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Infectious Disease Prevention and Control (IDPC) Project

Through a cooperative agreement with the Centers for Disease Control and Prevention (CDC), NACCHO has undertaken a number of activities to increase the capacity of local health departments to prevent and control infectious diseases in their communities. The IDPC project aims to enhance local health preparedness and response to emerging infections by accomplishing the following:

1) Increase the number of national IDPC and related epidemiology policies, priorities, and guidance documents, and decisions that are informed by local health department input;

2) Increase the number of IDPC and related epidemiology evidence-based strategies, tools, and resources available to local health departments; and

3) Improve NACCHO's, CDC's, and partners' understanding of IDPC and related epidemiology needs, challenges, and successes of local health departments.

NACCHO identifies and disseminates resources and model practices to local health department IDPC programs through a variety of strategies and communication mechanisms. The project has supported NACCHO's IDPC workgroup, comprised of staff from local health departments across the country. The IDPC project also enabled NACCHO to inform more robust and systematic strategies for gathering local H1N1 situational awareness, useful practices, lessons learned, and input on guidance and policies during the 2009 outbreak.

Healthcare-Associated Infection (HAI) Project

The goal of the HAI project is to strengthen local health department capacity to prevent HAIs and multidrug-resistant organisms (MDROs). This includes increasing local health department engagement in state HAI prevention activities, increasing stakeholders' understanding of HAI-related needs, making available resources that help to inform engagement of local health departments in HAI prevention, and supporting collaboration between local health departments and partners such as hospitals and long-term care facilities (LTCFs). The project will investigate the challenges and benefits to establishing collaborative relationships centered on the prevention and control of HAIs and drug resistance.

In 2011, NACCHO, in collaboration with CDC, conducted a needs assessment of 13 local health departments to better understand the following:

1) Local health departments' awareness of HAIs;

2) Extent to which local health departments were engaged in HAI prevention, surveillance, and response;

3) Barriers to primary HAI prevention; and

4) Local health departments' needs in order to become more involved in expanding national and state HAI prevention activities.

NACCHO hosted a webinar on July 26, 2012, to present the findings from this needs assessment. The webinar recording and presentation slides are available online.

NACCHO, in collaboration with CDC, initiated a demonstration project for two local health departments to engage in state HAI prevention efforts in 2012. The DuPage County (IL) and Livingston County (MI) health departments were selected to explore the role of local public health and local health department collaboration with LTCFs in HAI/MDRO prevention. In 2013, the demonstration project was expanded to the City of Milwaukee Health Department (WI) and the Philadelphia Department of Public Health (PA). In 2014, the four demonstration sites will help inform the development of a guidance document that outlines roles and opportunities for local health departments to prevent and reduce HAIs in collaboration with state health departments.