Le Lézard
Classified in: Ebola virus, Health, Business
Subjects: NPT, ECO, AVO

New Report: Funding for Public Health Has Declined Significantly since the Great Recession

WASHINGTON, March 1, 2018 /PRNewswire-USNewswire/ -- A new Trust for America's Health (TFAH) analysis?A Funding Crisis for Public Health and Safety: State-by-State and Federal Public Health Funding Facts and Recommendations?finds spending on public health is insufficient.

Trust for America's Health logo. (PRNewsFoto/Trust for America's Health)

"A healthy United States is a strong United States. A prepared nation is a safe nation. But persistent underfunding of the country's public health system has left the nation vulnerable," said John Auerbach, president and CEO, of TFAH. "The country needs a long-term commitment to rebuild the nation's public health capabilities ? not just to plug some of the more dangerous gaps but to make sure each community will be prepared, responsive and resilient when the unexpected occurs."

Flat Federal Funding

In Fiscal Year (FY) 2017, the U.S. Centers for Disease Control and Prevention's (CDC) budget was $7.1504 billion ($21.95 per person). Adjusting for inflation, CDC's core budget?not including the Prevention and Public Health Fund?has been essentially flat for the last decade.

Because much of CDC's budget is distributed to states and localities, the impact of budget cuts is experienced directly at the state and local level. Of the roughly 75 percent of CDC funds that go to states and local communities, support ranges from a low of $5.74 per person in Missouri to a high of $114.38 per person in Alaska.

In addition, 12 percent of CDC's budget consists of the Prevention and Public Health Fund, with about $625 million a year of that directed to state and local efforts. From FY 2013 through FY 2027, the Prevention Fund will receive nearly $12 billion less than the law intended.

Within CDC, the Public Health Emergency Preparedness (PHEP) Cooperative Agreement Program is the only federal program that supports the work of state and local health departments to prepare for and respond to emergencies. Except for one- time, short-term funding to contain the Ebola and Zika viruses, core emergency preparedness funding has been cut by more than one-third (from $940 million in FY 2002 to $667 million in FY 2017) since the program was established.

State Public Health Funding Declining

Spending for public health by states has been declining.  Based on a TFAH analysis (adjusted for inflation), 31 states made cuts to their public health budgets from FY 2015-2016 to FY 2016-2017.  Only 19 states and Washington, D.C. maintained or increased their budgets, making it hard for states to compensate for reduced federal funding. 

According to the report, state public health spending is actually lower in 2016-2017 than it was in 2008-2009, as some of the funding cuts that occurred during the Great Recession have not been fully restored?and federal funding has been essentially flat (almost half of state public health spending comes from federal funds).

Local Public Health Funding Decreasing

Since 2008, local health departments (LHDs) have lost 55,590 staff due to layoffs or attrition. In addition, about 25 percent of LHDs reported a lower FY 2016 budget than the previous year, with fewer LHDs reporting an increase in their budget for the current year as compared to the previous.


"Each year, we issue this report to examine the amount of public health funding each state receives and provide an independent analysis of how communities protect the public's health. With life expectancy declining in the U.S. for the second year in a row?something unheard of in recent memory?policymakers must take the public's health seriously and allocate the funds needed to improve well-being and prevent illness and injury," said Auerbach.

The report includes eight key recommendations:

  1. Increase Funding for Public Health ? at the Federal, State and Local Levels
  2. Preserve the Prevention and Public Health Fund
  3. Prepare for Public Health Emergencies and Pandemics
  4. Establish a Standing Public Health Emergency Response Fund
  5. Build a National Resilience Strategy to Combat Deaths of Despair
  6. Prevent and Reduce Chronic Disease
  7. Support Better Health and Top Local Priorities in Every Community 
  8. Expand the Use of Evidence-Based, High-Impact Strategies to Improve Health in Every Community 

The full analysis is available at www.healthyamericans.org.  The brief was supported by a grant from the Robert Wood Johnson Foundation (RWJF).

Trust for America's Health is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority. www.healthyamericans.org 

SOURCE Trust for America's Health

These press releases may also interest you

at 02:00
Balance. We strive for it in our diets, exercise, and life choices. But when it comes to skin, providing a balanced regimen of vitamins, nutrients, and other elements may be underestimated as men and women age. INNEVITIL® is here to provide skin the...

at 02:00
AUSTIN, Texas, Sept. 23, 2018 /PRNewswire-PRWeb/ -- Jason Katzenback (Amazing.com CEO and Co-Founder) and his wife, Charlene Katzenback, recently held a luminary ceremony in remembrance of their daughter and more than 420 children who lost their...

22 sep 2018
NEW YORK, Sept. 22, 2018 /PRNewswire-PRWeb/ -- Statement from Communication Service for the Deaf Communication Service for the Deaf commends the United Nations, the World Federation of the Deaf and the Permanent Mission of Antigua and Barbuda....

22 sep 2018
Rosen Law Firm, a global investor rights law firm, announces it has filed a class action lawsuit on behalf of purchasers of the securities of OPKO Health, Inc. from September 26, 2013 through September 7, 2018, inclusive (the "Class Period"). The...

22 sep 2018
SALT LAKE CITY, Sept. 22, 2018 /PRNewswire-PRWeb/ -- cbdMD's partnership with Global Rallycross (GRC) driver Steve Arpin officially kicks off this weekend at the 3rd Annual Nitro World Games, taking place at the Utah Motorsports Campus outside of...

22 sep 2018
TIJUANA, Mexico, Sept. 22, 2018 /PRNewswire-PRWeb/ -- Every year, thousands of American patients save millions of dollars on treatments by visiting dental clinics in Mexico. Once thought of decades ago as a poor quality cheap alternative, one clinic...

News published on 1 march 2018 at 08:30 and distributed by: