State Associations of County and City Health Officials

State Associations of County and City Health Officials (SACCHOs) are organizations that represent local health departments or officials at the state level. Some SACCHOs are an office in the state’s department of health; many are informal organizations run by volunteers.

NACCHO collaborates with SACCHOs on many projects, including joint meetings, membership initiatives, education and training, and national advocacy for local public health. SACCHOs also work with state departments of health and other state and national public health organizations.

SACCHO membership complements NACCHO membership and provides a vital link between local and national public health. With 38 SACCHOs affiliated with NACCHO, public health professionals can become visibly engaged members of a local SACCHO while developing new contacts and increasing knowledge. Learn more by contacting NACCHO’s membership department at

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