Best of the States

Joint investigation details hollowed-out US public health departments

While it is widely understood that U.S. public health departments have suffered budget cuts over the years, a collaborative AP/Kaiser Health News team used data and deep reporting to show exactly how expansive those cuts have been.

The investigation by AP’s Michelle Smith, Meghan Hoyer and Mike Householder, teamed with KHN’s Lauren Weber, Laura Ungar, Hannah Recht and Anna Maria Barry-Jester, drew on data from disparate sources and interviews with more than 150 people to reveal a system starved of money and staff for years, and facing more cuts amid the worst health crisis in a century. 

The team’s all-formats package drew kudos and high-profile reaction from health officials, to the halls of Congress, to editorial pages.

For an ambitious story that laid bare the state of America’s public health system, the joint AP/KHN team of Smith, Hoyer, Householder, Weber, Ungar, Recht and Barry-Jester shares this week’s Best of the States award.

Beat of the Week

(Honorable Mention)

AP: Trump administration spending millions on questionable research

followed the crumbs in a whistleblower complaint to detail how the Trump administration is spending millions on questionable coronavirus research with little basis in science. The two obtained additional internal government emails and documents showing scientists’ skepticism about a $21 million deal to assess whether the active ingredient in the heartburn-relief medication Pepcid could be an effective remedy for severely ill COVID-19 patients.https://bit.ly/338l3sA

Beat of the Week

(Honorable Mention)

AP documents the push to increase diversity in vaccine studies

explored the obstacles to recruiting diverse groups for medical studies of new drugs, treatments and vaccines. During the pandemic, the two leading U.S. vaccine candidates are lagging behind in diverse enrollment, although participation has inched up in recent weeks.

Thousands more volunteers who identify as people of color are needed for upcoming studies. Staffers from the AP Health and Science team and the South region took an inside look at how health officials are trying to recruit participants, focusing on Maryland and Florida. Narancio spent a day at a local farmers market outside the nation’s capital where “promotoras,” or health promoters, are working to sign up Latinos for the vaccine being tested by the National Institutes of Health and Moderna. Neergard used her contacts to get access to the University of Miami, where there’s a similar push to recruit underserved populations for the same trial. The story appeared on more than 200 online news sites.https://bit.ly/331ms3whttps://bit.ly/2G8EHuM

Beat of the Week

(Honorable Mention)

India team exposes the truth behind India’s low virus death rate

delivered an ambitious all-formats package led by a compelling character profile to unravel the mystery behind India’s relatively low COVID-18 fatalities number, which experts say is an undercount. India has 5.4 million confirmed cases of coronavirus infection, but only 87,000 deaths. After numerous conversations with experts, health care officials and workers across the country, Ghosal and Saaliq offered a critical counternarrative, showing that India is not counting many deaths.

The story began with the personal narrative of Narayan Mitra, whose family said he wasn’t counted as a coronavirus victim by doctors who said the virus was “incidental” since he had a pre-existing disease. The story also showed how Indian states were not complying with the Health Ministry guidelines to record all suspected virus deaths, including those who likely died of COVID-19 but weren’t tested for it.https://bit.ly/2Ev4tZZ

Best of the States

AP reporting reveals some front-line health care workers balking at COVID vaccine

The AP team of Bernard Condon, Matt Sedensky and Carla K. Johnson assembled the most detailed national look yet at one of the most vexing snags in the coronavirus vaccine rollout: Surprising numbers of health care workers — who have seen firsthand the misery inflicted by COVID-19 — are refusing the shots.

The deep reporting, with contributions from colleagues across the country, found the paradox occurring in nursing homes and hospitals, with some individual facilities seeing a refusal rate as high as 80%. The story, one of AP’s most-read on an extremely busy news week, quoted both health workers expressing fears of vaccine side effects and frustrated facility administrators.

For bringing to light an important part of the stumbling early rollout of the much-anticipated vaccine, Condon, Sedensky and Johnson win this week’s Best of the States award.