Form 990 for tax year 2022

Totals

Total revenue

$36,595,836

Total expenses

$35,472,501

Contributions and grants received

$34,207,706

Grants paid

$13,116,643

Program service revenue

$2,358,068

Investment income

$9,718

Other revenue

$20,344

Total assets, end of year

$12,492,068

Total liabilities, end of year

$7,395,229

Net assets or fund balances, end of year

$5,096,839

Program services expenses (Part IX)

— not reported

Management and general expenses

— not reported

Fundraising expenses

— not reported

Program service expenses (Part III)

— not reported

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2022

• SEE SCHEDULE OINFECTIOUS DISEASE:CSTE HELPS SUPPORT CDC'S RESPIRATORY VIRUS HOSPITALIZATION SURVEILLANCE NETWORKS FOR INFLUENZA, COVID-19, AND RESPIRATORY SYNCYTIAL VIRUS (RSV), COLLECTIVELY REFERRED TO AS RESP-NET. WE PROVIDE CDC FUNDING TO SELECTED STATE AND LOCAL HEALTH DEPARTMENTS TO COLLECT DATA ON LABORATORY-CONFIRMED RESPIRATORY VIRUS-ASSOCIATED HOSPITALIZATIONS AMONG CHILDREN AND ADULTS. FOR THE 2022-2023 RESPIRATORY VIRUS SEASON, CSTE FUNDED SEVEN SITES TO CONDUCT INFLUENZA HOSPITALIZATION SURVEILLANCE, FOUR SITES TO CONDUCT COVID-19 HOSPITALIZATION SURVEILLANCE, AND TWO SITES TO CONDUCT RSV HOSPITALIZATION SURVEILLANCE. DATA GATHERED FROM THE CSTE-SUPPORTED SITES ARE COMBINED WITH DATA FROM CDC'S EMERGING INFECTIONS PROGRAM. THIS FORMS A ROBUST NETWORK THAT PROVIDES KEY DATA FOR UNDERSTANDING THE BURDEN AND CHARACTERISTICS OF THESE VIRUSES IN THE POPULATION, WHICH HELPS PUBLIC HEALTH BETTER RESPOND TO AND PREVENT THESE SERIOUS INFECTIONS THAT CAUSE SUBSTANTIAL IMPACTS ON THE U.S. POPULATION EACH YEAR.DATA ARE SUBMITTED TO CDC WITH HOSPITALIZATION RATES PRESENTED ON THE RESP-NET INTERACTIVE DASHBOARD, WHICH CAN BE USED TO FOLLOW TRENDS AND COMPARE COVID-19, INFLUENZA, AND RSV-ASSOCIATED HOSPITALIZATION RATES IN DIFFERENT DEMOGRAPHIC GROUPS INCLUDING BY AGE, SEX, RACE AND ETHNICITY, AND ACROSS SEASONS. RESP-NET PROVIDES CRITICAL INFORMATION ON RESPIRATORY VIRUS-ASSOCIATED HOSPITALIZATIONS TO HELP PUBLIC HEALTH PROFESSIONALS UNDERSTAND TRENDS IN VIRUS CIRCULATION, ESTIMATE DISEASE BURDEN, AND RESPOND TO OUTBREAKS. COLLECTING DEMOGRAPHIC AND CLINICAL INFORMATION FOR HOSPITALIZATIONS ALLOWS CDC AND HEALTH DEPARTMENTS TO BETTER UNDERSTAND HOW WELL VACCINES ARE WORKING, WHICH PEOPLE ARE AT HIGH RISK, AND WHETHER A CERTAIN STRAIN OF A VIRUS IS RESULTING IN MORE SEVERE ILLNESS OR DEATHS. THESE FINDINGS CAN BE USED TO COMMUNICATE IMPORTANT PREVENTION INFORMATION TO THE PUBLIC TO HELP PEOPLE STAY HEALTHY AND SAFE.

• SEE SCHEDULE OENVIRONMENTAL HEALTH / OCCUPATIONAL HEALTH:EVERY YEAR, OVER 3.5 MILLION OF THE 167 MILLION WORKERS IN THE U.S. ARE INJURED ON THE JOB OR BECOME ILL AS A RESULT OF EXPOSURE TO HEALTH HAZARDS AT WORK. THESE WORK-RELATED INJURIES AND ILLNESSES RESULT IN SUBSTANTIAL HUMAN AND ECONOMIC COSTS FOR WORKERS AND EMPLOYERS AND FOR SOCIETY AT LARGE; IT HAS BEEN ESTIMATED THAT THE DIRECT AND INDIRECT COSTS OF WORK-RELATED INJURIES AND ILLNESSES EXCEED $170 BILLION ANNUALLY.IN PARTNERSHIP WITH CDC'S NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH (NIOSH) AND STATE OCCUPATIONAL HEALTH PROGRAMS, THE CSTE OCCUPATIONAL HEALTH SUBCOMMITTEE HELP TO QUANTIFY THE BURDEN OF SUCH INJURIES AND ILLNESSES THROUGH THE OCCUPATIONAL HEALTH INDICATORS (OHIS). OHIS ARE 25 MEASURES OF HEALTH (WORK-RELATED DISEASE OR INJURY) OR FACTORS ASSOCIATED WITH HEALTH (WORKPLACE EXPOSURES, HAZARDS, OR INTERVENTIONS) THAT ALLOW A STATE TO COMPARE ITS HEALTH OR RISK STATUS WITH THAT OF OTHER STATES AND EVALUATE TRENDS OVER TIME. THE CSTE OCCUPATIONAL HEALTH SUBCOMMITTEE PROVIDES ONGOING REVIEW, GUIDANCE AND COLLABORATION FOR ANNUAL STATE REPORTING OF OHIS. DATA FROM THE 29 STATES THAT CALCULATE OHIS FOR THEIR STATE ARE POSTED ON THE CSTE WEBSITE AT HTTPS://WWW.CSTE.ORG/PAGE/OHINDICATORSTABLE. THIS YEAR'S REVIEW INCLUDED A NEW, UPDATED DOCUMENT, "OCCUPATIONAL HEALTH INDICATORS: A GUIDE FOR OBTAINING AND TRACKING OCCUPATIONAL HEALTH CONDITIONS AND THEIR DETERMINANTS, AN ANALYSIS OF 2020 OHI DATA," TO HELP STATES CONTINUE TO DEVELOP PRIORITIES FOR WORKPLACE INJURY AND ILLNESS PREVENTION. THIS "HOW-TO" GUIDE ASSISTS STATES IN BUILDING CAPACITY FOR OCCUPATIONAL HEALTH SURVEILLANCE."THE HOW-TO GUIDE PROVIDES DETAIL OF HOW TO COLLECT AND ANALYZE THE DATA, AND THE REQUIRED INTERACTION WITH OTHER STATE/FEDERAL PARTNERS SHOWS THE HEALTH DEPARTMENT THE PARTNERS IT NEEDS TO ASSURE THE SUSTAINABILITY OF THE EFFORT," SAID KEN ROSENMAN, MD, CHIEF, DIVISION OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE AT MICHIGAN STATE UNIVERSITY, AND CO-CHAIR OF THE CSTE OCCUPATIONAL HEALTH SUBCOMMITTEE.THE INDICATORS COMPLEMENT OTHER STATE AND NATIONAL GOALS TO IMPROVE POPULATION HEALTH AND ARE INTENDED TO BE USED IN CONJUNCTION WITH OTHER GUIDELINES FOR STATE-BASED SURVEILLANCE OF OCCUPATIONAL INJURIES AND ILLNESSES, SUCH AS THE GUIDELINES FOR MINIMUM AND COMPREHENSIVE STATE-BASED PUBLIC HEALTH ACTIVITIES IN OCCUPATIONAL SAFETY AND HEALTH (HTTPS://WWW.CDC.GOV/NIOSH/DOCS/2008-148/PDFS/2008-148.PDF).THE PROCESS OF OBTAINING THE DATA FOR THESE INDICATORS IS INTENDED TO RAISE AWARENESS AND BUILD CAPACITY FOR USING AVAILABLE DATA AND TO OPEN DIALOGUE AMONG OCCUPATIONAL HEALTH PARTNERS WITHIN THE STATE."THE OCCUPATIONAL HEALTH INDICATORS ARE A GREAT WAY FOR A STATE HEALTH DEPARTMENT TO BEGIN TO ASSESS THE BURDEN OF OCCUPATIONAL INJURIES AND ILLNESSES IN THEIR STATES," SAID ROSENMAN.

• Withheld by Nonprofiteer: this text may name a private individual.

• WORKFORCE:THIS YEAR, CSTE'S DATA SCIENCE TEAM TRAINING (DSTT) PROGRAM HELPED GIVE THE MADISON & DANE COUNTY HEALTH DEPARTMENT IN WISCONSIN A MAJOR "UPGRADE" IN DATA COLLECTION SKILLS. DSTT IS A TEAM-BASED, ON-THE JOB TRAINING PROGRAM TO PROMOTE DATA SCIENCE UPSKILLING AT STLT PUBLIC HEALTH AGENCIES AND PARTICIPANTS WORK COLLABORATIVELY ON A PROJECT THAT ADDRESSES A CURRENT AGENCY NEED RELATED TO DATA MODERNIZATION. WHEN KAT GRANDE, PUBLIC HEALTH SUPERVISOR AT PUBLIC HEALTH MADISON AND DANE COUNTY, SAW AN EMAIL PROMOTING THE DSTT PROGRAM, SHE IMMEDIATELY THOUGHT OF A PROJECT THAT WOULD MAKE A GREAT FIT. AT THE HEIGHT OF THE COVID-19 PANDEMIC, GRANDE AND HER TEAM BUILT A COVID DATA DASHBOARD THAT WAS WELL RECEIVED BY THE PUBLIC AND WAS VIEWED OVER HALF A MILLION TIMES. "WE FRAMED A DSTT PROJECT ON HOW TO EXPAND [THE DASHBOARD] TO INCLUDE THE BREADTH OF RESPIRATORY ILLNESSES AND MAKE IT EASY TO UNDERSTAND," SHE SAID. "YOU DID NOT NEED EXTENSIVE TRAINING IN EPIDEMIOLOGY TO INTERPRET IT. WE USED PLAIN LANGUAGE, SIMPLE VISUALIZATIONS STRATEGIES FOR COMMUNICATING TO THE POPULATIONS MOST IMPACTED." TO HELP WITH BUILDING THIS NEW DASHBOARD, THE DSTT PROGRAM ALLOWED GRANDE AND HER TEAM TO TAKE COURSES IN SOFTWARE LIKE R AND SAAS. INSTEAD OF GOOGLING AND WATCHING YOUTUBE VIDEOS, THE TEAM ATTENDED A FORMAL CLASS WITH LIVE INSTRUCTORS. THE COMPREHENSIVE TRAINING ALLOWED GRANDE'S TEAM TO BUILD NOT JUST A STANDARD DASHBOARD, BUT AN INNOVATIVE ONE THAT PULLS IN MULTIPLE DATA STREAMS. "ONE THING THAT SETS OURS APART IS THAT WE USED THE TRADITIONAL PUBLIC HEALTH DATA THAT YOU SEE ON THE CDC AND OTHER HEALTH DEPARTMENT DASHBOARDS," SHE SAID. "BUT ALSO MADE SOME REALLY DELIBERATE PARTNERSHIPS WITH OUR UNIVERSITY RESEARCHER PARTNERS AND TRIED TO APPLY SOME OF THE RESEARCH THAT THEY WERE DOING ON THINGS LIKE AIR SURVEILLANCE."IN ADDITION TO AIR SURVEILLANCE, ANOTHER INNOVATIVE FEATURE OF THEIR DASHBOARD WAS TO INCORPORATE SCHOOL ABSENTEEISM INTO FLU SURVEILLANCE. "THE ABILITY TO HAVE THE TIME, THE SPACE, AND THE CREATIVE ENCOURAGEMENT FROM THE DSTT STRUCTURE SO THAT WE COULD MAKE SOME OF THOSE INNOVATIONS, ON TOP OF A TRADITIONAL DISEASE-RELATED DASHBOARD, WAS REALLY ADDITIVE," GRANDE SAID.

• PUBLIC HEALTH LAW:DURING THE COVID-19 PANDEMIC, CSTE'S LEADERSHIP IN SOME AREAS WAS QUITE VISIBLE, FROM UPDATING EPIDEMIOLOGISTS NATIONWIDE ON THE LATEST INFORMATION FROM CDC SOMETIMES MULTIPLE TIMES A DAY TO SUPPORTING VIRTUAL GATHERINGS FOR BEST PRACTICE SHARING WHILE MANY AREAS WERE STILL IN LOCKDOWN. HOWEVER, ANOTHER AREA IN WHICH WE ALSO OFFERED GUIDANCE AND SUPPORT WAS LESS VISIBLE AND IS PERHAPS LESS WELL RECOGNIZED AS PART OF CSTE'S EXPERTISE: PUBLIC HEALTH LAW.CREATED IN 2021, THE CSTE PUBLIC HEALTH LAW SUBCOMMITTEE PROVIDES A FORUM FOR EPIDEMIOLOGISTS, PUBLIC HEALTH ATTORNEYS, AND OTHER HEALTH AND LEGAL EXPERTS TO COLLABORATE ON LEGAL ISSUES RELATED TO SURVEILLANCE, EPIDEMIOLOGY, AND PUBLIC HEALTH PRACTICE.THE SUBCOMMITTEE OFFERED MUCH NEEDED EXPERTISE TO PUBLIC HEALTH OFFICIALS AND EPIDEMIOLOGISTS IN RESPONSE TO LEGAL QUESTIONS AND CHALLENGES ON ASPECTS OF THE COVID-19 PANDEMIC, INCLUDING VACCINES, QUARANTINE, AND OTHER ISSUES. THE CONTROVERSIES SURROUNDING THESE ISSUES, AS WELL AS RAPIDLY CHANGING PUBLIC HEALTH NEEDS, MEANT THAT APPLYING RELATED LAWS WAS NOT ALWAYS CLEAR.TO PROVIDE INFORMATION AND GUIDANCE, THE SUBCOMMITTEE PRESENTED A THREE-PART WEBINAR SERIES ON LEGAL ISSUES RELATED TO THE PANDEMIC, HELPING ADVISE PUBLIC HEALTH OFFICIALS OF THEIR LEGAL STANDING IN THESE AREAS. THE FIRST DISCUSSED STUDENTS RETURNING TO SCHOOL AFTER WIDESPREAD SCHOOL CLOSURES, QUARANTINE AND OTHER K-12 LEGAL ISSUES, INCLUDING WHETHER SCHOOLS COULD REQUIRE QUARANTINE OF INFECTED STUDENTS. THE SECOND FOCUSED ON THREATS TO THE AUTHORITY OF PUBLIC HEALTH AND THE LEGAL AVENUES AVAILABLE TO ENSURE THAT SOUND PUBLIC HEALTH GUIDANCE WAS PROVIDED IN RESPONSE TO THE PANDEMIC. THE THIRD WEBINAR PROVIDED A LEGAL ANALYSIS OF INDOOR AIR QUALITY AND THE MEASURES BEING TAKEN TO MANAGE THAT TO PREVENT THE SPREAD OF COVID-19.IN ADDITION TO THIS SERIES, THE SUBCOMMITTEE IS WORKING TO PRESENT QUARTERLY WEBINARS GOING FORWARD, TO CONTINUE ADVISING AND SUPPORTING CSTE MEMBERS AND PUBLIC HEALTH ORGANIZATIONS ON PERTINENT LEGAL ISSUES. THE SUBCOMMITTEE WILL CONTINUE IN ITS MISSION TO DESIGN AND IMPLEMENT PRACTICAL LEGAL SOLUTIONS TO COMPLEX PUBLIC HEALTH CHALLENGES AND USE THE TOOLS OF LAW AND POLICY TO ADVANCE PUBLIC HEALTH EFFORTS.

• CHRONIC DISEASE / MATERNAL AND CHILD HEALTH:FACILITATING THE CREATION, APPROVAL, AND IMPLEMENTATION OF STANDARDIZED CASE DEFINITIONS AND RECOMMENDING WHICH CONDITIONS SHOULD BE ON THE NATIONALLY NOTIFIABLE CONDITION LIST ARE CORE FUNCTIONS OF CST. EACH YEAR AT OUR ANNUAL CONFERENCE, THE CSTE MEMBERSHIP VOTES ON POSITION STATEMENTS DESCRIBING THESE DEFINITIONS AND RECOMMENDATIONS. THIS PROCESS IS ESSENTIAL FOR IMPACTING STANDARD PRACTICES AND POLICY TO IMPROVE PUBLIC HEALTH NATIONWIDE.IN JUNE 2023, THE POSITION STATEMENT "UPDATE TO THE NEONATAL ABSTINENCE SYNDROME (NAS) STANDARDIZED CASE DEFINITION" WAS APPROVED, ADDRESSING A GROWING ISSUE IN MATERNAL AND CHILD HEALTH. THE OPIOID CRISIS IN THE UNITED STATES HAS CONTINUED TO INTENSIFY IN PAST YEARS, INCLUDING INCREASED OPIOID AND POLYSUBSTANCE USE DURING PREGNANCY, WHICH CAN RESULT IN WITHDRAWAL SIGNS IN NEWBORNS, KNOWN AS NAS. THIS CRITICAL POSITION STATEMENT UPDATE IS BUILT FROM YEARS OF COLLABORATIVE WORK TO IMPROVE THE ORIGINAL 2019 NAS DEFINITION, CLARIFYING INTERPRETATION AND CONSISTENCY IN REPORTING ACROSS JURISDICTIONS AND ADDRESSING CONCERNS IDENTIFIED BY PUBLIC HEALTH ORGANIZATIONS.AFTER THE ORIGINAL DEFINITION WAS ADOPTED, CSTE FUNDED SIX JURISDICTIONS TO PILOT IMPLEMENTATION FROM 2020-2023 AND PROVIDE DATA AND FEEDBACK ARIZONA, FLORIDA, GEORGIA, MASSACHUSETTS, TENNESSEE, AND PHILADELPHIA. THEY FOUND THAT THE ORIGINAL DEFINITION WAS SOMETIMES DIFFICULT TO IMPLEMENT IN A STANDARDIZED MANNER AND SIMPLIFICATION WAS NEEDED IN THE CASE CLASSIFICATION STRUCTURE."TO HAVE A COMMON SURVEILLANCE CASE DEFINITION FOR NEONATAL ABSTINENCE SYNDROME ALLOWS FOR MEASURES THAT CAN BE COMPARED MORE ACCURATELY AND TO EVALUATE THE IMPACT OF SURVEILLANCE AND INTERVENTION PROGRAMS," SAID LUIGI GARCIA SAAVEDRA, MPH, BIRTH DEFECTS EPIDEMIOLOGIST SUPERVISOR FOR THE NEW MEXICO DEPARTMENT OF HEALTH AND CO-CHAIR OF THE CSTE MATERNAL AND CHILD HEALTH SUBCOMMITTEE. "I THINK THE REVISIONS WERE VERY USEFUL TO IMPROVE THE CASE DEFINITION."TO ADDRESS THE LESSONS LEARNED AND RECOMMENDATIONS FROM THE PILOT, CSTE CONVENED A LEADERSHIP GROUP TO SPEARHEAD REVISIONS, WHICH INCLUDED PILOT PROJECT TEAMS, OTHER JURISDICTIONS THAT HAVE BEEN CONDUCTING NAS SURVEILLANCE, SUBJECT MATTER EXPERTS FROM CDC'S NATIONAL CENTER FOR BIRTH DEFECTS AND DEVELOPMENTAL DELAYS, THE CSTE MATERNAL AND CHILD HEALTH SUBCOMMITTEE, AND THE CSTE NAS WORKGROUP.CSTE HAS NOW FUNDED FOUR OF THE PILOT SITES TO CONTINUE, USING PILOT DATA TO CONDUCT ANALYSIS PROJECTS TO EXPLORE THE FEASIBILITY OF LONGITUDINAL SURVEILLANCE AMONG INFANTS BORN WITH NAS AND SUPPORT REFERRAL SERVICES TO FAMILIES IMPACTED BY THE CONDITION. THE NAS WORKGROUP IS ALSO DEVELOPING AN IMPLEMENTATION GUIDE TO SUPPORT JURISDICTIONS THAT ARE BEGINNING NAS SURVEILLANCE AND WILL CONTINUE TO ASSESS RESPONSES NEEDED TO IMPROVE THE HEALTH OF MOTHERS AND CHILDREN IN COMMUNITIES NATIONWIDE.

• INJURY, SUBSTANCE USE, AND MENTAL HEALTH:IN THE LAST TWO DECADES, THE NUMBER OF DRUG OVERDOSE DEATHS IN THE U.S. HAS QUADRUPLED, RISING FROM 16,849 IN 1999 TO OVER 70,000 IN 2019 MORE THAN 840,000 IN TOTAL. TO ADDRESS THIS CRISIS, PUBLIC HEALTH MUST COORDINATE WITH FIRST RESPONDERS, COMMUNITY HARM REDUCTION PROGRAMS AND TREATMENT PROVIDERS. HOWEVER, DEFINING AN UNUSUAL INCREASE IN OVERDOSE DEATHS SUCH AS AN OUTBREAK OR CLUSTER CAN VARY AND DEPENDS ON CIRCUMSTANCES IN THE LOCAL COMMUNITY. THIS CAN MAKE IT DIFFICULT TO DETERMINE AND MOUNT A PUBLIC HEALTH RESPONSE.IN AUGUST 2022, THE CSTE OVERDOSE SPIKE ALERT ADVISORY WORKGROUP LAUNCHED THE CSTE OVERDOSE ANOMALY TOOLKIT TO HELP COMMUNITIES MEET THESE COMPLEX AND EVER-GROWING CHALLENGES. WITH FUNDING THROUGH CDC'S OVERDOSE DATA TO ACTION (OD2A) COOPERATIVE AGREEMENT, WORKGROUP MEMBERS FROM CDC, STATE AND LOCAL HEALTH DEPARTMENTS, CSTE STAFF AND CONSULTANTS CREATED THE TOOLKIT TO PROVIDE PUBLIC HEALTH RESPONSE TEAMS WITH A COMPREHENSIVE APPROACH TO CONDUCTING A TIMELY AND EFFECTIVE INVESTIGATION INTO NOTABLE INCREASES IN A CITY, COUNTY OR REGION.THE TOOLKIT HELPS COMMUNITIES IMPROVE THE USE OF THEIR OVERDOSE SURVEILLANCE DATA TO EMPOWER PREVENTION AND RESPONSE. WITH GUIDANCE, TOOLS AND TECHNIQUES FROM THE TOOLKIT, THEY CAN DETERMINE AND DEFINE WHAT NEEDS A RESPONSE AND AT WHAT LEVEL THAT SHOULD BE MADE TO DELIBERATELY REACT TO CHANGES IN THE COMMUNITY. THIS HELPS COMMUNITIES PLAN AND UTILIZE THEIR RESOURCES MORE EFFECTIVELY.THE TOOLKIT IS ORGANIZED AROUND THREE ACTIVITY AREAS IN AN ITERATIVE MODEL: PLAN, ACT AND EVALUATE. THESE FEATURE REAL EXAMPLES OF JURISDICTION-BASED ACTIVITIES THAT CAN BE USED TO HELP PUBLIC HEALTH RESPONDERS BETTER PREPARE FOR, DETECT AND RESPOND TO DRUG OVERDOSE OUTBREAKS.AT THIS STAGE IN THE OVERDOSE EPIDEMIC, COMMUNITIES UNDERSTAND THERE IS A BASELINE OF EVENTS IN THEIR JURISDICTIONS AND HAVE IMPLEMENTED PREVENTION PROGRAMS. BUT THEY OFTEN NEED TOOLS TO UNDERSTAND WHAT CHANGES IN OVERDOSE LEVELS WARRANT ADDITIONAL ACTION AND WHAT STEPS CAN BE TAKEN WHEN THAT ACTION IS REQUIRED. THE CSTE OVERDOSE ANOMALY TOOLKIT PROVIDES GUIDANCE FOR COMMUNITIES THAT MAY NOT HAVE THE EXPERIENCE, RESOURCES OR TIME TO CREATE THE NEEDED RESPONSE WHEN AN OVERDOSE SPIKE OR CLUSTER OCCURS.

• TRIBAL EPIDEMIOLOGYWHAT BEGAN AS A WORKGROUP PROJECT IN 2020 TO UNDERSTAND THE CHALLENGES MANY NATIVE AMERICANS FACED IN ACCESSING COVID-19 VACCINATIONS, TESTING AND PERSONAL PROTECTIVE EQUIPMENT (PPE) ULTIMATELY EVOLVED INTO A 2023 MANUSCRIPT PUBLICATION IN THE JOURNAL OF HEALTH DISPARITIES RESEARCH AND PRACTICE. ALONG THE WAY, THE EFFORT ILLUSTRATED HOW COMMUNITIES ARE BETTER SERVED WHEN BETTER QUALITY DATA IS USED, AS WELL AS HOW CSTE, OUR SUBCOMMITTEES AND OUR WORKGROUPSUSE THE POWER OF EPIDEMIOLOGY TO FOSTER THOSE TYPES OF IMPROVEMENTS.THE MANUSCRIPT, "COVID-19 SEVERITY AMONG AMERICAN INDIANS AND ALASKA NATIVES IN 16 STATES - JANUARY 1, 2020, TO MARCH 31, 2021," IS THE SECOND ARTICLE TO BE PUBLISHED BY THE CSTE TRIBAL SUBCOMMITTEE. THE COLLABORATIVE GROUP OF OVER 20 TRIBAL EPIDEMIOLOGY CENTER (TEC) AND STATE PUBLIC HEALTH STAFF MEMBERS INITIALLY PUBLISHED FINDINGS IN A CDC MORBIDITY AND MORTALITY WEEKLY REPORT IN 2020 AND FOLLOWED THAT UP WITH ADDITIONAL DATA COLLECTION IN 2021."WE KNEW THE LIMITATIONS OF THE MMWR, WHICH FOCUSED ON THE BURDEN OF DISEASE, AND WE WANTED TO DO SOMETHING DEEPER," SAID JESSICA ARRAZOLA, CSTE DIRECTOR OF EDUCATIONAL STRATEGY AND ONE OF THE MANUSCRIPT'S AUTHORS. "SO, WE LOOKED MORE AT SEVERITY OF DISEASE, CO-MORBIDITY, HOSPITALIZATIONS AND DEATHS. THE DISPARITIES WERE NOT RELATED JUST TO HAVING THE DISEASE, BUT THE OUTCOMES WERE MUCH WORSE FOR THE NATIVE AMERICAN POPULATION."MANY STATES WERE COLLECTING DATA ON NATIVE AMERICAN COMMUNITIES DIFFERENTLY, AND SOME DIDN'T HAVE SEPARATE DATA FOR THIS COMMUNITY OR INCLUDED THOSE IDENTIFYING THEMSELVES AS MULTIRACIAL ONLY AS HISPANIC. THROUGH COLLABORATION WITH TECS, THE CSTE SUBCOMMITTEE HAD MORE COMMONALITY IN CASE REPORTING DEFINITIONS AND DATA, ALLOWING FOR BETTER AND MORE RIGOROUS ANALYSIS. BEING ABLE TO UTILIZE IMPROVED DATA HELPED LEAD TO ONE OF THE MAIN CONCLUSIONS OF THE ARTICLE, THAT "COVID-19-RELATED HEALTH BURDENS AMONG AI/AN PERSONS WARRANT IMPROVED ACCESS FOR AI/AN COMMUNITIES TO MEDICAL COUNTERMEASURES AND HEALTHCARE RESOURCES."SINCE PUBLICATION, THE MANUSCRIPT HAS BEEN DOWNLOADED MORE THAN 110 TIMES, ILLUSTRATING THE IMPORTANCE OF THE RESEARCH AND FINDINGS. "THIS COLLABORATION IS A GREAT EXAMPLE OF PEOPLE WHO TRULY CARE ABOUT THEIR COMMUNITIES USING DATA TO INFORM ACTION THAT WILL PROTECT AND CARE FOR THOSE COMMUNITIES," SAID ARRAZOLA.

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

• LEHIGH UNIVERSITY

  $792,457

  FLU

• HENNEPIN COUNTY HSPHD

  $757,011

  FLU

• STATE OF NEBRASKA DEPARTMENT OF HHS

  $518,661

  COVID-19 ISHSP

• UNIVERSITY OF MINNESOTA

  $465,015

  COVID-19 ISHSP

• OHIO DEPARTMENT OF HEALTH

  $384,508

  COVID-19 RESP DEATHS

• IOWA DEPARTMENT OF HEALTH AND HUMAN SERVICES

  $374,802

  FLU

• INDIANA STATE DEPARTMENT OF HEALTH

  $373,808

  FLU

• UNIVERSITY OF VIRGINIA

  $295,896

  COVID-19 OUTBREAK TOOLS

• MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES

  $266,667

  NAS

• MONTANA DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES

  $242,313

  COVID-19 ISHSP

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

• CSTE FOUNDATION INC

  501(C)(3) · SUPPORT CSTE · GA

  Directly controlled by CSTE INC

Provenance

Return type

form_990

Tax year

2022

Filed

15 August 2024

IRS schema version

2022v5.0

Source object

202402289349303080

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.