My name is Kathryn Lowerre and I serve as the evaluation team lead in the Epidemiology and Response Division’s Overdose Prevention Program at the New Mexico Department of Health.
At the end of March 2020, I became part of the health department’s COVID-19 response, first as a case investigator and more recently helping support a school transmission project. Colleagues in every area have taken on new or additional responsibilities, often with increased hours and stress levels. As a case investigator, I’ve spoken on the phone with many people experiencing the full range of COVID-19 symptoms and challenges, plus a few who refused to answer questions from anyone working for the government.
Working in public health as part of a state agency, we continue to rely on funding and resources provided by the federal government. Support through the Centers for Disease Control and Prevention contributes significantly across multiple program areas.
Rad Resources for COVID-19 Evaluation
- Evaluating Mitigation Efforts in Communities and Schools: https://www.cdc.gov/coronavirus/2019-ncov/php/monitoring-evaluating-community-mitigation-strategies.html; https://www.cdc.gov/coronavirus/2019-ncov/php/monitoring-evaluation-k-12.html
- Local Government COVID-19 Data and Social Determinants of Health
- COVID-19 in New Mexico
Through the spring and summer, demands for social justice took on new urgency. In New Mexico, protests associated with Black Lives Matter often reflected the multi-layered histories of colonialism here. Over a century ago there was resistance to admitting New Mexico into the United States, due to its large Hispanic and Native American populations.
In June, Patrisse Cullors clearly stated that BLM is “talking about more than police brutality. We’re talking about incarceration, health care, housing, education, and economics — all the different components of a broader system”. Our governor declared racism a public health emergency and appointed a Council for Racial Justice.
When working within the system, we are challenged to ask hard questions of ourselves and others about responsibility and integrity, and to acknowledge imperfect or failed efforts to act equitably and build trust, even with institutional supports in place (e.g. NMDOH’s Office of Health Equity). The sectors cited by Cullors are ones overdose prevention and harm reduction efforts have increasingly focused on, to build bridges between public health and public safety, provide social support services while enhancing access to treatment, and save lives.
As 2020 progressed, we knew that deaths due to drug overdoses were rising again across the U.S. This increase predates the COVID-19 pandemic, but intersects with it in alarming ways. For every positive shift, such as the government loosening restrictions on prescribing Medication Assisted Treatment for people with opioid use disorder, more people are losing social and economic connections that helped them maintain their recovery.
As evaluators, we are asked to document and account for the effect COVID is having on our programs. We search for the collective clarity to make policy and program recommendations, under extraordinary circumstances.
Finally, 2021 has already produced additional crises of its own, to throw everyone—whether in or outside of government—off balance further. I am grateful for the ability to keep doing what I think I need to keep doing (most of the time) together with my colleagues in public health and for the privilege and perspectives that have come through my work in evaluation.
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