1. Local Environmental Health in Colorado Presentation to the Colorado State Board of Health July 22, 2008 Jim Rada, REHS President Colorado Directors of Environmental Health

2. LOCAL PUBLIC HEALTH AGENCIES Gray : Organized Health Departments White : Nursing Services White with Spot : Nursing Service Counties with Local Environmental Services

3. Key Environmental Health Services Provided at the Local Level Retail Food Safety Water Quality Communicable and Zoonotic Disease Air Quality Emergency Preparedness Integrating Land Use and EH

4. Enhanced Environmental Health Services at the Local Level Oil and Gas Climate Change Asthma Indoor Air Quality Occupational Health Meth Labs Transportation Planning Pollution Prevention Confined Animal Feeding Water Pollution Body Art Hazardous Waste Solid Waste Drinking Water Lead HAZMAT Policy and Regulation Advocacy

5. Food Safety A safe food supply comes with many challenges Food is big business in Colorado Local food safety resources are stretched thin More resources are needed

6. Water Quality Water/Wastewater Aging infrastructure Oil and Gas impacts Impaired water bodies Fish consumption advisories for mercury

7. Communicable and Zoonotic Disease Outbreak Investigation (foodborne illness, institutions, pools) Many diseases are sporadic or cyclical (Plague, West Nile Virus) Surveillance and response funding issues

8. Air Quality Locals often first point of contact Thousands of new emission sources Oil and gas impacts Ozone issues Greenhouse Gas and Climate Change Initiatives

9. Emergency Preparedness Readiness for Community Public Health Emergencies Emergency planning money is diminishing

10. Land Use and EH Community growth and development has a PH component Helping to build Healthier Communities

11. Oil & Gas Wells in Colorado

12. Ongoing Environmental Health Challenges Strengthening cooperation/coordination between state/local environmental health and nursing programs Leveling environmental health services in all counties Funding environmental health programs adequately to address needs Establishing environmental public health leadership in our communities Finding and retaining the best professional employees available

13. LOCAL PUBLIC HEALTH AGENCIES Gray : Organized Health Departments White : Nursing Services White with Spot : Nursing Service Counties with Local Environmental Services

14. NEW STRUCTURE IN COLORADO Part 5 County & District Health Departments Part 6 Public Health Nursing Services Part 7 Regional Health Departments Local Public Health Agency The new law creates one type of local public health agency that fits with the needs and resources of the community it serves.

15. PUBLIC HEALTH REAUTHORIZATION ACT CDEH looks forward to assisting the State Board of Health to establish public health services and standards for Colorado. CDEH will gladly serve any local public health agency to develop a local public health plan based on the state plan. CDEH will actively participate in the development of the statewide public health plan will be approved by the State Board of Health.

16. http://www.publichealthalliance.org Colorado Directors of Environmental Health