Alliance for Pandemic Preparedness

June 4, 2020

Associations Between State Public Health Agency Structure and Pace and Extent of Implementation of Social Distancing Control Measures

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  • Strickland et al. found that states operating under centralized public health governance structures enacted social distancing 4 days after decentralized states and had a 73% reduced likelihood of enacting a social distancing policy (HR=0.27, 95%CI 0.08–0.86). Public health governance structures may affect the implementation of measures to control COVID-19. 

Strickland et al. (June 1, 2020). Associations Between State Public Health Agency Structure and Pace and Extent of Implementation of Social Distancing Control Measures. Journal of Public Health Management and Practice. https://doi.org/10.1097/PHH.0000000000001215