{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:55:22Z","timestamp":1787237722358,"version":"build-2736575974"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000199","name":"U.S. Department of Agriculture","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000199","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Planning &amp;amp; Management"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Public health has become politicized in the U.S. Though research shows that limiting public health authority during emergency response puts community wellbeing and health outcomes at risk, during the COVID\u201019 emergency (2020\u20132021), some U.S. state policymakers limited the disease\u2010preventing actions local public health agencies could take. This conflicts with public health agencies' mandate to protect lives. Using COVID\u201019 as a case study, we explored how local public health agencies upheld their mandate when faced with limited public health authority. We conducted qualitative semi\u2010structured focus groups (October 2023) with a purposive sample of U.S. public health officials (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a014) from seven U.S. states which experienced four types of restrictions on local public health actions (limits on the emergency authority of governor, chief executive, state health officer, and local government health officers). Participants discussed barriers and challenges faced, adaptations made, actions taken, and perspectives for the future. Emergent themes suggest that while limited resources and restricted public health authority caused strain, public health efforts were upheld through cross agency collaboration at the local level which supported innovation. To achieve this, trust\u2010building and communication were vital. Limitations on local public health authority may increase in the U.S. in the coming years. To mitigate risks amidst future public health emergencies, public health leaders must focus on building trust, clear and consistent communication, and bolstering collaborative networks at the local level. The politicization of health policy at the state and federal level also needs to be addressed, as local action can only go so far.\n                  <\/jats:p>","DOI":"10.1002\/hpm.70062","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T16:50:33Z","timestamp":1769532633000},"page":"450-460","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Local Responses to Limits on U.S. Public Health Authority During the COVID\u201019 Emergency"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4170-4648","authenticated-orcid":false,"given":"Genevive R.","family":"Meredith","sequence":"first","affiliation":[{"name":"Department of Public and Ecosystem Health Cornell University  Ithaca New York USA"},{"name":"Cornell Public Health Cornell University  Ithaca New York USA"},{"name":"Cornell Center for Health Equity Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5786-4235","authenticated-orcid":false,"given":"Xue","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health The Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary M.","family":"Batterman","sequence":"additional","affiliation":[{"name":"Department of Public and Ecosystem Health Cornell University  Ithaca New York USA"},{"name":"Cornell Public Health Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah M.","family":"Morris","sequence":"additional","affiliation":[{"name":"Department of Public and Ecosystem Health Cornell University  Ithaca New York USA"},{"name":"Cornell Public Health Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiwei","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Public and Ecosystem Health Cornell University  Ithaca New York USA"},{"name":"Cornell Public Health Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7109-9174","authenticated-orcid":false,"given":"Mah","family":"Liqa","sequence":"additional","affiliation":[{"name":"Department of Public and Ecosystem Health Cornell University  Ithaca New York USA"},{"name":"Cornell Public Health Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0109-338X","authenticated-orcid":false,"given":"Mildred E.","family":"Warner","sequence":"additional","affiliation":[{"name":"Department of City and Regional Planning Cornell University  Ithaca New York USA"},{"name":"Department of Global Development Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa2001191"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2020.305861"},{"key":"e_1_2_9_4_1","unstructured":"Impact of Opening and Closing Decisions in Alabama \u2010 Johns Hopkins accessed February 3 2024 https:\/\/coronavirus.jhu.edu\/data\/state\u2010timeline."},{"key":"e_1_2_9_5_1","unstructured":"Institute of Medicine.The Future of the Public\u2019s Health in the 21st Century;2002."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2021.306501"},{"key":"e_1_2_9_7_1","unstructured":"NACCHO. \u201cNational Profile of Local Health Departments \u201d2022. 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