RWJF brief lists five considerations that complement equity strategies that CDC raised in its Moving Forward assessment, earlier this year.

After the COVID pandemic revealed critical weaknesses in the U.S. and global public health systems, CDC thoughtfully examined its pandemic response. The assessment and recommendations included in CDC Moving Forward focused on enhancing the  timeliness, clarity, and effectiveness in agency actions in addition to governance, structure, and workforce matters. While equity was emphasized as a core value driving the reforms, CDC and state and local public health agencies would benefit from a bolder vision and detailed strategies to make our public health system truly just.

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新泽西州普林斯顿大学-根据罗伯特·伍德·约翰逊基金会(RWJF)的一份简报，通过深入、持续和诚实地致力于公平，美国疾病控制和预防中心(CDC)以及州和地方合作伙伴可以利用这一时刻，确保美国的每个人和每个社区都能蓬勃发展。的投票短暂列出了CDC在其报告中提出的补充股权战略的五个考虑因素前进今年早些时候的评估。

在新冠疫情爆发后关键性的弱点在美国和全球公共卫生系统中，疾病预防控制中心仔细研究了其大流行应对措施。评估和建议包括在CDC中前进除了治理、结构和劳动力问题外，还侧重于提高机构行动的及时性、清晰度和有效性。虽然公平被强调为推动改革的核心价值，但疾控中心和州及地方公共卫生机构将受益于一个更大胆的愿景和详细的战略，以使我们的公共卫生系统真正公正。

National Commission to Transform Public Health Data Systems, CDC and other federal health agencies should develop and implement standards for data collection aiming to include marginalized groups and their unique perspectives.

Communications and narrative. While tracking messages, mindsets, and misinformation, the agency must communicate accessibly and strategically. The goal should be an equity-focused narrative, tailored for various audiences, that fosters a broader understanding of racism—not race—as the cause of poorer health outcomes for people of color.

People and culture. CDC must value equity when recruiting, training, and evaluating staff and when conceptualizing public health expertise. CDC should develop a set of health equity competencies, spanning all parts of the agency. Externally, it should fund state and local health departments to build equity knowledge, skills, and commitments across the public health system.

Leaders on both sides of the political spectrum agree that a strong, effective CDC is essential to the health and wellbeing of our nation. One centered on equity, equipped to support the best health outcomes for even the most socially disadvantaged populations, will serve us all. To do so, Congress and the administration must provide CDC with the political independence to follow the best public health strategies, and provide sufficient, stable funding to CDC and the many state, local, tribal and territorial health departments they work alongside. The COVID-19 pandemic revealed weaknesses in America’s public health system that demand a holistic, bipartisan response.

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RWJF的五个考虑因素包括:

1. 愿景、领导力和治理．疾控中心应全面对待公平和地位以及为取得成功而作出的资源公平努力。工作必须跨越劳动力、战略、计划以及文化、政策和组织结构。
2. 伙伴关系和信任．疾控中心应将强有力的国家领导与权力下放的行动模式结合起来，为州和地方伙伴，包括社区组织提供资源和授权。有了这些基础设施，疾控中心不仅可以更好地应对突发公共卫生事件，而且还可以促进更公正的公共卫生系统，使所有人都可以使用和看到。
   
3. 数据和责任．疾控中心必须根据受结构性歧视影响最大的人的经验和结果来衡量进展，并完善其战略。正如国家公共卫生数据系统改革委员会美国疾病控制与预防中心和其他联邦卫生机构应制定和实施数据收集标准，旨在包括边缘化群体及其独特的观点。
   
4. 沟通和叙述．在跟踪信息、心态和错误信息时，该机构必须进行无障碍和战略性的沟通。我们的目标应该是一个以公平为重点的叙述，为不同的受众量身定制，促进更广泛地理解种族主义——而不是种族——是有色人种健康状况较差的原因。
5. 人与文化．疾控中心在招聘、培训和评估工作人员时，以及在对公共卫生专业知识进行概念化时，必须重视公平。疾控中心应制定一套涵盖该机构所有部门的卫生公平能力。对外，它应该资助州和地方卫生部门建设公平知识、技能和承诺整个公共卫生系统。

两党领导人都认为，一个强大、有效的疾病预防控制中心对我们国家的健康和福祉至关重要。一个以公平为中心、能够支持甚至是社会上最弱势群体获得最佳健康结果的机制将惠及我们所有人。为此，国会和政府必须为疾控中心提供政治独立性，以遵循最佳的公共卫生战略，并为疾控中心以及与其合作的许多州、地方、部落和领土卫生部门提供充足、稳定的资金。COVID-19大流行暴露了美国公共卫生系统的弱点，需要两党全面应对。

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