Local Health Departments and the Challenge of Chronic Disease: Lessons from California
Author: Bob Prentice, PhD, George Flores, MD, MPH
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The essential role local health departments have played in the control of infectious diseases has not been matched with an equivalent contribution in prevention of chronic diseases. Local health departments have attempted to define and build that capacity, but they have been confronted with budget cuts and competing public health priorities, most notably bioterrorism preparedness. This article is based on interviews with local health officials and describes some of the common ways local health departments in California have forged ahead to develop the capacity to engage in comprehensive approaches to chronic disease prevention in spite of the challenges. Additionally, the article highlights future considerations that need to be addressed if these promising trends in chronic disease prevention are to become more widespread.
Program: Public Health Infrastructure
Submitted Date: Sep 22, 2010 | Modified Date: Sep 30, 2025
Primary Toolkit: Health Equity and Social Justice Toolkit | Secondary Toolkit: Health Equity and Social Justice Toolkit
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Institution Type: Academic,
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