Conducted by the National Association of County and City Health Officials (NACCHO), the purpose of this survey of local health departments (LHDs) was to advance and support the development of a database for LHDs to describe and understand their structure, function, and capacities. A core set of questions was submitted to every LHD. In addition, some LHDs received one of two randomly assigned modules of supplemental questions. The core questions covered governance, funding, workforce (staffing levels, occupations employed, top executive education and licensure), LHD activities, community health assessment and health improvement planning, use of the Community Guide of Preventive Services, and policy-making and advocacy. The surveyed LHD activities include immunization, screening for diseases and conditions, treatment for communicable diseases, maternal and child health, epidemiology and surveillance activities, population-based primary prevention activities, and regulation, inspection and/or licensing activities. Topics covered by Module 1 included quality improvement, accreditation through the Public Health Accreditation Board, sharing of resources across LHDs, human resources issues, partnerships and collaboration with other organizations in the community, practice-based research, health impact assessments, use of the County Health Rankings reports, and collaboration with public health institutes. Module 2 examined emergency preparedness, public health informatics, access to health care services, and health disparities.

This file is the authoritative resource for Local Health Departments (LHD) in Nebraska. The file was created using the 2020 Census boundaries for counties. Basic census data from 2020 has been summarized by LHD and joined to the spatial boundary. Local Health Department Contacts are included in a related file. LHD main offices are included in the Office file. The Office file has some, but not all, secondary offices for LHD. Contacts and office address/location will be updated on an as needed basis.

Conducted by the National Association of County and City Health Officials (NACCHO), the purpose of this survey of local health departments (LHDs) was to advance and support the development of a database for LHDs to describe and understand their structure, function, and capacities. A core set of questions was submitted to every LHD. In addition, some LHDs received one of two randomly assigned modules of supplemental questions. Data from the National Profile of Local Health Departments survey are used by:

LHD staff members to compare their LHD or those within their states to others nationwide;; Policymakers at the local, state, and federal levels to inform public health policy and support projects to improve local public health practice;; Universities to educate future public health workforce members about LHDs;; Researchers to address questions about public health practice; and; NACCHO staff to develop programs and resources that meet the needs of LHDs and to advocate effectively for LHDs.; Data included as part of this collection includes the Public-Use (Restricted-Use Level 1) data of the National Profile of Local Health Departments 2016 study. The dataset includes 1930 cases for 1112 variables.

State and Local Public Health Departments in the United States Governmental public health departments are responsible for creating and maintaining conditions that keep people healthy. A local health department may be locally governed, part of a region or district, be an office or an administrative unit of the state health department, or a hybrid of these. Furthermore, each community has a unique "public health system" comprising individuals and public and private entities that are engaged in activities that affect the public's health. (Excerpted from the Operational Definition of a functional local health department, National Association of County and City Health Officials, November 2005) Please reference http://www.naccho.org/topics/infrastructure/accreditation/upload/OperationalDefinitionBrochure-2.pdf for more information. Facilities involved in direct patient care are intended to be excluded from this dataset; however, some of the entities represented in this dataset serve as both administrative and clinical locations. This dataset only includes the headquarters of Public Health Departments, not their satellite offices. Some health departments encompass multiple counties; therefore, not every county will be represented by an individual record. Also, some areas will appear to have over representation depending on the structure of the health departments in that particular region. Town health officers are included in Vermont and boards of health are included in Massachusetts. Both of these types of entities are elected or appointed to a term of office during which they make and enforce policies and regulations related to the protection of public health. Visiting nurses are represented in this dataset if they are contracted through the local government to fulfill the duties and responsibilities of the local health organization. Since many town health officers in Vermont work out of their personal homes, TechniGraphics represented these entities at the town hall. This is denoted in the [DIRECTIONS] field. Effort was made by TechniGraphics to verify whether or not each health department tracks statistics on communicable diseases. Records with "-DOD" appended to the end of the [NAME] value are located on a military base, as defined by the Defense Installation Spatial Data Infrastructure (DISDI) military installations and military range boundaries. "#" and "*" characters were automatically removed from standard HSIP fields populated by TechniGraphics. Double spaces were replaced by single spaces in these same fields. At the request of NGA, text fields in this dataset have been set to all upper case to facilitate consistent database engine search results. At the request of NGA, all diacritics (e.g., the German umlaut or the Spanish tilde) have been replaced with their closest equivalent English character to facilitate use with database systems that may not support diacritics. The currentness of this dataset is indicated by the [CONTDATE] field. Based on this field, the oldest record dates from 11/18/2009 and the newest record dates from 01/08/2010.

Included in the data set is :-Local Health Department-Planning Organization-Director of Health (DoH) Name- DoH title-DoH Degree-Doh Email-LHD Status (District, Part time, Full Time)-LHD Phone-Agency Fax

Coronavirus resources: US state and local health deparments (Live Science web page)._Communities around the world are taking strides in mitigating the threat that COVID-19 (coronavirus) poses. Geography and location analysis have a crucial role in better understanding this evolving pandemic.When you need help quickly, Esri can provide data, software, configurable applications, and technical support for your emergency GIS operations. Use GIS to rapidly access and visualize mission-critical information. Get the information you need quickly, in a way that’s easy to understand, to make better decisions during a crisis.Esri’s Disaster Response Program (DRP) assists with disasters worldwide as part of our corporate citizenship. We support response and relief efforts with GIS technology and expertise.More information...

Included in the data set is :

This dataset contains contact information for all CT Local Health Departments and Districts. It is updated on Fridays at approximately 3:30 pm.

Changelog:

Update September 20, 2021: Data and overview updated to reflect data used in the September 15 story Over Half of States Have Rolled Back Public Health Powers in Pandemic. It includes 303 state or local public health leaders who resigned, retired or were fired between April 1, 2020 and Sept. 12, 2021. Previous versions of this dataset reflected data used in the Dec. 2020 and April 2021 stories.

Overview

Across the U.S., state and local public health officials have found themselves at the center of a political storm as they combat the worst pandemic in a century. Amid a fractured federal response, the usually invisible army of workers charged with preventing the spread of infectious disease has become a public punching bag.

In the midst of the coronavirus pandemic, at least 303 state or local public health leaders in 41 states have resigned, retired or been fired since April 1, 2020, according to an ongoing investigation by The Associated Press and KHN.

According to experts, that is the largest exodus of public health leaders in American history.

Many left due to political blowback or pandemic pressure, as they became the target of groups that have coalesced around a common goal — fighting and even threatening officials over mask orders and well-established public health activities like quarantines and contact tracing. Some left to take higher profile positions, or due to health concerns. Others were fired for poor performance. Dozens retired. An untold number of lower level staffers have also left.

The result is a further erosion of the nation’s already fragile public health infrastructure, which KHN and the AP documented beginning in 2020 in the Underfunded and Under Threat project.

Findings

The AP and KHN found that:

• One in five Americans live in a community that has lost its local public health department leader during the pandemic
• Top public health officials in 28 states have left state-level departments ## Using this data To filter for data specific to your state, use this query

To get total numbers of exits by state, broken down by state and local departments, use this query

Methodology

KHN and AP counted how many state and local public health leaders have left their jobs between April 1, 2020 and Sept. 12, 2021.

The government tasks public health workers with improving the health of the general population, through their work to encourage healthy living and prevent infectious disease. To that end, public health officials do everything from inspecting water and food safety to testing the nation’s babies for metabolic diseases and contact tracing cases of syphilis.

Many parts of the country have a health officer and a health director/administrator by statute. The analysis counted both of those positions if they existed. For state-level departments, the count tracks people in the top and second-highest-ranking job.

The analysis includes exits of top department officials regardless of reason, because no matter the reason, each left a vacancy at the top of a health agency during the pandemic. Reasons for departures include political pressure, health concerns and poor performance. Others left to take higher profile positions or to retire. Some departments had multiple top officials exit over the course of the pandemic; each is included in the analysis.

Reporters compiled the exit list by reaching out to public health associations and experts in every state and interviewing hundreds of public health employees. They also received information from the National Association of City and County Health Officials, and combed news reports and records.

Public health departments can be found at multiple levels of government. Each state has a department that handles these tasks, but most states also have local departments that either operate under local or state control. The population served by each local health department is calculated using the U.S. Census Bureau 2019 Population Estimates based on each department’s jurisdiction.

KHN and the AP have worked since the spring on a series of stories documenting the funding, staffing and problems around public health. A previous data distribution detailed a decade's worth of cuts to state and local spending and staffing on public health. That data can be found here.

Attribution

Findings and the data should be cited as: "According to a KHN and Associated Press report."

Is Data Missing?

If you know of a public health official in your state or area who has left that position between April 1, 2020 and Sept. 12, 2021 and isn't currently in our dataset, please contact authors Anna Maria Barry-Jester annab@kff.org, Hannah Recht hrecht@kff.org, Michelle Smith mrsmith@ap.org and Lauren Weber laurenw@kff.org.

Graph and download economic data for Government current expenditures: State and local: Health (G161051A027NBEA) from 1959 to 2023 about state & local, health, expenditures, government, GDP, and USA.

Administrative boundaries for managing the delivery of public hospital services and other community based health services as determined by the State Government. Administrative boundaries for managing the delivery of public hospital services and other community based health services as determined by the State Government.

Find Massachusetts health data by community, county, and region, including population demographics. Build custom data reports with over 100 health and social determinants of health data indicators and explore over 28,000 current and historical data layers in the map room.

Governmental public health departments are responsible for creating and maintaining conditions that keep people healthy. A local health department may be locally governed, part of a region or district, be an office or an administrative unit of the state health department, or a hybrid of these. Furthermore, each community has a unique "public health system" comprising individuals and public and private entities that are engaged in activities that affect the public's health. (Excerpted from the Operational Definition of a functional local health department, National Association of County and City Health Officials, November 2005) Please reference http://www.naccho.org/topics/infrastructure/accreditation/upload/OperationalDefinitionBrochure-2.pdf for more information. Facilities involved in direct patient care are intended to be excluded from this dataset; however, some of the entities represented in this dataset serve as both administrative and clinical locations. This dataset only includes the headquarters of Public Health Departments, not their satellite offices. Some health departments encompass multiple counties; therefore, not every county will be represented by an individual record. Also, some areas will appear to have over representation depending on the structure of the health departments in that particular region. Visiting nurses are represented in this dataset if they are contracted through the local government to fulfill the duties and responsibilities of the local health organization. Effort was made by TechniGraphics to verify whether or not each health department tracks statistics on communicable diseases.

Graph and download economic data for Investment in Government Fixed Assets: State and local: Structures: Health care (I3GSTLC1SF000) from 1901 to 2023 about healthcare, state & local, health, fixed, investment, assets, government, and USA.

Local Health contains indicators related to:

• population and demographic factors, including age, sex and deprivation
• health outcomes
• wider determinants of health, including housing and living environment

It presents data for middle super output areas (MSOAs), electoral wards, clinical commissioning groups (CCGs), local authorities, and England as a whole.

The tool allows users to map data and provides spine charts and reports for small areas. Users can also define their own geographies and add their own data.

As in previous years this update has also been published on the https://fingertips.phe.org.uk/profile/local-health" class="govuk-link">Fingertips web platform, providing users with additional options for presenting and visualising data.

This update contains:

• 47 indicators updated with data for the latest available time period and the latest available boundaries
• 13 indicators with no new source data have been updated to new ward and CCG 2021 boundaries
• an update of wards and CCGs to 2021 boundaries – this includes those indicators for which more recent data is not available

See the attached ‘Local Health: indicator updates, August 2022’ document for a full list of the available indicators, geographies and any other changes in this release.

This dataset contains model-based county-level estimates for the PLACES 2022 release. PLACES covers the entire United States—50 states and the District of Columbia (DC)—at county, place, census tract, and ZIP Code Tabulation Area levels. It provides information uniformly on this large scale for local areas at 4 geographic levels. Estimates were provided by the Centers for Disease Control and Prevention (CDC), Division of Population Health, Epidemiology and Surveillance Branch. PLACES was funded by the Robert Wood Johnson Foundation in conjunction with the CDC Foundation. This dataset includes estimates for 29 measures: 13 for health outcomes, 9 for preventive services use, 4 for chronic disease-related health risk behaviors, and 3 for health status. These estimates can be used to identify emerging health problems and to help develop and carry out effective, targeted public health prevention activities. Because the small area model cannot detect effects due to local interventions, users are cautioned against using these estimates for program or policy evaluations. Data sources used to generate these model-based estimates include Behavioral Risk Factor Surveillance System (BRFSS) 2020 or 2019 data, Census Bureau 2020 or 2019 county population estimate data, and American Community Survey 2016–2020 or 2015–2019 estimates. The 2022 release uses 2020 BRFSS data for 25 measures and 2019 BRFSS data for 4 measures (high blood pressure, taking high blood pressure medication, high cholesterol, and cholesterol screening) that the survey collects data on every other year. More information about the methodology can be found at www.cdc.gov/places.

The New York City Community Health Survey (CHS) is a telephone survey conducted annually by the DOHMH, Division of Epidemiology, Bureau of Epidemiology Services. CHS provides robust data on the health of New Yorkers, including neighborhood, borough, and citywide estimates on a broad range of chronic diseases and behavioral risk factors. The data are analyzed and disseminated to influence health program decisions, and increase the understanding of the relationship between health behavior and health status. For more information see EpiQuery, https://a816-health.nyc.gov/hdi/epiquery/visualizations?PageType=ps&PopulationSource=CHS

PLACES is the expansion of the original 500 Cities project and covers the entire United States—50 states and the District of Columbia (DC). Estimates were provided by the Centers for Disease Control and Prevention (CDC), Division of Population Health, Epidemiology and Surveillance Branch. PLACES provides health data for small areas across the country. This allows local health departments and jurisdictions, regardless of population size and rurality, to better understand the burden and geographic distribution of health measures in their areas and assist them in planning public health interventions. PLACES provides model-based, population-level analysis and community estimates of health measures to all counties, places (incorporated and census designated places), census tracts, and ZIP Code Tabulation Areas (ZCTAs) across the United States.

The Local Oral Health Program (LOHP) is a state-wide program funded by the Research and Prevention Tobacco Tax Act of 2016 (Prop 56) and administered through the California Department of Public Health, Office of Oral Health. The LOHP's mission is to improve the oral health of all Fresno County residents through prevention, education, linkage to dental treatment, and through organized community efforts. The LOHP will assess the oral health needs of the community, develop an Oral Health Needs Assessment, Oral Health Evaluation Plan, and strategic action plan to address the oral health needs of the community.

In 2010, there were 6,949 federally funded community health center (CHC) sites, whereas by 2022, there were nearly 15 thousand CHC sites in the United States. Therefore, the average number of sites per health center rose to 11 sites per health center in 2022. This statistic depicts the number of federally funded community health center sites in the U.S. from 2010 to 2022.