Supporting Government to Respond to Public Health Emergencies

The size and scope of the COVID-19 pandemic has required state and local governments across the U.S. to rapidly scale up their capacity to respond effectively. In particular, this has included the efficient mobilization of a greatly expanded workforce for surveillance, case investigation, contact tracing, outreach and wellness services, and other functions.

In May 2020, Fairfax County Health Department in Virginia turned to IPHI to assist with swiftly building up its workforce capacity to respond to the pandemic (see the Health Department’s initial press release). Within less than a month, IPHI had recruited, employed and trained 80 new staff on behalf of Fairfax County.  By the end of January 2021, IPHI had hired over 640.  This new surge workforce included case interviewers, contact interviewers, community health workers, epidemiologists, environmental health specialists, call center staff, wellness specialists, and over 50 response team managers.  As the pandemic response shifted to include an emphasis on COVID-19 vaccine access, team members were trained and shifted to support vaccine outreach, education and provision.  The partnership was so successful, Virginia Department of Health contracted with IPHI to assist 22 other local health departments across the Commonwealth. Over a period of two-and-a-half years, IPHI deployed over 1,200 public health professionals to support pandemic response across Virginia and the DC-MD-VA region.

IPHI developed a week-long training program for case investigators and contact tracers that wrapped around an on-line, self-guided course offered by Johns Hopkins University.  IPHI also created a separate training program for COVID-19 community health workers.  IPHI’s curricula ensured new hires had the opportunity to practice what they were learning through interactive, adult learning methods.  The IPHI courses were so well-received the Fairfax County Health Department asked IPHI to include over 250 government employees in the program as well, beyond the IPHI-employed staff.   Over the course of its involvement, IPHI had trained well over 1,400 pandemic responders.  In March 2021, the National Network of Public Health Institutes published an article on IPHI’s training program.

IPHI has learned a number of key lessons from this work thus far, including:

  • Public/private partnerships can provide efficiency and agility to governmental efforts to expand capacity and effectively respond to public health emergencies.
  • While there is pressure to ramp up quickly, governments and their partners should invest in sufficient upfront training to improve performance and staff satisfaction.
  • Community health workers have a vital role to play in pandemic response and recovery.


“IPHI is an essential partner in the Health Department’s efforts to contain COVID-19 in Fairfax County.  Recruiting, employing and training hundreds of staff in just a few short months was no small feat. Due to the critical support and capacity IPHI provided, we were able to focus on our role leading the Emergency Response.”
— Gloria Addo-Ayensu, MD, MPH, Director of Health for Fairfax County


For additional information on IPHI’s capacity to assist governments in COVID-19 emergency response, contact Carolyn Padovano, Senior Director ([email protected]).