Miller C A, Gilbert B, Warren D G, Brooks E F, DeFriese G H, Jain S C, Kavaler F
Am J Public Health. 1977 Oct;67(10):940-5. doi: 10.2105/ajph.67.10.940.
A study of public health statutes of the 50 states identifies 44 specific services or functions that are assigned to local health departments by all or some of the states. Authorizations are most commonly assigned conjointly both to local and state health departments; exceptions are identified. Data suggest striking inconsistencies between what local health departments are authorized to perform and the services they actually render with regard to a selected group of programs that involve personal health services. The full scope of authorizations for local health departments is not revealed by examination of public health statutes. For this reason, among others, development of up-to-date health codes for all states would be beneficial.
一项对50个州公共卫生法规的研究确定了44项特定服务或职能，所有或部分州将这些服务或职能分配给地方卫生部门。授权最常见的是同时赋予地方和州卫生部门；也发现了一些例外情况。数据表明，在涉及个人卫生服务的一组选定项目方面，地方卫生部门被授权执行的任务与它们实际提供的服务之间存在明显的不一致。仅审查公共卫生法规并不能揭示地方卫生部门的全部授权范围。出于这个原因以及其他原因，为所有州制定最新的卫生法规将是有益的。
