March 4, 2022

Co-creating a Theory of Change to advance COVID-19 testing and vaccine uptake in underserved communities

Objectives: To describe the use of a Theory of Change to meaningfully engage community members from or support underserved communities in two National Institutes of Health-funded implementation science projects aimed

Co-creating a Theory of Change to advance COVID-19 testing and vaccine uptake in underserved communities Read More ยป

Online health information seeking and eHealth literacy among Spanish language- dominant Latinos receiving care in a community clinic

Background: Electronic health (eHealth) literacy is defined as the ability to seek, obtain, and decipher online health information (OHI) for health and disease management. Rapid developments in eHealth (e.g., healthcare

Online health information seeking and eHealth literacy among Spanish language- dominant Latinos receiving care in a community clinic Read More ยป

Centering Health Equity in Medicaid Section 1115 Demonstrations: A Roadmap for States | Manatt, Phelps & Phillips, LLP

Longstanding structural racism and related health inequities experienced by people of color further laid bare by the COVID-19 pandemic have mobilized leadership in many states to take action on health

Centering Health Equity in Medicaid Section 1115 Demonstrations: A Roadmap for States | Manatt, Phelps & Phillips, LLP Read More ยป

Hispanic Ethnicity and Social Determinants of Health in Pulmonary Arterial Hypertension: The Pulmonary Hypertension Association Registry

Rationale There is a noticeable underrepresentation of minorities in clinical trials and registries in pulmonary arterial hypertension (PAH). Prior studies evaluating the association between Hispanic ethnicity and clinical outcomes in

Hispanic Ethnicity and Social Determinants of Health in Pulmonary Arterial Hypertension: The Pulmonary Hypertension Association Registry Read More ยป

Changes in preventive services use by race and ethnicity after medicare eligibility in the United States

doi: 10.1016/j.ypmed.2022.106996. Online ahead of print. Affiliations Expand Affiliations 1 U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, Division of Research and Modeling, 5600 Fishers

Changes in preventive services use by race and ethnicity after medicare eligibility in the United States Read More ยป

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NMQF 40 Under 40 Leaders in Minority Health Introduction
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NMQF 40 Under 40 Leaders in Minority Health Introduction
NMQFโ€™s โ€œ40 Under 40โ€ Program Builds the Next Generation of Leaders in Minorit...
Prescription pill bottles displayed in a pharmacy, representing changes in U.S. drug pricing policy under the Inflation Reduction Act and its potential impact on innovation and patient access.
How the Inflation Reduction Act Could Affect Drug Innovation, Biosimilars, an...
Rev. Jesse Jackson speaking at a public event, remembered for his leadership in the civil rights movement and his decades of advocacy for racial justice in the United States.
Jesse Jacksonโ€™s Legacy Lives On: A Civil Rights Icon Who Fought for Justice a...
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Prescription pill bottles displayed in a pharmacy, representing changes in U.S. drug pricing policy under the Inflation Reduction Act and its potential impact on innovation and patient access.
How the Inflation Reduction Act Could Affect Drug Innovation, Biosimilars, an...
Rev. Jesse Jackson speaking at a public event, remembered for his leadership in the civil rights movement and his decades of advocacy for racial justice in the United States.
Jesse Jacksonโ€™s Legacy Lives On: A Civil Rights Icon Who Fought for Justice a...
The Fight to Protect Black Women from Toxic Hair Products
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Public health scientist collecting wastewater sample to test for viral concentrations as part of community disease surveillance in the United States.
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NMQFโ€™s Role in Helping Flint Reclaim Its Health Future
Nearly a decade after the Flint water crisis health impacts became a national warning about government failure, many Flint residents say they are still living with the consequences. Sen. Elissa Slotkin told the U.S. Senate this month that families continue to report health problems and long-term disruption as court cases and settlements continue Sen. Elissa Slotkin took to the U.S. Senate floor last week to deliver a message Flint residents have been repeating for nearly a decade: the crisis may no longer dominate headlines, but the harm has not ended. โ€œAn American city was poisoned,โ€ Slotkin said, describing families who reported discolored water, rashes, seizures, hair loss, and chronic health problems as officials insisted the tap water was safe. The Flint water crisis began in April 2014, when the city switched its water source to the Flint River without adding corrosion-control treatment, a safeguard that helps prevent lead from leaching out of aging pipes. Public health officials later warned that tens of thousands of residents were exposed to elevated lead levels, and President Barack Obama declared a federal emergency in January 2016. Health officials say families concerned about lead exposure should follow clinical guidance on testing and follow-up care from the Centers for Disease Control and Prevention. Flint is a majority-Black city with high poverty rates, and the crisis quickly became a national symbol of how infrastructure failures and government neglect can compound longstanding racial and economic inequities. Lead exposure is especially dangerous for children. The Centers for Disease Control and Prevention has warned that lead can damage childrenโ€™s brains and nervous systems and contribute to learning and behavioral problemsโ€”harms that can be irreversible. Research examining pediatric blood lead testing patterns in Flint underscores how the crisis altered health behavior and monitoring, even years after the worst contamination became public. The long road to accountability, including the courtroom While the physical infrastructure is improving, Flintโ€™s search for accountability has played out in courtrooms for years. In a highly watched civil โ€œbellwetherโ€ trial in 2022, jurors could not reach a verdict in a case involving engineering firms accused of failing to prevent or mitigate the crisis, leading a judge to declare a mistrial. Since then, major civil settlements have continued to reshape what โ€œjusticeโ€ looks like for many familiesโ€”often less about a single guilty verdict than about whether compensation and long-promised services actually reach affected residents. In February 2025, Michigan Attorney General Dana Nessel announced a $53 million civil settlement with Veolia North America tied to allegations that the companyโ€™s work contributed to prolonging the crisis; the settlement was described as a way to provide closure after years of litigation. The settlement added to earlier agreements, including the stateโ€™s broader $626 million class-action settlement framework meant to compensate people harmed by lead exposure. A court-supervised claims process has approved tens of thousands of claims, but residents have faced long waits as payments move from approval to distribution. The criminal cases tied to the crisis, meanwhile, largely collapsed. A Michigan judge formally dismissed misdemeanor charges against former Gov. Rick Snyder in 2023 after appellate rulings ended the prosecutions, effectively closing that chapter of the legal response. For many Flint families, that outcome deepened the sense that high-level decision-makers escaped meaningful consequences. Health and education impacts also remain a pressing concern. A New York Times report in 2019 described Flint schools struggling with rising needs for individualized education plans and behavioral supports for children who were exposed to leadโ€”needs that educators and parents say require sustained resources, not short-term attention. Separate academic work has linked the crisis to measurable setbacks in educational outcomes, adding to evidence that environmental disasters can shape childrenโ€™s trajectories long after the immediate emergency fades. There has been visible progress on the cityโ€™s pipes. Michigan reported in 2025 that Flint had completed replacement of nearly 11,000 lead water service lines under a legal settlement that required free replacement offers to residents, a milestone that public health leaders framed as nationally significant. Pediatrician Mona Hannaโ€”one of the early voices warning the public about the crisisโ€”told The Washington Post that when water runs through lead pipes, it is โ€œflowing through a straw that is a poison and has no safe level.โ€ Still, Slotkinโ€™s Senate speech captured what many residents say is the unresolved heart of the crisis: trust. She pointed to families who felt dismissed when they first complained, and she said Flint residents are still seeking justiceโ€”including through legal action involving federal regulatorsโ€”while living with the long-term health, educational, and economic consequences of a disaster they did not cause. As Flint marks another year since the emergency declaration, the question for public health and policy leaders is not only how to prevent another Flint, but how to support a community living with the aftershocksโ€”through healthcare access, developmental and educational services, and timely delivery of promised compensationโ€”so that recovery is more than a milestone on paper. Also Read: A New Year, A Fresh Start for Health fyh.news
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