"Public health is organized at the state level, where public health legal authority largely rests. The manner in which governmental public health is structured varies from state to state. States may provide for local health departments operated by counties, by regions or groups of counties, or by municipalities large or small. These local health departments may function within a predominantly centralized system, with the state health department assuming most control, or may be largely autonomous within specified legal limits. Alternatively, states may have no local health departments at all, instead providing all services directly from the state health department. In addition, many tribal nations operate their own health departments, the jurisdictions for which may overlap county or even state lines. The services offered by local health departments vary widely as well. Certain core services (aspects of environmental health, disease control, and usually some form of health education or promotion) are common to most local health departments. However, the extent of these services and additional added services vary dramatically."
Public Entity Risk Institute. Posted here from Lessons Learned Information Sharing (LLIS) database. Documents are for personal use only and copyright laws apply.
Lessons Learned Information Sharing (LLIS)
Preparing for a Local Crisis within a Global Pandemic. Online Symposium. June 2006