1. Safer, healthier King County: The work of Public Health

2. In the beginning... In response to garbage and sewage issues, local health department formed in 1889 In response to garbage and sewage issues, local health department formed in 1889 Early focus on environmental problems and communicable diseases Early focus on environmental problems and communicable diseases Became joint Seattle – King County health department in 1951 Became joint Seattle – King County health department in 1951

3. Our Mission and Goal Mission: Identify and promote the conditions under which all people can live within healthy communities and can achieve optimum health. Goal: Protect and improve the health and well-being of all people in King County, as defined by per person healthy years lived. Whenever possible, employ strategies, policies and interventions to reduce health disparities. Metric: Per person healthy years lived

4. Principles Based on Science and Evidence Based on Science and Evidence Driven by Social Justice Driven by Social Justice Focused on Prevention Focused on Prevention Centered on the community Centered on the community

5. Public health functions

6. Public Health Functions Health Protection: Tracking and preventing disease and other threats; regulating dangerous environmental and workplace exposures; and ensuring the safety of water, air and food. Health Promotion: Leading efforts to promote health and prevent chronic conditions and injuries Health Provision: Help assure access to high quality health care for all populations

7. Who we serve 1.8 million people – one-third of state’s population 1.8 million people – one-third of state’s population 400,000 additional weekday commuters 400,000 additional weekday commuters 39 incorporated cities 39 incorporated cities 2,134 square miles of land - size of Delaware 2,134 square miles of land - size of Delaware

8. Complexity and scale 10th largest health department in the country by metro population served 10th largest health department in the country by metro population served 33 fire departments, 9 HAZMAT teams, 29 local law enforcement agencies 33 fire departments, 9 HAZMAT teams, 29 local law enforcement agencies 19 acute care hospitals, 7000+ medical professionals 19 acute care hospitals, 7000+ medical professionals Over 30 million travelers annually through international air and seaports Over 30 million travelers annually through international air and seaports Over 50 languages spoken Over 50 languages spoken

9. How we ’ re funded Total agency budget: $296 million Revenues:  21% from Emergency Medical Services Levy  20% from King County  16% from federal and foundation grants  13% from patient generated revenue  10% from state funding  21% from fees, permits, other sources

10. Budgets and staffing Division or Section Budget Employees Community Health $105 million 741 Prevention $43 227 Emergency Medical $62 129 Director’s Office/Admin $23 125 Jail Health $26 176 Environmental Health $22 171 Community PH Practice$16 66 TOTAL $296 million 1604 FTE

11. Divisions and services Emergency Medical Services (EMS) Emergency Medical Services (EMS) Community Health Services Community Health Services Jail Health Jail Health Environmental Health Environmental Health Prevention Prevention

12. Emergency medical services Coordinating six dispatch centers, six paramedic providers and 33 local fire departments Coordinating six dispatch centers, six paramedic providers and 33 local fire departments Providing Medic One paramedic services for south King County Providing Medic One paramedic services for south King County Training local Emergency Medical Technicians Training local Emergency Medical Technicians Conducting and applying cutting-edge research Conducting and applying cutting-edge research

13. Community Health Services Ten Public Health centers across King County Ten Public Health centers across King County Primary care services offered at four locations, dental at five Primary care services offered at four locations, dental at five Providing on-site immunizations, family planning, WIC, maternity support Providing on-site immunizations, family planning, WIC, maternity support

14. Jail Health Responsible for health care needs for 50,000 inmates per year at two facilities Responsible for health care needs for 50,000 inmates per year at two facilities Providing primary care, urgent dental care, mental health services Providing primary care, urgent dental care, mental health services Communicable disease control Communicable disease control

15. Environmental Health Division Inspecting food service establishments Inspecting food service establishments Protecting against chemical and physical hazards Protecting against chemical and physical hazards Shaping land use and built environments Shaping land use and built environments Protecting groundwater Protecting groundwater Ensuring proper solid waste disposal Ensuring proper solid waste disposal

16. Prevention Division Controlling infectious diseases – programs for TB, AIDS, STDs Controlling infectious diseases – programs for TB, AIDS, STDs Promoting healthy eating and physical activity Promoting healthy eating and physical activity Preventing leading causes of chronic disease and mortality Preventing leading causes of chronic disease and mortality Preventing injuries and tobacco use Preventing injuries and tobacco use Reducing breast, cervical and colon cancer deaths Reducing breast, cervical and colon cancer deaths

17. Equity and Social Justice "It is unacceptable that the color of your skin or your home address are good predictors of whether you will have a low birth weight baby, die from diabetes or your children will graduate from high school or end up in jail.” - King County Executive Ron Sims - King County Executive Ron Sims The King County Equity and Social Justice Initiative aims to end persistent local inequities and injustices The King County Equity and Social Justice Initiative aims to end persistent local inequities and injustices Public Health is the lead department in the county effort Public Health is the lead department in the county effort

18. Find us on the web Over 3,000 pages of information on our public web site at: www.kingcounty.gov/health King County Equity and Social Justice Initiative www.kingcounty.gov/equity Public Health Operational Master Plan www.kingcounty.gov/health/publichealthmas terplan/ www.kingcounty.gov/health/publichealthmas terplan/