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Local Health Departments Continue Statewide Exercise to Strengthen Response to Biological Emergencies

This week, Virginia Department of Health (VDH) local health districts across the Commonwealth are continuing Requisite Cardinal, an emergency preparedness exercise to strengthen our ability to respond to a biological incident. About 20 local health departments will take part in Point of Dispensing (POD) drills, where staff practice giving out medicine or vaccines quickly during a public health emergency. 

This work builds on the first phase of the exercise, which began in March at the 2026 Public Health Emergency Summit. That phase tested how health agencies make decisions, share information, and manage resources during a simulated biological event. 

Requisite Cardinal encourages stronger collaboration between public health, emergency management, health care coalitions, and other community partners.  

This week’s POD exercise will evaluate each of the participating health district’s ability to:  

  • Set up and operate POD sites. 
  • Quickly and safely dispense or administer medicine. 
  • Distribute supplies. 
  • Serve people quickly and efficiently. 

These exercises help us find what works well and what needs improvement before a real emergency happens. Practicing together makes our communities safer and strengthens our ability to respond.  

Residents may see activity throughout the state at POD sites during the exercise, but there is no real emergency. 

You can find additional preparedness resources and learn more about VDH’s Office of Emergency Preparedness at: https://www.vdh.virginia.gov/emergency-preparedness/. 

Virginia Department of Health Launches First Perinatal Health Hubs to Support Families Across the Commonwealth

Virginia Department of Health Launches First Perinatal Health Hubs to Support Families Across the Commonwealth
 Four community-based sites expand support for mothers, babies, and families  

(RICHMOND, Va.) —  The Virginia Department of Health (VDH) has announced the launch of the first-ever Perinatal Health Hubs Pilot Program, marking a major step forward in strengthening care for Virginia families before, during, and after childbirth. Four organizations have been selected to serve as the program’s inaugural Perinatal Health Hubs Pilot Program.  

  • Rockbridge Area Health Center, Lexington, VA 
  • Child Development Resources, Inc. Williamsburg, VA 
  • Johnston Memorial Hospital, Abingdon, VA 
  • Strength in Peers, Inc Harrisonburg, VA

Working together, these sites will serve as community anchors for a new, innovative model of maternal and infant care—one designed to better support families during pregnancy and throughout the critical first year of a child’s life.  

The perinatal health hubs pilot program aims to reduce maternal and infant mortality and improve health outcomes by expanding access to coordinated, community-driven care. Each hub will customize its services to specific local needs, including an implementation plan, with contracts running through June 2027.   

“Every family in Virginia deserves strong support throughout pregnancy and during that critical first year for mom and baby,” said Virginia State Commissioner Dr. Cameron Webb. “These Perinatal Health Hubs will help us work with our partners to ensure families get the comprehensive, culturally responsive care they need.”  

At the heart of the hubs is a diverse, collaborative workforce focused on closing gaps in pre- and post-natal care so families will gain increased access to essential services.  The hubs provide vital support to the community, perinatal health providers, and hospital systems through their access to a diverse workforce. The hubs’ variety of services include access to:  

  • Doulas 
  • Community Health Workers 
  • Peer support specialists 
  • Birth workers  
  • Perinatal specialists

By connecting providers, hospitals, and community organizations, the hubs are designed to create a seamless network of support—helping families navigate care with greater confidence and continuity.  

The bold initiative reflects strong statewide interest in innovative maternal health solutions. VDH received applications from organizations across Virginia during the competitive process, which ran from October 31 to December 1, 2025. A review committee made up of public and private partners evaluated proposals based on organizational capacity, community engagement, project quality, data planning, and long-term sustainability.  

More than 40 organizations applied, reflecting an exceptional level of interest and a strong, forward-looking vision for communities across the Commonwealth. The quality of submissions was outstanding, highlighting both innovation and a clear understanding of evolving community needs. While only four great projects were granted due to limited resources, the opportunities outlined by our applicants speak to future needs of our communities in caring for our families.  Grantees were selected with consideration for regional representation. The pilot program is supported by State General Funds allocated through Chapter 725 of the 2025 Virginia Acts of Assembly. The General Assembly dedicated $2.5 million dollars over two years to establish and fund a minimum of three pilot sites across Virginia. Eligible applicants included private non-profit or for- profit organizations that deliver direct services to pregnant and postpartum families. Government organizations were not eligible.   

As the program moves forward, VDH and its partners will closely track outcomes, gather data, and identify best practices—laying the groundwork for potential expansion and long-term improvements in maternal and infant health across Virginia. 

Virginia Department of Health and the Virginia Department of Agriculture and Consumer Services Offer Tips on Tick Bite Prevention to Protect Health of Virginians

(RICHMOND, Va.) — As spring arrives and the weather warms up, tick activity increases around Virginia. Increased tick activity means that Virginians need to be aware of the risks that ticks can pose to people.   

“As a physician, this is the time of year when I’d start seeing patients come in with tick-borne illnesses — often beginning with a rash, but sometimes leading to serious, life-altering conditions,” said State Health Commissioner Dr. Cameron Webb. “Here in Virginia, we know this risk is real. The good news is that prevention is within our control — simple steps like using repellent and checking for ticks can make a meaningful difference. As more people head outdoors, building those habits into our routines is one of the best ways to protect our health.”  

There are several illnesses that ticks can spread in Virginia, including Lyme disease, Rocky Mountain spotted fever, and Alpha-gal Syndrome. Some ticks begin seeking a source of food – you – as soon as the temperature gets above freezing. Now is when you should be mindful of their presence and begin taking precautions to prevent bites.   

Ticks are typically found in shady, moist, humid areas, specifically in tall, brushy vegetation and leaf litter in and around wooded areas. Anyone who spends time outside should be aware of ticks and take precautions. Farmers, foresters, and others who spend lots of time outside should be particularly vigilant. Farmers should also regularly check their animals for ticks.   

“After contracting Alpha-gal Syndrome from a tick bite in 2022, I’ve experienced firsthand how life-altering tick-borne illnesses can be. This condition significantly changed my daily routine and is a constant reminder that tick prevention is a necessity, not an option,” said Charles Green, Commissioner, Virginia Department of Agriculture and Consumer Services. “For our farmers, foresters, and families who spend their lives outdoors, taking appropriate preventive measures is a simple but vital step to protect your long-term health.”  

The VDH tick website has information for people on how to prevent tick bites and what to do if you are bitten by a tick. If a person is bitten by a tick, VDH can also provide tick identification assistance through our Virginia Citizen Tick Survey at no cost.  

The best way to avoid tickborne illnesses is to prevent tick bites. 

  • While you’re outdoors, use an EPA-registered insect repellent as your first line of defense against ticks. You may consider: 
  • Using permethrin to treat clothing or gear, which will provide protection even after several washes. Spray it on your clothing several days in advance so it can properly dry. You should never wear clothes that are still wet from permethrin spray, and do not apply to the skin. 
  • Using repellent containing either DEET, picaridin, IR 3535, 2-undecanone, or oil of lemon eucalyptus on your skin.  
  • Always remember to follow instructions on the product label. If using products on children and their clothing, take additional precautions to make sure those products are safe for use. 
  • Ticks can climb up your shoes and socks. Tucking your pant legs inside your socks makes it harder for ticks to crawl high enough to reach your skin, making it easier to remove them before they bite. Wearing light colored clothing can also help you to spot ticks more easily. 
  • After you’ve been outdoors, check your body and clothing for ticks. 
  • Tumble dry your clothing on high heat for 10 minutes to kill any remaining ticks. 
  • Use a mirror, or with the help of a friend, partner, or spouse, check your body for ticks, paying close attention to your armpits, groin, in and around the ears, hairline, navel, and the backs of the knees. 
  • Once you’ve cleared yourself of ticks, check any children, pets, and outdoor gear.

You’ve taken all the precautions you can to avoid getting bitten by a tick, but what should you do if a tick has bitten you? Follow these steps to properly and safely remove the tick. 

  • Step 1: Use a tweezer to grasp the tick as close as possible to the skin. 
  • Step 2: Pull upward, with steady and even pressure, until the tick releases. Try to avoid breaking mouthparts of the tick or rupturing the tick’s body. 
  • Step 3: After you’ve removed the tick, clean the bite area with soap and warm water, rubbing alcohol, or hand sanitizer. 
  • Step 4: Save the tick in a bag or sealed container with rubbing alcohol for later identification if you develop an illness in the days or weeks after the bite. 
  • You can also mark on your calendar the date of the tick bite!

If you start to feel sick or if an unusual rash develops at the site of the tick bite, you should consult your healthcare provider as soon as possible.  

Many of the diseases caused by tick bites can be serious, but tick bites can be prevented through simple, common-sense steps which all Virginians can take. 

Black Maternal Health Week 2026

Why do we need black maternal health week? 

Black Maternal Health Week is held every year to increase awareness about issues facing Black women in pregnancy, childbirth, and the postpartum period.  It is an opportunity to share information about specific health concerns that impact black maternal health and promote information about the interventions and resources available to those women. This year’s theme, “Rooted in Justice and Joy” means intentionally working on equitable outcomes for Black women by improving laws, programs, and the places where people live, while celebrating Black women’s worth, life, and future. This week, the Virginia Department of Health (VDH) will celebrate the great work done by our staff and our community partners as we work together to ensure healthy birth outcomes for Black women across the Commonwealth. 

While there are risks for women of all races and ethnicities to experience poor health outcomes associated with pregnancy, data show that women of color, and their babies, experience poor outcomes at a higher rate than women of other races.  

At VDH, we collect and study different kinds of health information related to pregnancy and birth.  This helps us understand which groups or regions may be experiencing poor health outcomes at a higher rate than others.  We use this data to develop programs that can: 

  • Make things better for families  
  • Inform our partners and communities 
  • Explain what programs and actions are working well  
  • Help support changes to laws and rules 

We hope this data is useful and will help ensure that all women in Virginia can have the healthiest pregnancy outcomes possible, for themselves and their babies. 

What insights do the data show? 

Related to maternal health, VDH collects and keeps track of important health data to better understand how mothers are doing during pregnancy and after giving birth.  Click on the links below to explore the data we collect: 

  • Maternal Mortality (deaths while pregnant or within 42 days of termination of a pregnancy) 

More information, including explanations of the data collected can be found on the VDH Maternal and Child Health data dashboardBlack women consistently show higher rates of poor health outcomes during pregnancy and childbirth compared to other races 

  • Black women are more than twice as likely to die from pregnancy-related causes 
  • Black women face more than double the rate of serious health complications 

Poor health outcomes also extend to the infants born to black mothers. We observe that Black infants experience higher rates of preterm birth, low birth weight and infant death compared to other races and ethnic groups.            

Contributing Factors 

Poor maternal health outcomes and poor pregnancy outcomes can be explained by several reasons.  They include differences in access to healthcare and also how Black women experience healthcare.   

We know that in Virginia, 31% of the counties are considered to be “maternity care deserts.”  This means that these areas do not have enough healthcare resources to meet the needs of their residents. Additionally, many Black women may also experience issues such as: 

  • Lack of culturally competent care, or implicit bias or racism in their care 
  • Lack of dependable transportation 
  • Lack of access to stable housing or good nutrition 
  • Insurance instability 
  • Lack of care coordination  

However, these barriers alone do not fully explain the differences in maternal health outcomes. Data show that even when comparing women with similar income levels or health behaviors such as smoking, racial disparities persist. You can read more about this data on VDH’s Pregnancy Risk Assessment Monitoring System data webpage. 

Solutions 

Up to 80% of pregnancy-related deaths are preventable. Through partnerships with community organizations and programs at our local health districts, VDH has established programs to support pregnant women and targeted outreach initiatives for Black women. VDH’s Maternal Health Resource Hub showcases many of the resources we have for families and pregnant or postpartum women, including both information and direct support such as: 

  • Home Visiting programs 
  • Doulas and Community Health Workers 
  • Maternal Mental Health resources 
  • Breastfeeding support 
  • Substance Use support 

VDH’s Maternal Health Resource Hub also contains links to our data and resources for both healthcare providers and community organizations who want to learn more and support Black women and their families. We encourage policymakers, program managers, community leaders and members to also use this information to develop solutions to improve maternal health outcomes. 

VDH and its local health districts have also established effective programs in their communities to address the factors that cause racial disparities and impact on Black maternal health outcomes.  These include: 

  • Providing grants to organizations to expand perinatal health hubs across the state, which provide community-based wraparound support and services to pregnant and postpartum women, and their infants. 
  • Maternal and Child Health services in VDH’s local health districts, through coordination and community engagement.  
  • Through this program our local health districts support families by hosting community baby showers, building partnerships with birthing hospitals, expanding the doula workforce, and offering home visiting, car seat safety, and safe sleep education. 
  • From July 1-December 31, 2025, these programs: 
    • provided 14,238 individuals with services such as care navigation, health education, screening and community outreach.   
    • made 2,845 referrals to social and clinical services, including Women, Infant, and Children (WIC), mental and behavioral health services, insurance coverage, and transportation.   
    • provided 4,041 perinatal individuals with education during a postpartum visit,  
    • provided 1,015 perinatal providers with education on Local Health District-specific perinatal resources.   
  • The Women, Infant, and Children (WIC) program provides nutrition education, lactation support, supplemental food, and critical referrals to more than 105,000 moms, babies, and children up to the age of 5 in Virginia. 

For more information 

Browse VDH’s Maternal Health Website for links to our data and additional Maternal Health resources. 

Follow along on our social media platforms this month to learn more about the programs and resources VDH offers. 

VDH Launches Statewide CBERS Tabletop Exercise Series

The Virginia Department of Health’s (VDH) Office of Preparedness (OEP) launched its 2026 Community-Based Emergency Response Series (CBERS) program. CBERS is a statewide tabletop exercise series designed to strengthen Virginia’s readiness for large-scale emergencies. The first session kicked off last week, bringing together partners from emergency management, public health, public safety, healthcare, social services, behavioral health, and public information. 

In today’s complex emergency landscape, major incidents often require multiple disciplines to work together under intense pressure. This year’s CBERS program focuses on the intersection of mass casualty, mass care, and mass fatality operations. Three areas that must align seamlessly during catastrophic events. 

During this one-day session, participants: 

  • Heard directly from field partners about real-world capabilities and challenges, 
  • Took part in scenario-based discussions, and  
  • Examined the operational, logistical, and ethical issues that arise when these response domains converge.  

The program emphasizes interagency coordination, resource management, crisis communication, and integrated operations. 

Upcoming CBERS Sessions 

Time: 9 a.m. to 4 p.m. 

  • Thursday, May 7 – Blue Ridge Community College, Weyers Cave 
  • Friday, May 8 – Germanna Community College, Culpeper 
  • Tuesday, May 12 – Holiday Inn Roanoke Conference Center, Roanoke 
  • Thursday, May 14 – Southwest VA Higher Education Center, Abingdon 
  • Tuesday, May 19 – Chesapeake Regional Healthy Lifestyle Center 
  • Thursday, May 21 – Peninsula Health Department, Newport News 
  • Thursday, May 28– Virginia Department of Social Services, Fairfax 
  • Wednesday, June 3 – Dinwiddie Community Enhancement Center 

VDH’s OEP welcomes all partners across the response community to join us at an upcoming session and help strengthen Virginia’s preparedness for complex emergencies. To register, sign up on TRAIN, Course ID# 1133604. 

For more information, please visit the CBERS website. 

VDH and VHHA Announce the Release of Virginia’s Plan for Well-Being

FOR IMMEDIATE RELEASE – April 9, 2026
Media Contact: Maria Reppas, Maria.Reppas@vdh.virginia.gov

VDH and VHHA Announce the Release of Virginia’s Plan for Well-Being

RICHMOND, Va. – Today, as part of the Partnering for a Healthy Virginia Collaborative (PHV), the Virginia Department of Health (VDH) and the Virginia Hospital & Healthcare Association (VHHA) announced the release of the next State Health Improvement Plan, also known as the Virginia Plan for Well-Being (VPfWB). The comprehensive plan serves as a data and community-driven roadmap to improve health outcomes, advance equity and ensure that all Virginians live in conditions that allow them to thrive. This second version of the VPfWB builds on best-practice models. The 2025–2029 VPfWB focuses on six key priority areas identified through statewide data assessment and community input, including:

  • Infant mortality,
  • Firearm-related deaths,
  • Obesity,
  • Mental health,
  • Drug overdose and substance use disorder, and
  • Housing, transportation and economic stability.

These priorities reflect the most pressing health issues and preventable drivers of poor health outcomes in Virginia identified by our community. In launching this milestone plan – centered on what is most important to Virginians’ health – we will reconvene the partnership to engage on strategies designed to create lasting impact.

“Achieving the shared goal of making Virginia the healthiest state in the nation requires a comprehensive approach focused on effective strategies to enhance individual and community health,” said Virginia Hospital & Healthcare Association (VHHA) President and CEO Sean T. Connaughton. “Virginia’s hospitals and health systems are actively engaged in efforts to reduce infant mortality rates, address behavioral health needs, enhance access to care, and support the communities they serve so people can live healthy, safe, and productive lives. Those ideals are central to the mission of the Partnering for a Healthy Virginia Collaborative, and we are proud to be part of this important work.”

The VPfWB reflects a collaborative effort across public health, healthcare and community partners. PHV collected data to better understand the health of Virginians. The assessment helps stakeholders and partners understand why some people are healthy and others are not. The plan will serve as a blueprint for targeted action driving meaningful change and improving health outcomes across Virginia.

“Our health isn’t just shaped in hospitals and clinics. It is also forged in the places where we’re born, grow, live, learn, eat, play and pray,” said Virginia State Commissioner Dr. Cameron Webb. “If we understand why some people live long and healthy lives while others do not, we can be more strategic in developing actions and policies to address these challenges.”

At its core, the VPfWB is a commitment to advancing health equity. The plan recognizes that health outcomes are shaped by long-standing differences in access to resources and opportunities. It prioritizes reducing disparities and ensuring that all Virginians have the opportunity to achieve optimal health by:

  • Addressing social determinants of health including housing, transportation and economic stability.
  • Reducing disparities in health outcomes such as infant mortality, chronic disease and access to care.
  • Strengthening community partnerships and elevating community voice.

The plan is designed to deliver measurable progress across the state by:

  • Clearly defining goals, objectives, and strategies.
  • Using data to track progress over time.
  • Aligning with local and regional health improvement efforts.
  • Ongoing evaluation to ensure strategies and metrics are effective.

This structured approach ensures that partners can adopt the plan and track outcomes, adapt strategies, and collectively work toward improved health indicators. VDH will work with partners to implement these important priority areas by establishing working groups that will align work with priority areas, strengthen partnerships and provide opportunities for ongoing stakeholder feedback. During the implementation phase VDH and its partners will focus on translating strategy into action, ensuring that the plan drives real, measurable improvements in communities across Virginia.

All Virginians are encouraged to take simple, meaningful steps to support their health and well-being, including staying up to date on check-ups and vaccinations, prioritizing mental health, and making healthy lifestyle choices such as eating well and staying active. Families can support healthy starts for children by accessing prenatal care and following safe sleep practices, while communities can help prevent substance misuse by promoting awareness and safe medication practices.

Virginians are also encouraged to get involved locally by participating in community health improvement efforts, supporting community organizations, and advocating for equitable access to resources like healthcare, housing, and economic opportunities. Organizations, stakeholders, and partners play a critical role by aligning programs and investments with the VPfWB priorities, using shared data and metrics to guide decision-making, collaborating across sectors to address root causes of health disparities, and engaging communities in the design and implementation of solutions. Together, these collective actions will drive measurable improvements in health outcomes and help build a healthier Virginia for all.

For more information and resources about the VPfWB, visit VirginiaWellBeing.com. The site provides detailed information about the plan and how you can help us make Virginia the healthiest state in the nation.

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Virginia Department of Health Celebrates National Public Health Week

Virginia Department of Health Celebrates National Public Health Week
National Public Health Week is April 6-12  

The Virginia Department of Health (VDH) is recognizing National Public Health Week, April 6-12, by highlighting the critical public health work of VDH and its partner agencies. Virginia’s public health workers are reflecting on why they serve, while focusing on the future of public health and its impact on communities across Virginia. 

This year’s national call to action asks communities to renew their commitment to improving health outcomes. The theme, “Ready. Set. Action!” emphasizes assessing progress in public health and taking the next steps toward a healthier future.  

“During National Public Health Week, we’re reminded that the most powerful data we have isn’t in a chart or a dashboard; it’s in the lived experiences of the people we serve,” said Virginia Health Commissioner Dr. Cameron Webb. “When we take the time to truly listen, we build the trust that is the foundation of public health. And with that trust, we can show up for Virginia’s communities in the ways they need and deserve.” 

For nearly 400 years, public health has made its mark by overseeing programs and services designed to improve the health of Virginians. In 1610, the Jamestown Colony enacted the first sanitation regulations. Since then, public health work has expanded. VDH provides hundreds of programs, services and resources, covering all aspects of public health. The agency and its 35 local health districts serve more than 8.8 million Virginians in areas that include family health, environmental health, disease prevention, emergency preparedness and vital records.  

VDH invites you to take a moment to recognize how public health has improved the lives of Virginians by protecting the health and promoting the well-being of all Virginians. To learn more about VDH programs, follow VDH on FacebookX and Instagram, or visit www.vdh.virginia.gov. 

Minority Health Month

National Minority Health Month is a time to raise awareness about health disparities and about how we promote health equity at VDH. Minority health refers to populations that have been historically underserved, underrepresented or face barriers to achieving optimal health due to social and economic drivers of health, or environmental factors including lack of access to safe environments. This includes racial and ethnic minority groups, as well as communities defined by culture, language, disability, geography, income, sexual orientation, gender identity, immigration status, and other lived experiences. 

These communities often experience: 

  • Higher rates of chronic diseases like diabetes and heart disease  
  • Increased maternal and infant mortality rates  
  • Reduced access to quality healthcare  

  Minority Health Month is an opportunity to:  

  • Raise awareness of persistent health inequities  
  • Highlight community strengths and resilience  
  • Promote culturally responsive care and services  
  • Encourage partnerships across sectors to improve health outcomes  

Improving minority health requires a multi-pronged public health approach that focuses on systems, policies, and environments. 

This includes: 

  • Using data to identify disparities and target interventions  
  • Engaging communities as leaders and partners when designing programs and services   
  • Investing in prevention and upstream strategies  
  • Building a diverse and culturally competent workforce  

 In Virginia, efforts to improve minority health are part of Virginia’s Plan for Well-Being, which prioritizes equity across the Virginia Department of Health’s (VDH) areas of focus. The plan recognizes that achieving better health outcomes requires addressing the root causes of disparities and ensuring that every community can thrive and achieve optimal health outcomes.  This month is a time for everyone to act. and you can get involved by:

  • Supporting community-based organizations  
  • Sharing trusted health information  
  • Advocating for policies that promote equity  

For more information on Virginia’s Plan for Wellbeing visit virginiawellbeing.com. Stay tuned for more information about Virginia’s Plan for Wellbeing and how VDH supports minority health initiatives throughout the month of April.  

23rd Annual Emergency Preparedness Summit – Day 2

The 23rd Annual Emergency Preparedness Summit kicked off its second day on Wednesday morning, March 25.  

The day began with a keynote address from the Chief Information Officer Arman Latif focused on the key principles of artificial intelligence (AI) in public health. He shared the dynamics involved in agentic AI. It describes advanced artificial intelligence systems that exhibit autonomy, goal-driven behavior, and adaptability, allowing them to make decisions and take actions without human intervention. Latif talked about the importance of AI innovation balancing experimentation with responsible governance. The AI innovations shaping public health include social determinants, genomic analysis, health monitoring, healthcare ops optimization, and telehealth and monitoring.  

The day’s program included opportunities for multiple breakout session, including: 

  • Timely Measles Information 
  • Logistics, Developments, and Trends of Shelter Planning 
  • Change Management 
  • Best Practices for Workplace Safety 
  • Updates from the Office of Emergency Medical Services 
  • Communications: Navigating Misinformation in an Age of Rapid Change 
  • Health Equity with Special Populations in Emergencies 

Highlights of some sessions included: 

A communication session focused on “Navigating Misinformation in an Age of Rapid Change.” During the hour-long presentation, Brookie Crawford, risk communications manager and Northern Region public information officer, shared the importance of establishing the agency as a trusted resource, amplifying messages and preventing information voids. Crawford also explained the differences between misinformation, malinformation and disinformation.   

With various drinking water issues being experienced across the state, staff from the Office of Drinking Water and the Central Shenandoah Health District shared best practices for handling a water-related community issue. Jordan Good, local health emergency coordinator for the Central Shenandoah Health District talked about the various roles of local government agencies and departments during a crisis. He also mentioned the importance of demonstrating value when partnering and collaborating with those agencies.  

The newest health director within VDH, Xavier Crockett, with the Central Shenandoah Health District focused on leading through uncertainty in public health. His presentation focused on four specific traits: resilience, integration, strategy and sustainability to build the leadership framework. As he referenced his favorite sport, boxing, Crockett said you can jump into the ring and hit hard and quick, but “surviving the fight does not mean you are ready for what is to come.” Crockett stated preparedness is not tested when systems are working, but preparedness is tested when systems are failing. 

The afternoon agenda included discipline-specific breakout sessions for health directors, nurse managers, emergency coordinators, business managers, medical reserve corps, and epidemiologists. 

The Virginia Epidemiology Seminar will wrap up the third day of the conference on March 26.