1. 2005 Profile of Local Health Departments Study NACCHO EH&BT Committee Meeting April 4, 2006

2. 2005 National Profile of Local Health Departments Study  Census – includes all LHDs in U.S.  Three prior studies Conducted in 1989, 1992-93, and 1995-96 Conducted in 1989, 1992-93, and 1995-96  First National Profile to be conducted as web-based survey  CDC is primary funder NLM and HRSA support for specific analyses NLM and HRSA support for specific analyses

3. 2005 Profile Questionnaire Structured as Core and Modules  Core questionnaire sent to every LHD N = 2864 N = 2864  Three different modules Each sent to sample of ~550 LHDs Each sent to sample of ~550 LHDs Stratified by population served Stratified by population served

4. Topics in Profile Core  Governance  Population served  Finances  Characteristics of top executive  LPHA workforce  Activities and services provided  Community health assessment & improvement  Information technology

5. Topics in Profile Modules Detailed information on:  Finances  LPHA workforce  Community health assessment & improvement  Information technology Additional Topics:  Performance improvement  Emergency preparedness  Partnerships  Policy-making and advocacy  Addressing health inequities

6. Overall Response Rate = 80%

7. Preview of 2005 Profile Data  Data collection completed in November 2005  Data cleaning recently completed  Analysis has just begun  Report of findings expected in mid-2006 IMPORTANT NOTE: Data presented are preliminary

8. Percentage of LHDs involved in regulation, inspection or licensing activities Health-related facilities 30% Food processing 30% Mobile homes 29% Housing inspections 28% Solid waste disposal sites 28% Solid waste haulers 27% Tobacco retailers 21% Cosmetology businesses 11% Milk processing 9% Food service 76% Swimming pools 67% Septic tanks 65% School/daycare65% Private drinking water 57% Lead inspection 53% Hotels/motels49% Campgrounds/RVs39% Smoke-free ordinances 37% Public drinking water 30%

9. LHD Provision of Environmental Health Services – Direct or Contract

10. Organizations Providing Environmental Health Services

11. Amount of BT Funding LHDs Receive from CDC

12. Amount of BT Funding LHDs Receive from HRSA

13. Percentage of LHDs Reporting Selected Emergency Preparedness (EP) Activities (in past 12 months) Activity%age Participated in drills or exercises 92% Developed or updated written emergency plan 90% Provided EP training to staff 71% Assessed EP competencies of staff 65% Reviewed relevant legal authorities 65% Participated in an actual PH emergency 37% None of the above 2%

14. How are Profile Data Used?  By LHDs to benchmark and advocate  By state and federal agencies to better understand LPH practice  By policymakers addressing LPH issues  By NACCHO staff to support programs for LHDs  By researchers exploring specific hypotheses

15. Stay tuned for more information  State-specific data files will be made available soon  National report will be published in mid- 2006 Free copy for all Profile respondents Free copy for all Profile respondents