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What is Decentralization in Health?
Table of Contents
- What is Decentralization in Health?
- The impact of decentralisation on health systems: a systematic review
- Public health Data Authority
- New York Hospitals Strain Under Surge in Flu Cases
- New York’s Flu Season: Later Start, Worse Impact
- New York’s Unusual Covid-19 Trend: Minimal and Steady
- RSV: Moderate and Decreasing in New York
- Avian Flu Detected on Long Island Duck Farm: New York Takes Preventive Measures
- Handling Sick or Dead Birds
- Avian flu and cattle
- Bottom Line
- About Dr. Marisa Donnelly
- Related
- Avian Flu Detected on Long Island Duck Farm: New York Takes Preventive Measures
- About Dr. Marisa Donnelly
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 …
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.
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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 | 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. 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 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. 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 | 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. 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 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. | Metric | New York | National Average | Northeast regional Average | With flu activity at high levels, there are several steps New Yorkers can take to protect themselves and their communities: 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. 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. 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. 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. 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 | 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. 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. 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: 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. | Aspect | Details | 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: 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. 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. 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]. This should make the information more readable and organized. 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: 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. | 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. 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]).
|————–|————————–|———————————————————|
| Rochester | Exceeded Capacity | Recent spikes in flu hospitalizations |
| Statewide | Strained | Widespread increase in flu cases |Public Health Response
Conclusion
New York’s Flu Season: Later Start, Worse Impact
Nursing Homes and Older Populations Hardest Hit
|—————–|———————|
| 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
Conclusion
New York’s Unusual Covid-19 Trend: Minimal and Steady
key Points Summary
|—————————–|————|——————|—————————|
| 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
Understanding the Low Covid-19 Levels
Conclusion
RSV: Moderate and Decreasing in New York
RSV Trends in New York
Visualizing the Data
|————|————-|——————————————–|
| 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
Conclusion
Avian Flu Detected on Long Island Duck Farm: New York Takes Preventive Measures
Key points Summary
|—————————–|————————————————————————-|
| 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 |
Handling Sick or Dead Birds
Avian flu and cattle
Bottom Line
About Dr. Marisa Donnelly
Avian Flu Detected on Long Island Duck Farm: New York Takes Preventive Measures
Key Points Summary
About Dr. Marisa Donnelly
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