The National Association of County and City Health Officials (NACCHO) is the national organization representing the nation’s approximately 3,000 local health departments (including city, county, metro, district, and tribal agencies). These departments work every day on the front lines to protect us and to promote the health of our communities. 

NACCHO supports their efforts by calling for strong national policy, developing useful resources and programs, seeking health equity, and supporting effective local public health practice and systems. 

Since its inception in 1993, NACCHO's staff has grown from five people to 65, most with MPH or PhD degrees in public health-related fields. A 32-member board of directors, comprising active local public health officials from diverse communities across the nation, governs NACCHO. 

NACCHO's Board of Directors, 2004

Since 2002, Patrick M. Libbey, Executive Director, has led the day-to-day management of NACCHO, after a 29-year career in local public health in Thurston County, Washington.

Patrick M. Libbey, Executive Director