Navigation Links
Study: Federal funds support health depts., but leadership is key

WEST LAFAYETTE, Ind. - The surge of funds for bioterrorism preparedness over the past decade does not appear to be improving local public health resources in general, according to research from Purdue University.

However, the funding increase to health departments does spur epidemiologic activity that is key in detecting infectious disease risks, such as a surge in communicable disease like influenza or tuberculosis, at the local level, says George Avery, an assistant professor of health and kinesiology.

"Since 1999 the federal government has responded to real and perceived threats of terrorist activity and other public health emergencies by injecting a significant level of resources into developing emergency response capabilities through local and state health departments," says Avery, who worked in the Arkansas Department of Health in the 1990s. "Because of the funding influx, even though it was aimed at bioterrorism preparedness, there has been an assumption that health department programming and resources would benefit in general. We found that perceived trickle-down effect to be limited.

"On the positive side, we didn't detect any programs that were suffering because of the emphasis on preparedness and epidemiology."

Most of the funding originates from the Department of Health and Human Services, but the funds are administered by the Centers for Disease Control and Prevention or the Secretary of Health and Humans Services' Hospital Preparedness Program. In 2010 the CDC budget allocated $761 million to improve state and local preparedness and response to terrorism, and that exceeded the 2009 amount by $15 million.

Avery and co-author Tim Wright, senior lecturer of health education at the University of Wisconsin-Stevens Point, published their findings this month in the Journal of Homeland Security and Emergency Management. The research is based on 1,798 health departments' responses to the 2005 National Association of City and County Health Officers Survey of Local Health Departments. The researchers compared sources and amounts of funding to leadership and program outcomes.

They found that leadership and the existence of directors and boards of health in the local health departments made a difference in supporting programs and activities.

"This reinforces that getting money from Washington, D.C., does not guarantee success, you still need strong, local leadership," Avery said.

The credentials and education level of health department directors also made a difference.

For example, directors with a medical degree were more likely to be associated with immunization programs, and directors with a nursing degree were connected with a number of clinical and planning activities, such as immunization activity, health assessment and health improvement planning. At the same time, environmental health, food safety and water quality programs were not as strong.

Avery said the cross-sectional design of this study only provided a snapshot of the funding and its effects. His next step is to evaluate more long-term data to determine if there are changes related to the funding.


Contact: Amy Patterson Neubert
Purdue University

Related medicine news :

1. U of M study: Early treatment can reverse heart damage
2. New study: Pine bark reduces perimenopausal symptoms
3. U of M study: Health food supplement may curb addiction of pathological gamblers
4. New study: Pine bark extract reduces ADHD symptoms in children
5. Kaiser Permanente study: Alcohol amount, not type -- wine, beer, liquor -- triggers breast cancer
6. UGA study: Youth exposed to smokeless tobacco ads despite settlement
7. New National Medicaid Study: Minnesota Under Funds Seniors Nursing Home Care $167 Million Annually
8. Study: Modafinil is effective in treating excessive sleepiness
9. Breaking Study: Masimo Pleth Variability Index (PVI) Shown Effective in Noninvasive Detection of Changes in Ventricular Preload and Fluid Volume
10. New study: pine bark extract boosts nitric oxide production
11. Study: HPV test beats Pap in detecting cervical cancer
Post Your Comments:
(Date:6/25/2016)... ... 2016 , ... As a lifelong Southern Californian, Dr. Omkar Marathe earned his ... David Geffen School of Medicine at UCLA. He trained in Internal Medicine at Scripps ... in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had the opportunity to ...
(Date:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of ... recognition of their exemplary accomplishments in worksite health promotion. , The Wellness at Work ... Symposium at the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published ... unfamiliar with. The article goes on to state that individuals are now more comfortable ... less common operations such as calf and cheek reduction. The Los Angeles area medical ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is ... associated with chronic pain and the benefits of holistic treatments, Serenity Recovery Center ... suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) is a disorder of ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... and Scientific Sessions in Dallas that it will receive two significant new grants ... grants came as PHA marked its 25th anniversary by recognizing patients, medical professionals ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... PUNE, India , June 24, 2016 ... "Pen Needles Market by Type (Standard Pen Needles, Safety ... 12mm), Therapy (Insulin, GLP-1, Growth Hormone), Mode of Purchase ... published by MarketsandMarkets, This report studies the market for ... is expected to reach USD 2.81 Billion by 2021 ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... "Dialysis Devices Global Market - Forecast to 2022" report ... is the treatment method for the patients with kidney failure, ... and excess fluid from the patient,s blood and thus the ... sodium, potassium and chloride in balance. Increasing ...
(Date:6/23/2016)... Research and Markets has announced the addition of the ... to 2022" report to their offering. ... financial data derived from varied research sources to present unique ... on the market during the next five years, including a ... markets, regional and country level analysis. The report provides a ...
Breaking Medicine Technology: