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Reports & ToolkitsInfectious disease outbreaks can strike any community at any time. During an outbreak, counties are on the front lines providing services, funding, leadership and guidance. From outbreak investigations to public health preparedness and training, counties invest heavily in efforts to protect the health and safety of their residents.County Responses to the COVID-19 Pandemic: Health
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County Responses to the COVID-19 Pandemic: Health
Infectious disease outbreaks can strike any community at any time. During an outbreak, counties are on the front lines providing services, funding, leadership and guidance. From outbreak investigations to public health preparedness and training, counties invest heavily in efforts to protect the health and safety of their residents. Counties spend more than $80 billion annually on the management of public health departments, community health centers, county-run hospitals, teaching clinics and long-term care facilities and set public health policies, support prevention and education programs, ensure access to care and respond to public health emergencies.
In March 2020, novel coronavirus (COVID-19) rapidly impacted individual households, communities, schools, businesses and health systems in the U.S. As counties across the nation work to respond to this new communicable disease, we have highlighted efforts focused on health, including personal protective equipment, screening and testing and access to food.
Personal Protective Equipment
Personal protective equipment (PPE) (e.g., gloves, masks, gowns, face shields and respirators) is essential for patients and providers during infectious disease outbreaks. Due to the widespread, increasing case counts of COVID-19, officials announced that national stockpiles of PPE are depleted and typical supply chains have broken. Counties and other local governments commonly source PPE and serve as a coordinating body for issuance in most communities. These shortages are leading county health officials to urge the public to make donations for emergency services and healthcare workers.
In late March, the president signed an executive order to prevent the hoarding of medical supplies needed for coronavirus response. This directive also established the creation of a federal task force to address excessive accumulation and price gouging of PPE associated with home use and above market resale. Adjacent to county-level pleas for PPE, federal officials are asking for the voluntary release of any hoarded medical items.
Many counties across the country are relying on PPE donations in response to shortages in their communities. Scare supplies are forcing frontline workers to sterilize and re-use masks and other medical equipment intended for one time use (Wichita County, Tex., Butler County, Iowa).
Counties have established donation and distribution sites and are encouraging residents, particularly non-essential businesses, such as salons and schools, to donate their existing, unused supplies (Cape May County, N.J., Hamilton County, Ohio, Wood County, Wis.).
Screening and Testing for COVID-19
Health screenings and testing are critical tools in managing the care of patients and understanding the prevalence of disease in a community. During an outbreak, public health officials and clinicians rely heavily on clinical assessments and accurate lab tests to develop case definitions, trace contacts, treat symptoms and deploy resources. Furthermore, many counties manage laboratories that work in conjunction with other county public health services to detect the spread of communicable diseases. As COVID-19 cases emerged in the U.S., lack of testing resulted in slow reporting; however, counties are developing screening protocols and ramping up diagnostic efforts as more tests become available.
San Miguel County, Colo.
San Miguel County is working with United Biomedical to test all 8,000 residents for COVID-19 antibodies. This strategy determines whether a person has been exposed to the virus which can be used to help local officials decide how long quarantines and other restrictions should continue. San Miguel County is acting as a pilot for this project, which United Biomedical hopes to scale to large, metropolitan areas.
- Learn more
Many counties are offering telemedicine services for initial screenings and drive-thru COVID-19 testing by appointment or referral (Palm Beach County, Fla., Morris County, N.J., Toledo-Lucas County, Ohio, Chester County, Pa., Howard County, Md.).
Food Access for Students
Schools play a critical role in addressing food insecurity among students. In many communities, counties serve a sizable number of children and youth who qualify for free and reduced lunch - an indicator of families living below the poverty line. With the many school closures and county-wide shutdowns amid the coronavirus outbreak, counties are meeting the needs of food insecure students and families who typically rely on schools for meals.
Henderson County, N.C
The Henderson County Education Foundation, Henderson County Public Schools and Meals On the Bus have partnered to provide children ages 2-18 with free pickup/delivery meals. Food delivery is available to families who lack transportation.
- Learn more
Prince William County, Va.
With support from the Virginia Department of Education, Prince William County is serving meals to parents/guardians of students who qualify for free school lunches without the presence of their children/students to promote social distancing. This change in standard protocol removes access barriers and serves families experiencing hunger.
- Learn more
The health impacts of coronavirus on communities is still uncertain. As counties remain on the frontlines responding to this public health crisis, NACo is committed to supporting our members by sharing information, best practices and innovative solutions.
Infectious disease outbreaks can strike any community at any time. During an outbreak, counties are on the front lines providing services, funding, leadership and guidance.2020-06-03Reports & Toolkits2022-08-31
Infectious disease outbreaks can strike any community at any time. During an outbreak, counties are on the front lines providing services, funding, leadership and guidance. From outbreak investigations to public health preparedness and training, counties invest heavily in efforts to protect the health and safety of their residents. Counties spend more than $80 billion annually on the management of public health departments, community health centers, county-run hospitals, teaching clinics and long-term care facilities and set public health policies, support prevention and education programs, ensure access to care and respond to public health emergencies.
In March 2020, novel coronavirus (COVID-19) rapidly impacted individual households, communities, schools, businesses and health systems in the U.S. As counties across the nation work to respond to this new communicable disease, we have highlighted efforts focused on health, including personal protective equipment, screening and testing and access to food.
Personal Protective Equipment
Personal protective equipment (PPE) (e.g., gloves, masks, gowns, face shields and respirators) is essential for patients and providers during infectious disease outbreaks. Due to the widespread, increasing case counts of COVID-19, officials announced that national stockpiles of PPE are depleted and typical supply chains have broken. Counties and other local governments commonly source PPE and serve as a coordinating body for issuance in most communities. These shortages are leading county health officials to urge the public to make donations for emergency services and healthcare workers.
In late March, the president signed an executive order to prevent the hoarding of medical supplies needed for coronavirus response. This directive also established the creation of a federal task force to address excessive accumulation and price gouging of PPE associated with home use and above market resale. Adjacent to county-level pleas for PPE, federal officials are asking for the voluntary release of any hoarded medical items.
Many counties across the country are relying on PPE donations in response to shortages in their communities. Scare supplies are forcing frontline workers to sterilize and re-use masks and other medical equipment intended for one time use (Wichita County, Tex., Butler County, Iowa).
Counties have established donation and distribution sites and are encouraging residents, particularly non-essential businesses, such as salons and schools, to donate their existing, unused supplies (Cape May County, N.J., Hamilton County, Ohio, Wood County, Wis.).
Screening and Testing for COVID-19
Health screenings and testing are critical tools in managing the care of patients and understanding the prevalence of disease in a community. During an outbreak, public health officials and clinicians rely heavily on clinical assessments and accurate lab tests to develop case definitions, trace contacts, treat symptoms and deploy resources. Furthermore, many counties manage laboratories that work in conjunction with other county public health services to detect the spread of communicable diseases. As COVID-19 cases emerged in the U.S., lack of testing resulted in slow reporting; however, counties are developing screening protocols and ramping up diagnostic efforts as more tests become available.
Many counties are offering telemedicine services for initial screenings and drive-thru COVID-19 testing by appointment or referral (Palm Beach County, Fla., Morris County, N.J., Toledo-Lucas County, Ohio, Chester County, Pa., Howard County, Md.).
Food Access for Students
Schools play a critical role in addressing food insecurity among students. In many communities, counties serve a sizable number of children and youth who qualify for free and reduced lunch - an indicator of families living below the poverty line. With the many school closures and county-wide shutdowns amid the coronavirus outbreak, counties are meeting the needs of food insecure students and families who typically rely on schools for meals.
StandardThe health impacts of coronavirus on communities is still uncertain. As counties remain on the frontlines responding to this public health crisis, NACo is committed to supporting our members by sharing information, best practices and innovative solutions.

About Ashleigh Holand (Full Bio)
Director, Counties Futures Lab
Ashleigh is the director of the Counties Futures Lab. She oversees the organization’s grant-funded programs that help counties across the country improve community outcomes on key local issues including early childhood development, public health, criminal justice, economic mobility and resilience.More from Ashleigh Holand
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Webinar
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Urge your members of Congress to maintain consistent funding for substance use and mental health services provided through the Substance Abuse and Mental Health Services Administration (SAMHSA) and pass legislation that enhances counties’ ability to provide local systems of care. Future appropriations bills should meet or exceed FY 2022 funding levels, particularly for the Community Mental Health Services (MHBG) and Substance Abuse Prevention and Treatment (SAPT) block grants, which allow counties to direct resources to those with the most need. -
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Urge your members of Congress to appropriate Fiscal Year (FY) 2023 funding for the National Suicide Prevention Lifeline that is at or above the level of $101.6 million appropriated in FY 2022. -
County News
Hamilton County, Ohio creates ‘Safe Sleep’ Initiative to prevent infant deaths
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February 8, 2023 , 2:00 pm – 3:00 pmExperiencing homelessness in early childhood can have long-term impacts on health, education and well-being for both children and parents. Homelessness among young children is often hidden, making it harder to collect accurate data and ensure that these children are connected to the services and resources they need.02082:00 pm<p>Experiencing homelessness in early childhood can have long-term impacts on health, education and well-being for both children and parents.
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April 6, 2023 , 2:00 pm – 3:00 pmReducing recidivism through effective jail- and community-based services can decrease jail admissions and populations and improve outcomes for people with criminal histories.04062:00 pm<p>Reducing recidivism through effective jail- and community-based services can decrease jail admissions and populations and improve outcomes for people with criminal histories.</p>
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The Stepping Up Initiative
In May 2015, NACo and partners at the CSG Justice Center and APA Foundation launched Stepping Up: A National Initiative to Reduce the Number of People with Mental Illnesses in Jails.pagepagepage<table border="1" cellpadding="1" cellspacing="1" style="width:100%" summary="call-out">
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Reports & Toolkits
COVID-19 Recovery Clearinghouse
The COVID-19 Recovery Clearinghouse features timely resources for counties, including allocation estimations, examples of county programs using federal coronavirus relief funds, the latest news and more.Reports & Toolkitsdocument03127:15 pmReports & Toolkits<table border="1" cellpadding="1" cellspacing="1" style="width:100%" summary="ad-block no-top-margin no-bullets">
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Reports & Toolkits
State and Local Fiscal Recovery Fund Resource Hub
Explore NACo's resource hub for the ARPA State and Local Fiscal Recovery Fund.Reports & Toolkitsdocument010512:15 pmReports & Toolkits<table border="1" cellpadding="1" cellspacing="1" style="width:100%" summary="call-out transparent">
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Live Healthy U.S. Counties
The National Association of Counties (NACo) Live Healthy Prescription, Health & Dental Discount Program is a NO-COST program available to all member counties.pagepagepage<h1>With <a id="naco" name="naco">NACo</a>, Saving Feels Better</h1>
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Reports & Toolkits
Opioid Solutions Center
NACo’s Opioid Solutions Center empowers local leaders to invest resources in effective treatment, recovery, prevention and harm reduction practices that save lives and address the underlying causes of substance use disorder.Reports & Toolkitsdocument10123:30 pmReports & Toolkits<p>NACo's Opioid Solutions Center empowers local leaders to invest resources in effective treatment, recovery, prevention and harm reduction practices that save lives and address the underlying causes of substance use disorder.
Contact
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Director, Counties Futures Lab(202) 942-4238
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Director of Programs and Operations(202) 942-4289
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County NewsHamilton County, Ohio creates ‘Safe Sleep’ Initiative to prevent infant deathsJan. 30, 2023
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Policy BriefEnhance Counties' Ability to Prevent and Treat Mental Illness and Substance Use DisordersFeb. 1, 2023
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Policy BriefSupport Counties in Improving Health Services for Justice-Involved IndividualsFeb. 1, 2023
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