Black Americans’ vaccination rates still trail all other groups, while Hispanics show improvement. Native Americans show the strongest rates nationally.
Across Appalachia and the Mississippi Delta, where death rates from stroke are above the national average, routing patients from rural areas to the right level of care can be an intricate jigsaw puzzle. The closest hospital might not offer the full scope of stroke treatments, but hospitals with more advanced care could be hours away.
A lo largo de los Apalaches y del delta del Mississippi, donde las tasas de muertes por ataques cerebrales está por encima del promedio nacional, dirigir a los pacientes de áreas rurales al nivel adecuado de atención puede ser un rompecabezas intrincado. El hospital más cercano puede no ofrecer un espectro completo de tratamientos, y los centros de atención de avanzada pueden estar a horas de distancia.
El Congreso ha enviado miles de millones a los departamentos de salud para luchar contra covid. Pero históricamente, esta financiación se acaba cuando termina la emergencia sanitaria.
Congress has poured tens of billions of dollars into public health since last year. While health officials who have juggled bare-bones budgets for years are grateful for the money, they worry it will soon dry up, just as it has after previous crises such as 9/11, SARS and Ebola. Meanwhile, they continue to cope with an exodus from the field amid political pressure and exhaustion that meant 1 in 6 Americans lost their local health department leader.
A KHN investigation found covid vaccine registration and information websites at the federal, state and local levels are flouting disability rights laws and limiting the ability of people who are blind or visually impaired to sign up for shots.
Covid vaccines are reaching more Americans, but Black residents are being vaccinated at dramatically lower rates in the 23 states where data is publicly available. The Centers for Disease Control and Prevention plans to release national data next week.
Black Americans are receiving covid vaccines at a much lower rate than their white peers due to a combination of mistrust and access issues, leaving them behind in the mission to vaccinate the nation’s population.
Estas partidas son una erosión adicional a la ya frágil infraestructura de salud pública del país, antes de la campaña de vacunación más grande en la historia de los Estados Unidos.
At least 181 public health leaders in 38 states have resigned, retired or been fired amid the turmoil of the pandemic. The departures come as backlash against public health is rising with threats to officials’ personal safety and legislative and legal efforts to strip their governmental public health powers.
A KHN review found more than 20 states either don’t count or have incomplete data on the use of COVID-19 antigen tests, leaving the public in the dark about the true scope of the pandemic.
A medida que la nación empezó a drenar su sistema de salud pública, personal y fondos cayeron más rápidamente en este estado, dejándolo desprotegido para la peor crisis de salud en un siglo.
As the nation hollowed out its public health infrastructure for decades, staffing and funding fell faster and further in Florida. Then the coronavirus ran roughshod, infecting more than half a million people and killing thousands.
Desde que comenzó la pandemia, el Congreso ha reservado miles de millones para aliviar la crisis. Pero parte de ese dinero no se ha distribuido, o gastado, apropiadamente.
Congress has allocated trillions of dollars to ease the coronavirus crisis. A joint KHN and AP investigation finds that many communities with big outbreaks have spent little of that federal money on local public health departments for work such as testing and contact tracing.
We’re releasing our public health infrastructure data on Github for journalists, researchers and interested readers to use.
El sistema de salud pública de los Estados Unidos ha subsistido en la precariedad durante décadas y carece de los recursos necesarios para enfrentar la peor crisis de salud en un siglo.
The U.S. public health system has been starved for decades and lacks the resources necessary to confront the worst health crisis in a century. An investigation by The Associated Press and KHN has found that since 2010, spending for state public health departments has dropped by 16% per capita and for local health departments by 18%. At least 38,000 public health jobs have disappeared, leaving a skeletal workforce for what was once viewed as one of the world’s top public health systems. That has left the nation unprepared to deal with a virus that has sickened at least 2.6 million people and killed more than 126,000.
To assess the state of the public health system in the United States, KHN and The Associated Press analyzed data on government spending and staffing at national, state and local levels. Here’s what data we used and how we did it.
Federal officials have known for nearly a decade which counties are most likely to suffer devastation ― both in loss of lives and jobs ― in a pandemic.