This story explores how after a pandemic that killed more than 1 million people in the United States alone, very little about the federal government has changed at all, and it may not for a long time. Past, current and future efforts to address the failures of America’s public health infrastructure are discussed.
Building trust in COVID-19 vaccination and other public health interventions is fundamental to the work of public health and efforts to end the COVID-19 pandemic. We can build trust by combating misinformation, supporting trusted messengers and networks, improving our trustworthiness, and deepening relationships that engender trust over time. Building trust between public health and communities facilitates acceptance of public health interventions and can cultivate an equitable COVID-19 response now and conditions for well-being in the future.