Challenges and Opportunities for Strengthening the US Public Health Infrastructure

This report recommends changing work policies to support employee wellness at public health agencies. Public health infrastructure is often hard to maintain due to high turnover and burnout, especially during times of crisis like COVID-19. Work policies such as flexible schedules and remote work have been shown to increase employee well-being. It also recommends the establishment of cross-jurisdictional sharing arrangements to share key staff between public health departments, e.g., epidemiologists. This can serve as a solution to chronic underfunding of public health agencies at the federal level.