1. Pictures of Local Health Departments: Findings from the 2005 National Profile of Local Health Departments Study December 8, 2006 Carolyn Leep, NACCHO

2. 2005 National Profile of Local Health Departments Study  Collaboration with CDC  Fourth in the Profile series Prior studies in 1989, 1992-3, and 1996-7  Census design – includes all LHDs in U.S.  First National Profile to be conducted as Web-based survey  Source of all data in this presentation

3. Jurisdictions

4. LHDs Included in the 2005 National Profile Study (by State and Type of Governance)

5. Type of Jurisdiction

6. LHD Jurisdictions (by Size of Population Served)

7. Finances

8. Total Annual LHD Expenditures

9. LHD Annual Expenditures by Population Served

10. Median Annual Per Capita LHD Expenditures (by State)

11. Total LHD Revenues from Various Sources

12. Mean Percentage of LHD Revenues from Selected Sources (by Type of Governance)

13. Median Per Capita LHD Revenues: Federal Pass-Through Sources (by State)

14. Emergency Preparedness

15. CDC Preparedness Funding Received by LHDs

16. LHD Emergency Preparedness Preparedness activitiesFunctions strengthened Drills or exercises92%Communication systems94% Written emergency plan90%Information systems88% Staff training87%PH surveillance86% Reviewed legal authorities65%Legal basis for PH actions63% Participated in PH emergency37%Relationships with other agencies63%

17. Workforce

18. FTEs Employed by LHDs

19. LHDs with Employees in Selected Occupations

20. Typical Staffing Patterns for LHDs Serving Jurisdictions of Various Population Sizes

21. Activities & Services

22. Activities and Services Most Frequently Provided by LHDs

23.  The percentage of LHDs providing clinical services has decreased greatly over the past decade.  51% of LHDs have completed a community health assessment in the last three years  Over 90% of LHDs partner with schools, emergency responders, media, physicians, and community organizations  70% of LHDs have a Web site Other Facts about LHDs

24. Carolyn Leep Senior Analyst National Association of County & City Health Officials cleep@naccho.org