES.BY EXAMINING RELEVANT PUBLIC HEALTH LAWS, THE CSTE TEAM DEVELOPED A BETTER UNDERSTANDING OF LEGAL EPIDEMIOLOGY METHODS AND WHETHER THE LAWS OF THE SIX STATES INCLUDED IN THE LEGAL DATASET ENABLE OR PROHIBIT SHARING OF IDENTIFIABLE HEALTH INFORMATION BETWEEN STATE HEALTH DEPARTMENTS AND OVERLAPPING TRIBAL PUBLIC HEALTH. CSTE SENIOR PROGRAM ANALYST TAYLOR PINSENT WAS PART OF THE TEAM AND FOUND VALUE IN STUDYING MORE ABOUT LEGAL EPIDEMIOLOGY, ESPECIALLY AS HER ROLE OFTEN INCLUDES REVIEWING REPORTS FROM PARTNER ASSOCIATIONS AND NATIONAL INSTITUTIONS. THE TEAM PRESENTED ITS FINDINGS AT THE 2024 CSTE ANNUAL CONFERENCE AND PROVIDED ATTENDEES WITH INFORMATION ON HOW TO USE LEGAL EPIDEMIOLOGY METHODS (ESPECIALLY AS NON-ATTORNEYS) TO TRACK THE WORK THEY'RE DOING. THE SESSIONS RECEIVED POSITIVE FEEDBACK AND WERE WELL ATTENDED, ESPECIALLY AS A SIGNIFICANT NUMBER OF ABSTRACTS SUBMITTED TO THE CONFERENCE FEATURED THE TOPIC. CSTE CONTINUES TO BUILD ITS LEGAL EPIDEMIOLOGY KNOWLEDGE, AND IT REMAINS AN EMERGING FIELD WITH MAJOR INTEREST FROM OUR MEMBERS AND THE PUBLIC HEALTH WORKFORCE AT LARGE.OTHER PORTFOLIO HIGHLIGHTS: - MANAGED NINE FUNDED PROJECTS ON TOPICS INCLUDING DISASTER EPIDEMIOLOGY, NOTIFICATION PROTOCOLS FOR ILL TRAVELERS, AND PREPARING FOR CONCURRENT DISASTERS - CONDUCTED 14 CLOSE-HOLD REVIEWS TO ENSURE STATE AND LARGE CITY EPIDEMIOLOGIST PRE-DECISIONAL INPUT ON DRAFT FEDERAL GUIDANCE AND ACTIVITIES FOR RAPIDLY EVOLVING RESPONSE ACTIVITIES - ESTABLISHED THE HEALTH SECURITY, POLICY & LAW STEERING COMMITTEE WITH DISASTER EPIDEMIOLOGY, READINESS & RESPONSE (NEW), AND PUBLIC HEALTH LAW SUBCOMMITTEES
IRS990/ProgSrvcAccomActyOtherGrp/Desc2CHRONIC DISEASE:OFTEN WHEN WE THINK OF DATA MODERNIZATION, INFECTIOUS DISEASES SPRING TO MIND, ESPECIALLY IN OUR POST-PANDEMIC ENVIRONMENT. HOWEVER, CHRONIC DISEASES REPRESENT ONE OF THE NATION'S LEADING CAUSES OF DISABILITY, AFFECTING SIX IN 10 ADULTS IN THE U.S. CHRONIC CONDITIONS INCLUDING HEART DISEASE, CANCER, STROKE, DIABETES, AND CHRONIC KIDNEY DISEASE DOMINATE THE LEADING CAUSES OF DEATH. AND DESPITE DATA MODERNIZATION EFFORTS THROUGHOUT THE PUBLIC HEALTH SYSTEM AS A WHOLE, THERE ARE STILL LARGE GAPS AND VULNERABILITIES IN THE SURVEILLANCE NEEDED TO MONITOR AND ADDRESS CHRONIC DISEASES EFFECTIVELY. TO NARROW THESE GAPS AND IMPROVE CHRONIC DISEASE SURVEILLANCE NATIONWIDE, CDC'S NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION (NCCDPHP) AWARDED CSTE $1 MILLION TO DEVELOP A COMPREHENSIVE, MULTI-YEAR NATIONAL STRATEGIC PLAN FOR CHRONIC DISEASE SURVEILLANCE MODERNIZATION TO GUIDE PUBLIC HEALTH DECISIONS AND STRENGTHEN DATA SYSTEMS. THE PLAN WILL INCLUDE A ROADMAP FOR STLT HEALTH DEPARTMENTS TO REFERENCE BASED ON THEIR JURISDICTIONS' CURRENT OR DESIRED CHRONIC DISEASE MODERNIZATION CAPACITY. IN NOVEMBER 2023, CSTE CONVENED THE CHRONIC DISEASE SURVEILLANCE MODERNIZATION PARTNERS' NETWORK TO DEVELOP THE PLAN AND ROADMAP. THROUGH JULY 2024, PUBLIC HEALTH AND HEALTHCARE PARTNERS INCLUDING STLT CHRONIC DISEASE PROGRAMS, NATIONAL ORGANIZATIONS LIKE THE NATIONAL ASSOCIATION OF CHRONIC DISEASE DIRECTORS AND THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS, CDC STAFF AND OTHERS ASSESSED THE STRENGTHS, CHALLENGES, AND OPPORTUNITIES FOR CHRONIC DISEASE SURVEILLANCE MODERNIZATION. PARTNER ACTIVITIES INCLUDED BIMONTHLY VIRTUAL MEETINGS, TWO IN-PERSON MEETINGS, FOCUS GROUPS WITH TRIBAL AND TERRITORIAL EPIDEMIOLOGISTS, AND A LANDSCAPE ASSESSMENT COLLECTING FEEDBACK FROM OVER 250 PUBLIC HEALTH PRACTITIONERS.CSTE AND A TEAM OF CONSULTANTS DEVELOPED THE NATIONAL STRATEGIC PLAN COMPOSED OF A VISION STATEMENT, GOALS, AND A SERIES OF STRATEGIES AND OBJECTIVES TO ADVANCE CHRONIC DISEASE DATA, TECHNOLOGY, PROCESSES, POLICIES, AND WORKFORCE. DATA SYSTEM IMPROVEMENTS WILL ULTIMATELY LEAD TO TIMELIER CHRONIC DISEASE INSIGHTS TO GUIDE PUBLIC HEALTH DECISION MAKING AND RESOURCES AND IMPROVE HEALTH OUTCOMES.
IRS990/ProgSrvcAccomActyOtherGrp/Desc3INJURY EPIDEMIOLOGY & SURVEILLANCE:TO THOROUGHLY UNDERSTAND SOMETHING, IT'S OFTEN HELPFUL EVEN NECESSARY TO DEFINE IT. AS APPLIED EPIDEMIOLOGISTS IN STLTS WORKING TO PROTECT THE HEALTH OF COMMUNITIES ACROSS THE NATION, CSTE MEMBERS KNOW HOW CRITICAL IT IS NOT ONLY THAT ALL JURISDICTIONS USE A DEFINITION FOR A PARTICULAR PUBLIC HEALTH ISSUE, BUT THAT THEY ALL USE THE SAME DEFINITION. ONE OF THE IMPORTANT FUNCTIONS CSTE SERVES IS ESTABLISHING SUCH DEFINITIONS FOR PUBLIC HEALTH CONDITIONS AND THREATS. MEMBERS, STAFF, AND OTHER EXPERTS CREATE POSITION STATEMENTS THAT PROVIDE DETAILED, STANDARDIZED INFORMATION AND DEFINITIONS FOR ALL PUBLIC HEALTH DEPARTMENTS TO USE IN THEIR TRACKING AND RESPONSE EFFORTS. THESE STATEMENTS ARE VOTED ON BY THE CSTE COUNCIL EACH YEAR. IN 2023-2024, MEMBERS OF CSTE'S INJURY, SUBSTANCE USE & MENTAL HEALTH STEERING COMMITTEE DEVELOPED THE POSITION STATEMENT, "STANDARDIZED PUBLIC HEALTH CASE DEFINITION FOR INJURIES RELATED TO FIREARMS," WHICH WAS APPROVED AT THE 2024 ANNUAL CONFERENCE. CSTE MEMBER DAGEN WRIGHT OF THE OREGON HEALTH AUTHORITY WORKED AS LEAD AUTHOR IN COLLABORATION WITH MEMBERS FROM FIVE OTHER JURISDICTIONS, ADDITIONAL SUBJECT MATTER EXPERTS, AND PARTNERS TO CREATE THE STATEMENT, WHICH ADDRESSES THE URGENT PUBLIC HEALTH PROBLEM OF INJURIES RELATED TO FIREARMS.THE COMMITTEE DETERMINED THAT DEVELOPING THIS STANDARDIZED PUBLIC HEALTH CASE DEFINITION WAS NECESSARY "TO FULLY UNDERSTAND THE PREVALENCE, RISK AND PROTECTIVE FACTORS, AND LONG-TERM CONSEQUENCES" OF FATAL AND NONFATAL INJURIES RELATED TO FIREARMS AND TO IDENTIFY PRIORITY AREAS FOR PREVENTION AND RESPONSE. PREVIOUSLY, DATA SOURCES IN THIS AREA WERE "NARROW, DISORDERED, AND DELAYED," ACCORDING TO A 2019 EXPERT PANEL THAT CONDUCTED A COMPREHENSIVE EVALUATION OF AVAILABLE SOURCES. AND MOST SOURCES ONLY INCLUDED DATA RELATED TO FATAL INJURIES, ALTHOUGH THERE ARE TWICE AS MANY NONFATAL INJURIES, ON AVERAGE, EACH YEAR.THE NEWLY ADOPTED CASE DEFINITION PROVIDES A FRAMEWORK FOR CONSISTENTLY CLASSIFYING FATAL AND NONFATAL CASES ACROSS STATES WHERE FIREARM-RELATED INJURIES ARE REPORTABLE AT THE JURISDICTION LEVEL, AS WELL AS IN JURISDICTIONS THAT MAY BE INTERESTED IN MAKING THEM REPORTABLE. APPLYING THE CASE DEFINITION WILL ALLOW PUBLIC HEALTH DEPARTMENTS NATIONWIDE TO ESTIMATE AND UNDERSTAND THE BURDEN, TRENDS, AND GEOGRAPHIC DISTRIBUTION OF FATAL AND NONFATAL INJURIES RELATED TO FIREARMS. THEN THEY CAN DETERMINE THE BEST RESPONSE FOR THEIR COMMUNITIES, TAILOR PREVENTION STRATEGIES SPECIFIC TO THEIR JURISDICTIONS, AND MONITOR THE EFFECTIVENESS OF THEIR APPROACH.LIKE ALL POSITION STATEMENTS CSTE AND OUR MEMBERS DEVELOP, THE STANDARDIZED PUBLIC HEALTH CASE DEFINITION FOR INJURIES RELATED TO FIREARMS AND ALL CSTE'S WORKSUPPORTS STLT APPLIED EPIDEMIOLOGISTS IN THEIR VITAL DAY-TO-DAY WORK CREATING AND SUSTAINING HEALTHY, THRIVING COMMUNITIES.
IRS990/ProgSrvcAccomActyOtherGrp/Desc4TRIBAL EPIDEMIOLOGY:AN UPDATE TO CSTE'S TRIBAL EPIDEMIOLOGY TOOLKIT WAS ONE OF MANY EFFORTS UNDER THE ORGANIZATION'S NEW VISION STATEMENT (SEE P. 4). FIRST PUBLISHED IN 2014, THE TOOLKIT PROVIDES INFORMATION TO HELP CSTE MEMBERS AND STLT AGENCIES IMPROVE RELATIONSHIPS WITH TRIBAL NATIONS AND INDIGENOUS PEOPLES. IT IS A STARTING POINT FOR LEARNING MORE ABOUT THE CHALLENGES TRIBES AND TECS FACE IN PROTECTING AND PROMOTING THE HEALTH OF THEIR PEOPLE, INCLUDING LACK OF ACCESS TO TIMELY, COMPREHENSIVE DATA AND MISUNDERSTANDING OF TRIBAL AUTHORITY. THIS UNDERLYING IDEA IS EXPANDED UPON IN THE TOOLKIT: "BY IMPROVING THE WORKING RELATIONSHIPS BETWEEN TRIBAL AND NON-TRIBAL PUBLIC HEALTH AGENCIES, WE CAN BEGIN TO BETTER ADDRESS THE HEALTH DISPARITIES EXPERIENCED BY AMERICAN INDIAN AND ALASKA NATIVE PEOPLE AND TO ACHIEVE HEALTH EQUITY FOR ALL AMERICANS." CSTE COLLABORATED WITH THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD ON THE UPDATE, WORKING TO CENTER THE VOICES OF TRIBAL PEOPLE AND ENSURE THE NEW ITERATION OF THE TOOLKIT REFLECTED THEIR LIVED EXPERIENCE AND EXPERTISE. IN ADDITION TO HIGH-QUALITY RESOURCES, THE TOOLKIT INCLUDES SECTIONS ON TRIBAL BACKGROUND, CULTURAL HUMILITY, AND SOVEREIGNTY & HEALTH AUTHORITY TO PROVIDE BACKGROUND INFORMATION AND BEST PRACTICES FOR CSTE MEMBERS WORKING WITH TRIBAL NATIONS AND TECS. THIS UPDATE INCLUDES CURRENT ISSUES IN TRIBAL EPIDEMIOLOGY AND FOLDS IN NEW RESOURCES PUBLISHED BY STATE, TRIBAL, AND FEDERAL PARTNERS. TRIBES HAVE INHERENT AUTHORITY AS SOVEREIGN NATIONS TO PROVIDE PUBLIC HEALTH SERVICES AS THEY DETERMINE WHAT IS BEST TO PROTECT THEIR CITIZENS' HEALTH. WHILE EACH TRIBE IS DIFFERENT AND HAS DIFFERENT CAPACITIES, THEY CAN PROVIDE A RANGE OF ROBUST PUBLIC HEALTH SERVICES TO THEIR MEMBERS AND COMMUNITIES. CSTE HOPES THE NEW TRIBAL EPIDEMIOLOGY TOOLKIT WILL HELP MEMBERS IMPROVE RELATIONSHIPS WITH TRIBAL NATIONS AND HEALTH ORGANIZATIONS TO ADDRESS SOME OF THE GREATEST HEALTH CHALLENGES FACING INDIAN COUNTRY. THE ORIGINAL GOAL OF THE TOOLKIT REMAINS THE SAME: TO IMPROVE THE HEALTH OF AMERICAN INDIAN AND ALASKA NATIVE PEOPLE THROUGH EPIDEMIOLOGY. BY IMPROVING THE WORKING RELATIONSHIPS BETWEEN TRIBAL AND NON-TRIBAL PUBLIC HEALTH AGENCIES, WE CAN BEGIN TO BETTER ADDRESS THE HEALTH DISPARITIES EXPERIENCED BY AMERICAN INDIAN AND ALASKA NATIVE PEOPLE AND TO ACHIEVE HEALTH EQUITY FOR ALL AMERICANS.OTHER PORTFOLIO HIGHLIGHTS: - THE TRIBAL EPIDEMIOLOGY SUBCOMMITTEE DRAFTED ITS FIRST-EVER POLICY BRIEF, "ENHANCING DATA ACCESS TO IMPROVE AI/AN HEALTH: A FRAMEWORK FOR STATE & LOCAL PUBLIC HEALTH OFFICIALS," TO SUPPORT IMPROVING TRIBAL ACCESS TO PUBLIC HEALTH DATA - INCREASED TRIBAL EPIDEMIOLOGY SUBCOMMITTEE MEMBERSHIP BY 50% SINCE 2022 - SPONSORED THE FIRST-EVER HEALTH EQUITY & TRIBAL EPIDEMIOLOGY TRACK AT THE 2024 CSTE ANNUAL CONFERENCE
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