MMWR Morb Mortal Wkly Rep. 1994 Nov 18;43(45):839-43.
A year 2000 national health objective is to increase to at least 90% the proportion of persons who are served by a local health department (LHD) that is effectively performing the core functions of public health (objective 8.14) (1). A framework for examining essential roles and services of LHDs is critical to developing a surveillance system to monitor progress toward this goal (2-4). To characterize the activities, staff, expenditures, and jurisdictions of LHDs in the United States, during 1992-1993 the National Association of County and City Health Officials (NACCHO), in collaboration with CDC, surveyed all LHDs. This report summarizes the services provided by LHDs by population of the jurisdiction, the expenditures and staff to support these services, and type of jurisdiction.
2000年的一项国家卫生目标是，将接受有效履行公共卫生核心职能的地方卫生部门（LHD）服务的人口比例提高到至少90%（目标8.14）（1）。审查地方卫生部门的基本作用和服务的框架对于建立一个监测系统以监督在实现这一目标方面取得的进展至关重要（2 - 4）。为了描述美国地方卫生部门的活动、人员、支出和管辖范围，1992 - 1993年期间，县和城市卫生官员全国协会（NACCHO）与疾病控制和预防中心（CDC）合作，对所有地方卫生部门进行了调查。本报告按管辖地区的人口、支持这些服务的支出和人员以及管辖类型总结了地方卫生部门提供的服务。
