Lab Matters Summer 2020 | Page 5

CHIEF EXECUTIVE OFFICER’S MESSAGE @#$& Happens 2020…what can I say? Despite the fact that many of us have been staying at home and protecting ourselves by rigorously planning even a simple outing to the grocery store during the COVID-19 pandemic, the work being done by our members and partners has continued to accelerate. Not only are we all living in the pandemic, we’re working the pandemic. And what does this mean? For me, it means a lot of early mornings, late nights and more interviews with the media about the work of our members, lab testing, exposure notification, supply shortages—from January 1 to July 1, 2020, news articles mentioning APHL reached about 25 billion people. We always said that we needed something big to bring attention to laboratories, so I guess a pandemic with a myriad of testing issues is that “something big.” I never thought in my wildest dreams that my potty mouth would be exposed for the world to see and hear. Having been bleeped on PBS was both a high and low point this year. For our members, it means early mornings, late nights, long days, no weekends—either at the laboratory or leading the laboratory from afar. It means endless conference calls with federal agencies, local partners and meetings with the Governor (I bet many of you now know the Governor personally). It means dealing with supply shortages, fielding calls from angry policymakers, pleading with companies to send more [fill in the blank here], and spending hours solving problems you never knew existed. It means trying to keep up with the science, which is moving really quickly. It means not being home or fully present with your family, because you are at the laboratory or on call. When at home, you are now teachers, caregivers, and probably giving advice to friends and family because you are in the know. I’m tired. You are tired. Your staff are tired. Still, we persevere. This pandemic has exposed what has been painfully obvious to us for a long time. Years ago, APHL and our partners raised the clarion call to improve the nation’s public health data systems. The need for an improved data system hasn’t gone away with COVID-19—in fact it is more crucial than ever. Last year we sought $100 million for data modernization and Congress provided $50 million. This year alone, Congress has allocated over $12 billion to COVID-19 response efforts through the Coronavirus Preparedness and Response Supplemental Appropriations Act, the CARES Act, the Paycheck Protection Program and Health Care Enhancement Act. Under the CARES act, public health data surveillance and analytics infrastructure modernization received an additional $500 million. So how do we modernize these systems in the midst of this pandemic? The money is now there, as is the political will to spend that money on these systems. What are our needs now? People and time. APHL is stepping in to do as much as we can, from ensuring laboratories are using the same testing language to reconfiguring routes and data feeds. But on the state and local side, we know it’s hard to find qualified staff who understand both health informatics and the laboratory. Still, we persevere. Our partners continue to support both clinical and public health laboratories by providing support for testing and response work. APHL members have increased collaboration with the clinical sector, as well as established new partnerships with university testing and research laboratories. APHL has partnered with tech giants Apple, Google and Microsoft on new exposure notification protocols, opening a whole new avenue to support public health agencies by hosting national servers and allowing for exposure notification to take place across state lines. There’s no denying that we are living in transformational times. COVID-19, economic instability and racial injustice are testing our resilience and our tolerance. But the truth is we are both resilient and tolerant. Time has taken on a new dimension for us. The advances that are being made in information sharing, training and data exchange can’t be denied and will continue to reshape public health for years to come. Our highest priority is still to do our jobs to the best of our ability, continue to educate our communities about what we do, and ensure a healthier world through quality laboratory systems. We will persevere. n The advances that are being made in information sharing, training and data exchange can’t be denied and will continue to reshape public health for years to come. Scott Becker, MS PublicHealthLabs @APHL APHL.org Summer 2020 LAB MATTERS 3