- The COVID-19 pandemic has highlighted the importance of community trust in state systems. Consideration of community concerns by public health agencies may help to establish more equitable policies, engaging community in emergency response and promoting inclusivity and trust. This paper outlines varying definitions of trust, then describes key considerations in trust building, including transparency, accountability, inter-organizational collaboration and equitable representation. The author then utilizes their experience working with the Oregon Health Authority’s COVID Feedback Team as a case study to assess efforts made by public health systems in Oregon to be responsive to community needs and insights. Strengths and limitations of the feedback management process established by the COVID Feedback Team, then insights are offered into how these observations can be best used to inform public health practices in trust-building moving forward.