Open Recommendations (14 total)

COVID-19: Sustained Federal Action Is Crucial as Pandemic Enters Its Second Year

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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Disease Control and Prevention The Director of the Centers for Disease Control and Prevention should take steps to ensure more complete reporting of race and ethnicity information for recipients of COVID-19 vaccinations, such as working with states and jurisdictions to facilitate consistent collecting and reporting of this information. See Health Disparities enclosure. (Recommendation 12)
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Actions to satisfy the intent of the recommendation have not been taken or are being planned, or actions that partially satisfy the intent of the recommendation have been taken.

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Disease Control and Prevention The Director of the Centers for Disease Control and Prevention should incorporate key elements of a national strategy in the agency's COVID-19 Response Health Equity Strategy. These elements include (1) specific actions to achieve intermediate outcomes, such as increased access to testing; (2) how intermediate outcomes should be prioritized within its four broad priority areas; (3) who will implement actions to achieve intermediate outcomes; and (4) how the strategy relates to other relevant strategies. See Health Disparities enclosure. (Recommendation 11)
Open

Actions to satisfy the intent of the recommendation have not been taken or are being planned, or actions that partially satisfy the intent of the recommendation have been taken.

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Covid-19 Housing Protections: Moratoriums Have Helped Limit Evictions, but Further Outreach Is Needed

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1 Open Recommendations
Agency Affected Recommendation Status
Centers for Disease Control and Prevention The Director of the Centers for Disease Control and Prevention, in coordination with other relevant federal entities, should develop and implement a communication and outreach plan designed to ensure that eligible renters and property owners are aware of and able to use the agency's moratorium to prevent eviction. (Recommendation 1)
Open

Actions to satisfy the intent of the recommendation have not been taken or are being planned, or actions that partially satisfy the intent of the recommendation have been taken.

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Food Safety: CDC Could Further Strengthen Its Efforts to Identify and Respond to Foodborne Illnesses

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3 Open Recommendations
Agency Affected Recommendation Status
Centers for Disease Control and Prevention The Director of the Centers for Disease Control and Prevention should develop a plan for addressing risks that the increasing use of culture-independent diagnostic tests poses to CDC's continued ability to identify foodborne illness outbreaks. (Recommendation 1)
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Actions to satisfy the intent of the recommendation have not been taken or are being planned, or actions that partially satisfy the intent of the recommendation have been taken.

As of April 2021, we are following up on this recommendation and will update it when we receive information.
Centers for Disease Control and Prevention The Director of the Centers for Disease Control and Prevention should make publicly available CDC's decision-making process for communicating about multistate foodborne illness outbreaks, including the scenarios it considers to aid in decision-making. (Recommendation 2)
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Actions to satisfy the intent of the recommendation have not been taken or are being planned, or actions that partially satisfy the intent of the recommendation have been taken.

As of April 2021, we are following up on this recommendation and will update it when we receive information.
Centers for Disease Control and Prevention The Director of the Centers for Disease Control and Prevention should implement a program performance assessment system for its multistate foodborne illness outbreak investigations, including setting performance goals, assessing progress toward achieving those goals with performance measures, and conducting program evaluations. (Recommendation 3)
Open

Actions to satisfy the intent of the recommendation have not been taken or are being planned, or actions that partially satisfy the intent of the recommendation have been taken.

As of April 2021, we are following up on this recommendation and will update it when we receive information.

COVID-19: Federal Efforts Could Be Strengthened by Timely and Concerted Actions

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3 Open Recommendations
Agency Affected Recommendation Status
Centers for Disease Control and Prevention As CDC implements its COVID-19 Response Health Equity Strategy, the Director of the Centers for Disease Control and Prevention should involve key stakeholders to help ensure the complete and consistent collection of demographic data. (Recommendation 7)
Open

Actions to satisfy the intent of the recommendation have not been taken or are being planned, or actions that partially satisfy the intent of the recommendation have been taken.

CDC agreed with our recommendation. In response, in February 2021, CDC stated that it is reviewing the quality of demographic data, including the completeness of race and ethnicity data, across its core surveillance systems and engaging stakeholders from across the agency and in state and local health departments on the issue. CDC noted that stakeholders include CDC leadership, key taskforces from within CDC's COVID-19 emergency response, and data and surveillance experts in CDC and state health agencies. CDC reported that the information derived from this review will be discussed with the CDC Director and used to assess potential opportunities to enhance the collection of race and ethnicity data, including seeking policy changes or legislative authorities. CDC also stated that it is working with public health partners to automate the generation and transmission to CDC of COVID-19 case reports that contain demographic information, including race and ethnicity. According to CDC, as of January 12, 2021, more than 6,500 facilities are sending COVID-19 electronic case reports to state and jurisdictional health departments. We will continue to conduct work examining HHS, CDC, and other component agencies' ongoing work regarding indicators of COVID-19 and disparities that exist for various populations.
Centers for Disease Control and Prevention As CDC implements its COVID-19 Response Health Equity Strategy, the Director of the Centers for Disease Control and Prevention should take steps to help ensure CDC's ability to comprehensively assess the long-term health outcomes of persons with COVID-19, including by race and ethnicity. (Recommendation 8)
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Actions to satisfy the intent of the recommendation have not been taken or are being planned, or actions that partially satisfy the intent of the recommendation have been taken.

CDC agreed with our recommendation. In response to our recommendation, CDC noted in October 2020 that the agency is convening a team to develop a plan to monitor the long-term health outcomes of persons with COVID-19 by identifying health care surveillance systems that can electronically report health conditions to state and local health departments. CDC said that as of January 2021 the agency had various efforts underway with external partners to assess long-term health outcomes. For example, CDC is funding a number of prospective studies in partnership with universities to understand the long-term effects of COVID-19 illness, including a study examining the neurological health outcomes of a large cohort of Black and Hispanic or Latino persons who had COVID-19. In addition, CDC stated the agency is analyzing electronic health record data to describe health outcomes after COVID-19 diagnosis as well as analyzing race and ethnicity in any data collected for long-term health effects. We will continue to conduct work examining HHS, CDC, and other component agencies' ongoing work regarding indicators of COVID-19 and disparities that exist for various populations.
Centers for Disease Control and Prevention As the Centers for Disease Control and Prevention (CDC) implements its COVID-19 Response Health Equity Strategy, the Director of the Centers for Disease Control and Prevention should determine whether having the authority to require states and jurisdictions to report race and ethnicity information for COVID-19 cases, hospitalizations, and deaths is necessary for ensuring more complete data, and if so, seek such authority from Congress. (Recommendation 6)
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Actions to satisfy the intent of the recommendation have not been taken or are being planned, or actions that partially satisfy the intent of the recommendation have been taken.

CDC agreed with our recommendation. In response, in February 2021, CDC stated that it is reviewing race and ethnicity data completeness across its core surveillance systems and engaging stakeholders from across the agency and in state and local health departments to improve the collection of race and ethnicity data. CDC noted that stakeholders include CDC leadership, key taskforces from within CDC's COVID-19 emergency response, and data and surveillance experts in CDC and state health agencies. CDC reported that the information derived from this review will be discussed with the CDC Director and used to assess potential opportunities to enhance the collection of race and ethnicity data, including policy changes or seeking legislative authorities. We will continue to conduct work examining HHS, CDC, and other component agencies' ongoing work regarding indicators of COVID-19 and disparities that exist for various populations.

Antibiotic Resistance: Additional Federal Actions Needed to Better Determine Magnitude and Reduce Impact

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1 Open Recommendations
Agency Affected Recommendation Status
Centers for Disease Control and Prevention The Director of CDC should take steps to determine participation rates and distribution needed in the AR Option of the National Healthcare Safety Network for conducting regional and national assessments of antibiotic resistance of public health importance. (Recommendation 1)
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Actions to satisfy the intent of the recommendation have not been taken or are being planned, or actions that partially satisfy the intent of the recommendation have been taken.

The Department of Health and Human Services concurred with this recommendation. When we confirm any actions the agency has taken to implement the recommendation, we will provide updated information.