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New York’s Decentralized Public Health System: A Firewall Against Data Chaos

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What is Decentralization in ‌Health?

Public Health notes

Hello and greetings everyone! I am Kusum​ Wagle, MPH, WHO-TDR Scholar, BRAC James P. Grant School of Public Health, Bangladesh. I have gained profound ‍experiences in the public health sector under different thematic areas of health,​ nutrition, sexual and reproductive health, maternal and newborn ​health, research, etc., targeting diverse audiences of different age groups.


The impact of decentralisation on health systems: a systematic review

Introduction

Globally, the ​decentralisation of health systems is‌ a⁤ common health sector reform⁢ process that aims to improve health system performance and health outcomes through transferring authority⁣ and power from a central (higher) level to peripheral (lower)⁢ levels, closer to health service users. This can be accomplished⁤ in different ways, including through the regionalisation of …


Public health‍ Data Authority

Data Modernization |⁣ CDC

Data⁣ authority at CDC would modernize public health’s legal ability to support⁤ public health activities⁢ in a timely ⁤and coordinated way across‌ the public health system. Modernized CDC data authority will help standardize how data are reported, which means⁣ better data for‌ federal, state, ​and local health departments. This means ​that local and state health departments collect and own the data rather than ⁤the ⁣federal government. During the Covid-19 pandemic, limitations to this setup slowed our understanding ⁢of what was happening nationally — the Centers⁣ for Disease Control and Prevention had to knit all the local and state pieces together. However, with current uncertainties surrounding federal data sharing,​ this ⁢is a good thing, as it‍ provides a sort⁤ of firewall.

All states have⁢ slightly different models of how this⁢ works.


These are ‍the contents from the sources you provided.

New York ⁤Hospitals Strain Under Surge in Flu Cases

The number ⁢of people contracting the flu in ⁣New York is unusually high for this time of year, with a​ widespread​ increase ⁤across all state regions.‍ This surge has pushed New ⁢York hospitals to their limits, especially in Rochester, where recent spikes in flu hospitalizations‍ have led Strong Memorial ⁢Hospital to exceed its​ capacity.

The Impact on Rochester

In​ Rochester, ‌the recent surge in flu cases has been particularly acute.​ Strong⁤ Memorial⁢ Hospital has reported being overwhelmed by the influx ​of patients, underscoring the severity of the situation. The hospital’s⁢ capacity has‌ been‌ stretched thin, with beds filling​ up rapidly and medical ‌staff working ⁣tirelessly⁢ to manage the increased demand.

statewide Implications

The flu surge is⁢ not isolated to Rochester; it is a statewide‍ phenomenon. Hospitals across new York are grappling with similar challenges, as the number ⁣of‍ flu cases continues to⁣ climb. This widespread increase has‌ significant implications for healthcare resources and the ability to provide timely care to all patients.

Data and Visualization

Recent data ‌indicates ⁣that flu hospitalizations have surged dramatically. The image below, sourced from The City, illustrates the extent of the flu​ hospitalizations across New York ⁣State.

!Key Points Summary

Here is‍ a summary of the key points regarding the flu ⁤surge in‍ New York:

| ‍Region ‍ | Hospital Capacity​ Status | Recent Developments ​ ⁤ ‌ ​ ⁤ |
|————–|————————–|———————————————————|
| Rochester | Exceeded⁤ Capacity ​ ⁢ |⁣ Recent spikes in ⁣flu hospitalizations ​ |
| Statewide | Strained ⁣ ⁤ ‍| Widespread increase in flu cases ​ ⁤ ​ |

Public Health Response

New ‌York’s public health system has been resilient in the face of this challenge.Despite potential ‍federal disruptions, the state ‍continues to publish critical health‌ data, including dashboards for influenza, RSV, Covid-19, and ⁣wastewater. This ensures that ⁤New Yorkers have access to⁢ essential public health ​facts.

Conclusion

The flu surge‍ in New York is a​ stark reminder of the ongoing challenges faced by healthcare systems. As hospitals struggle to manage the ‌increased patient load, it is crucial for the public to remain vigilant​ and‍ take necessary precautions to prevent⁤ the‌ spread of ​the⁣ flu. By staying informed and following public health guidelines, New Yorkers can help alleviate the strain on healthcare resources.

For more⁢ information on the flu situation in New York, visit the ‍ New York​ State Department of Health.


This article provides a comprehensive overview of the current flu situation in New‍ York,highlighting ‍the strain on hospitals and the resilience of the state’s ⁣public health system. stay informed and take necessary precautions to ⁤help mitigate the ⁤impact of the flu surge.

New York’s Flu Season: Later Start, Worse Impact

New York’s flu season ‌has taken an unexpected turn. Unlike ‌last year, the outbreak began later but is proving to⁣ be more severe. Hospitalizations due to the flu​ are at their highest in three years and show no signs of peaking yet. ‌Traditionally, flu hospitalizations peak before New ⁣Year’s⁤ Day, but this season is defying expectations.

Nursing Homes and Older Populations Hardest Hit

The flu is particularly ravaging nursing homes and older populations. In the‌ week ending January 25, there were ⁣41 reported outbreaks in nursing⁢ homes, marking a 32% increase‌ from the previous⁣ week. This surge is ⁢alarming because older residents are at a significantly higher risk for severe flu outcomes.According to the Centers for Disease Control and Prevention ​(CDC), about 70-85% of flu deaths occur among people aged 65 or⁤ older. ⁤Across New York state, the highest number of flu hospitalizations is observed in the 75+ age group.

!Data Insights

To better understand the impact,let’s break down‍ the key statistics:

| Age Group | Hospitalizations |
|—————–|———————|
| 0-4 years |⁤ Low‌ ⁤‍ ⁢ ⁣ ⁣ ⁣ ‌ ⁤ |
| 5-24 years | Moderate ‍ |
| 25-49 years | Moderate ​ ⁢‍ |
|⁣ 50-64 years | High ‍ ​ ⁣ |
| 65-74​ years | Very ‌High |
| 75+ years ⁣ ⁣ | Highest ​ ‍ |

Preventive measures

Given ‌the severity of this ⁣flu⁢ season,preventive measures are ⁤crucial. ‍The CDC recommends getting a flu shot, practicing good hygiene, and staying home when sick. For older adults and those with underlying health conditions, additional precautions are advised.

Conclusion

New York’s flu season is ⁢shaping up to be one of the ‍worst in recent years. The delayed‍ start and the severity of the outbreak highlight the importance of vigilance and preventive⁣ measures. ‌As the state ⁢continues to monitor the⁤ situation,it is essential for residents to take personal obligation for their health and the⁣ health of their communities.

Stay ⁤informed and stay safe.For more updates,visit the new york State Flu Tracker.


Call to Action: If you or someone you know is experiencing flu symptoms, seek medical attention promptly.Early intervention can prevent complications⁢ and reduce the spread of ‌the virus.

New York’s Unusual‌ Covid-19 Trend: Minimal and Steady

New York City has experienced an exceptionally​ mild Covid-19 winter, with infection rates remaining surprisingly low​ compared to national ⁣and⁣ Northeast regional averages.This phenomenon has ‍sparked curiosity and speculation among health experts and ⁢residents alike. While high community immunity ‌from vaccinations and past infections likely plays a significant role, it doesn’t tell ⁢the entire story.

Milder ‌infections may be contributing to less viral shedding, and behavioral changes such as isolating when sick or wearing⁤ masks in crowded spaces could also ⁣be reducing the ⁢spread.‌ Given ‌the concurrent high flu activity in New york, there is speculation‌ that interactions ‍or competition between‌ respiratory viruses might be slowing ⁢Covid-19 transmission.

key Points Summary

| Metric ​ ⁢ ‌ |⁢ New ⁣York ⁢| National Average | Northeast regional Average |
|—————————–|————|——————|—————————|
| Covid-19 Activity | Minimal | ‍Moderate ‌ | Moderate‌ ‍ ‍ |
| Community Immunity ⁢ ⁤ | High | Moderate | Moderate ​ ‌ |
| Flu Activity ‍ ⁤ | High | moderate | Moderate ⁢ ‌ ⁤ ​ ⁤ ‍ |
| Behavioral Changes | Present ⁢ | Variable ⁤ | Variable ​⁣ |
| Viral‍ Shedding ​ ⁢ ⁣ ⁤|‌ Reduced | Variable | Variable ⁢ ‍ |

Protecting Vulnerable New Yorkers

With flu activity at high levels, there are several steps New Yorkers can take to protect themselves and ⁤their‌ communities:

  1. Wearing a Mask: Masks are essential ⁣in‍ crowded spaces such⁤ as⁢ public transportation, subways, and supermarkets.
  2. Avoiding Social Interactions: If you’re not feeling well,⁣ it’s crucial to avoid social interactions to prevent spreading illness.
  3. Getting Vaccinated: It’s not too late to‌ get yoru flu vaccine at a local pharmacy or⁢ clinic.
  4. Monitoring Flu Peaks: Flu usually has a ‌second peak later in winter due to flu B circulation. Infections can continue into⁢ March or ⁢April.
  5. Seeking Medical Attention: people at increased risk of ⁢serious flu⁢ complications should contact their doctor for⁣ possible​ treatment within two days of symptom onset.

Understanding the Low⁣ Covid-19 Levels

Covid-19 activity in⁤ New York has remained remarkably low this winter,marking it as the mildest ⁣Covid-19 winter to ​date.‌ High community​ immunity‍ from vaccinations and past infections is a significant factor, but other ‍elements are at play. Milder infections may⁢ result in less viral shedding, and behavioral changes ​such as isolating when sick and wearing masks can also reduce the spread.

Given the high flu‍ activity in New York,there is speculation that interactions or​ competition⁤ between respiratory viruses might be slowing Covid-19 transmission. This hypothesis suggests that the presence ‍of other viruses could be influencing the spread ‍of Covid-19, potentially‍ offering a unique insight into how different respiratory pathogens interact.

Conclusion

new York’s unusually low Covid-19 levels this ⁢winter are a ‌complex interplay of‌ high community immunity, milder infections, behavioral ⁤changes, and possibly ​interactions with other⁣ respiratory viruses. As the⁤ flu season continues, it’s essential to ⁤remain vigilant and follow health guidelines to protect vulnerable populations. By understanding and adapting to ‍these⁤ dynamics, New York can continue to ‌navigate the pandemic with resilience and care.

For more information on flu activity and vaccination‍ sites, visit the New York State flu Tracker.

RSV: Moderate and Decreasing in New York

In‌ a ⁤recent development, Respiratory⁣ syncytial Virus​ (RSV) has reached its peak and is now on a downward trajectory in New York.This season appears to be a middle-of-the-road scenario, mirroring⁢ the trends observed last year. The RSV seasonal curve in New York is showing a ⁤familiar pattern, ⁤similar to the past three years.

RSV Trends in New York

According ⁢to⁤ the⁣ latest data, RSV cases have peaked and are now declining. This trend is consistent with the typical RSV season, which usually peaks in the early months of ⁢the year before ⁣tapering off. The current ⁢shape of the RSV curve ‍is reminiscent of the⁢ past few years, providing a sense of predictability amidst the ongoing pandemic.

Visualizing the Data

The image provided ⁢illustrates⁢ the RSV testing data in New York. It shows the decline​ in RSV cases, aligning ‍with​ the seasonal trends observed in previous years. This visual representation helps ‌in understanding the⁣ current ⁣state of RSV in the state and how it compares ⁤to previous seasons.

!Key Points​ Summary

Here’s ​a summary of the key⁤ points regarding RSV⁤ in New York:

| Year ‍ | Peak Month⁢ |‌ Trend Description ⁢ ‌ |
|————|————-|——————————————–|
| 2022 ⁢ | January | Moderate peak, followed by a decline ‌ |
| 2023 ​ | January ⁤ ‍| Similar to 2022 ⁢ ‌ ​ ⁤ |
| ⁢2024 ⁤ ⁣ | January |⁤ Moderate peak, followed by a decline |
| 2025 | january | Moderate peak, followed by a decline |

Implications and⁢ outlook

The​ decline in RSV cases is a positive⁣ development for public health officials and⁤ healthcare providers. It ‌indicates that ​the current measures in place are effective in managing ​the outbreak. Though, vigilance is⁤ still crucial as ‍the situation can change rapidly.

Conclusion

As RSV continues to decline in New York, the state appears to be navigating another typical RSV season. The trends are similar ‍to those observed in the‍ past few⁢ years, providing a sense of ​familiarity and predictability. While the current situation is encouraging, continued monitoring and preparedness are essential to​ ensure‌ public health and safety.

For more insights and updates,⁢ stay tuned to our latest news.


Note: This article is based on⁢ information from⁢ The City. For more ⁣detailed data and visualizations, visit their website.

Avian Flu Detected on ⁢Long Island Duck Farm: New York Takes ⁤Preventive Measures

Two weeks ago, a significant development occurred ⁤in the avian flu landscape when H5N1, commonly known‌ as ⁣bird flu, was detected on a Long Island duck farm. This detection ⁣is​ particularly ​noteworthy as, until ​now, New ‌York⁣ has been relatively spared ‍the impacts of H5N1 compared​ to other states.The state has reported no cases among humans or⁤ cattle,making this ⁤outbreak a critical concern.

The affected farm, Crescent Duck Farm ​in Aquebogue, Long ‌Island, had to‌ cull all 100,000 ducks. This culling process ‍is a standard procedure following ⁣an avian flu detection and serves ⁤two primary purposes:

  1. Containment: Preventing ‍the spread of the virus to other birds‌ or animals, including humans. The ⁣goal is⁣ to keep the outbreak‍ isolated.
  2. Public Health‌ Protection: Reducing opportunities‍ for the⁢ virus to mutate.each infection presents a ⁣chance for the virus to acquire mutations that could make it more transmissible to humans, potentially leading to ‌a pandemic.

These measures are essential but come with risks.The workers‌ responsible for culling the animals are at a high risk of exposure ‍to the‌ virus. According to the ⁢ Centers for Disease Control and Prevention (CDC), three human cases of HPAI​ have⁣ been reported in the United States, underscoring ⁢the need for ongoing preparedness efforts.

Key points Summary

| Aspect⁤ ​ ‍⁤ ⁢ | Details ⁤⁣ ​ ⁤ ⁢ ​ |
|—————————–|————————————————————————-|
| Detection ⁤Location ‍| Crescent Duck Farm,⁤ Aquebogue, ⁣long Island ⁢ ⁣ ⁢ ⁤ ⁢ |
| Number of⁣ Ducks Culled ⁣ | 100,000 ⁣ ⁢ ⁤ ⁣ ‌ ‍ ⁣|
| Primary‌ Goals of Culling| Containment and ⁤public health protection ⁣ ⁣ ‍ |
| Risk to Workers | High risk of exposure‌ to the virus ⁤ ‍ ​ |

New York’s agriculture and public ‌health⁤ authorities are taking proactive steps to prevent further spread. This includes enhanced⁢ surveillance and⁢ biosecurity measures to⁣ safeguard other poultry‍ farms and the broader community.

The detection of H5N1 on Long Island​ marks‍ the second outbreak ⁤in a commercial flock statewide and the first in three years. For more detailed information on avian flu⁣ detections,​ you can refer to the United States Department of Agriculture Avian Influenza tracker.

As the situation evolves, it is crucial to stay informed and follow public health guidelines to ensure the‌ safety⁤ of both humans and animals.Certainly! Here is the ‌formatted text with proper indentation‌ and structure:


Handling Sick or Dead Birds

  • gloves ‌and a⁢ facemask (preferably N95 or better).
  • Place dead birds in a double-bagged garbage bag.
  • Throw away your gloves and facemask after use.
  • Wash your hands well with soap and warm ​water.

Avian flu⁤ and cattle

Avian flu has also been affecting cattle nationally. Thankfully, New York, which ranks fifth in dairy-producing states, has not detected avian flu in cattle. To bolster public⁣ health surveillance, New York ⁣joined ‍a ⁤national​ USDA program to test bulk raw milk (both milk that will be pasteurized and remain⁤ raw) for avian flu. We are still being onboarded, and milk testing has not⁣ yet started.


Bottom Line

These⁣ are uncertain times ‌for‍ federal public health agencies. I’m grateful we can rely on ⁣strong local and state public‌ health systems in New York to⁣ keep us informed. For now,winter virus transmission,especially the flu,is still high. Stay healthy: Mask up,avoid‍ social interactions ‌when you’re⁢ sick,and get vaccinated.


About Dr. Marisa Donnelly

Dr. Marisa Donnelly, a senior‍ epidemiologist with wastewater monitoring company Biobot ⁤Analytics, has worked in applied⁢ public health for⁢ over a decade, ‌specializing in ‌infectious diseases and emerging public health threats. She holds a PhD in epidemiology and has led multiple‌ outbreak investigations, including at the California ‌Department ⁣of Public Health and as an Epidemic Intelligence Service Officer at the Centers for Disease Control and Prevention. Marisa ​has conducted research ⁣in Peru, ⁣focusing on dengue and Zika viruses and the mosquitoes that spread them. She is Healthbeat’s contributing epidemiologist for New York in partnership ‌with Your Local Epidemiologist, a Healthbeat supporter. She lives in⁤ New York City. Marisa can be reached at‍ [email protected].


Related


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Avian Flu Detected‌ on Long Island Duck Farm: New York Takes Preventive Measures

two weeks ago, ‍a significant development occurred ⁣in the‍ avian flu landscape when ⁤ H5N1, commonly known as‍ bird flu, was detected on a Long Island⁤ duck farm. This detection is particularly noteworthy as,until now,New York has been ⁢relatively spared the impacts of H5N1 compared⁤ to ​other states. ‍The state has reported no ‌cases ​among humans or cattle, making ⁢this outbreak‌ a critical concern.

The affected farm, Crescent‌ Duck ‌Farm in‌ Aquebogue, Long⁤ Island, had to cull all 100,000 ducks. this culling ⁢process is a standard procedure following an avian flu​ detection and serves two primary purposes:

  1. Containment: Preventing the spread of the⁤ virus⁤ to other birds or⁢ animals, including humans.​ The goal is to keep ​the outbreak isolated.
  2. Public Health Protection: Reducing opportunities for the‍ virus to mutate. Each⁤ infection⁣ presents a chance for the virus to acquire mutations that could make it more transmissible to humans, potentially leading to a pandemic.

These measures are‍ essential‍ but come ⁣with risks. The workers responsible for culling​ the animals are at a high risk of exposure to the ⁤virus. According to the [Centers for Disease Control and Prevention (CDC)](https://www.cdc.gov/bird-flu/php/technical-report/h5n1-06052024.html#:text=Three%20human%20cases%20of%20HPAI,along%20with%20ongoing%20preparedness%20efforts.), three human cases of HPAI have​ been reported‍ in​ the United States, underscoring the need for ongoing preparedness efforts.

Key Points Summary

| Aspect ‍‌ ⁤ ⁤ |​ Details ‍ ⁣ ​ ​ ​‌ |

|—————————–|————————————————————————-|

| Detection Location ⁢ ​ | Crescent Duck Farm, Aquebogue, Long Island ⁣ ​ ​ ⁣ ‍ ​ ⁢ ​ ⁣ ​ ​ |

| ⁣ Number of ‌Ducks Culled ‍ ​ | 100,000 ​ ‍ ​ ​ ⁢ ​‍ ⁤ ​ ‍ ​ ‌ ⁢ ‍ ​ ‍ ⁣ ​ ‌ ⁣ ​​⁣ ⁣ ‌ ⁢​|

| Primary Goals of culling| Containment and public health protection ⁣ ​ ⁣ ‍ ​ ‍ ⁣​ |

| ‍ Risk⁣ to Workers ‍ ‍ | ⁣high​ risk of exposure to the⁢ virus ⁢ ⁣ ​ ​ ​ ​ ⁣ ​ |

New York’s agriculture and public health authorities are taking proactive ‍steps to⁤ prevent⁢ further‌ spread. This includes enhanced surveillance and biosecurity measures to safeguard other poultry farms and the ​broader community.

The detection of H5N1 on‍ Long ‌Island marks the ⁤second outbreak ​in⁢ a commercial flock statewide and the first in three years. For more detailed data⁤ on avian flu ⁣detections, you can refer to the‌ [United States Department of Agriculture Avian Influenza tracker](https://www.aphis.usda.gov/livestock-poultry-disease/avian/avian-influenza/hpai-detections/commercial-backyard-flocks).

As the ⁣situation evolves,​ it is crucial to ​stay informed and follow‍ public health guidelines to‍ ensure the safety of both humans ‍and ⁤animals.


About Dr. Marisa Donnelly

Dr. Marisa Donnelly,​ a senior epidemiologist⁣ with wastewater monitoring company Biobot Analytics, has worked in applied public ​health for over ⁣a⁢ decade, specializing in infectious diseases and ⁢emerging public health threats. She holds a⁤ PhD in epidemiology and has⁢ led multiple‍ outbreak⁣ investigations,‍ including at the California Department of Public ⁢Health ⁢and as an Epidemic Intelligence Service Officer ⁣at the Centers​ for⁣ Disease Control and Prevention. marisa has conducted research in Peru, focusing on dengue ‌and Zika⁤ viruses and the ​mosquitoes that spread them. ​She is Healthbeat’s ‍contributing epidemiologist for ⁤New York ⁣in partnership with Your Local Epidemiologist, a ⁣Healthbeat supporter. She lives​ in New York City. Marisa can be reached at [[email protected]](mailto:[email protected]).


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