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IVF clinic bombing should be a security wakeup call for fertility centers, experts say; Illinois is first state to restrict federal access to autism-related data; Virginia ranks in top 10 for lowest rates of deaths on the job; Food security researchers in 20 countries thought they had U.S. funding. Then Trump took office.

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Congress debates Medicaid cuts, FBI pledges to investigate missing Indigenous people, Illinois pushes back on federal autism data plan, and deadly bombing in California is investigated as domestic terrorism.

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New Mexico's acequia irrigation system is a model of democratic governance, buying a house in rural America will get harder under the Trump administration's draft 2026 budget, and physicians and medical clinics serving rural America are becoming a rarity.

Task Force Makes Recommendations for NC Public Health

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Wednesday, January 25, 2023   

The North Carolina Institute of Medicine is making new recommendations to improve public health in the state.

The suggestions focus on expanding capacity, fostering healthy communities, and increasing local collaboration. A task force investigated the health care system's strengths and challenges, and has developed a vision for the future of public health in the state.

One challenge is North Carolina's per capita funding for public health has decreased by 30% in the past decade.

Brieanne Lyda-McDonald, project director for the North Carolina Institute of Medicine, said making the recommendations a reality will come down to dollars and cents.

"We are actually fairly low in the per capita funding for local public health, when we look at the rest of the country," Lyda-McDonald pointed out. "Right now, we're at $76 per capita in North Carolina."

She compared it to the national average of $116. The group also urged finding ways to make funding sustainable and flexible, depending on the needs of each community. The recommendations also focused on building a stronger network of health care providers who can share data on the people most in need.

Beyond funding, the group recommended more collaboration among health care providers, to make better use of public health data and build community partnerships. Lyda-McDonald said the most important factor in these partnerships is including members who trust each other.

"Making sure that public health is representing and serving all the needs of community members, regardless of race and ethnicity, income and geographic location," Lyda-McDonald stressed.

The report also suggested doing more to recruit and retain a strong public health workforce. The task force is sharing its findings with lawmakers and state public health policy experts.


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