Florida Health Impact Report 2014-2015

201415by theNumbers

Florida HealthImpact Report

CONTENTS2015A Good Year for HealthyChoices | 2

Childrens Medical Services | 4

Cancer Centers of Excellence, Teen BirthRate, Infant Mortality, WaterproofFL,Public Health Dental Program, WICCelebrates 50 Years, Body and Soul OnlineToolkit | 5

Well Water Testing, Payment ProcessImprovements, Florida SHOTSEnhancements, School Health ServicesIncreased | 6

125 Years of Public Health Came to aClose in 2015, Prudential Awards | 7

Florida Health Online | 7

Medical Quality Assurance | 10

More Former Smokers than Smokers inFlorida | 11

Florida Health Responds | 12

Known, Emerging & Re-Emerging Disease,Training, Emergency ManagementInterpreters, Recovery Boot Camps,Project Public Health Ready | 13

Local Health Ofces Highlights | 14

19,548,031350.6your community,

PERSONS PER SQUARE MILE, 2010 AVERAGE, U.S. CENSUS

2.61your familyPERSONS PER HOUSEHOLD, 20092013 AVERAGE, U.S. CENSUS

Florida Health serves your state,POPULATION OF FLORIDA, OFFICE OF ECONOMIC AND DEMOGRAPHIC RESEARCH, 2014

1& you.

1We collaborate with other stateagencies, local governments,businesses, schools, hospitals,nonprofits, civic organizations, faith-basedgroups and communities to reshape thespaces and places in which we live so thathealthy choices are easier.

This impact report highlights thenumbers and stories of health for the paststate fiscal year. In sum, 201415 has beena good year for health in Florida, with justa few examples:

We have seen progress with HealthiestWeight Florida, involving more than 600public and private organizations andpromoting healthier eating and moreactive living at home, school and in theworkplace.

We have helped to keep ourcommunities safe from emergingcontagious diseases, like Ebola VirusDisease (EVD) and Middle EasternRespiratory Syndrome (MERS).

We have honored hundreds of healthprofessional veterans with expeditedlicenses, Floridas way of smoothingtransitions from military service to civilianpractice.

We know that public health enricheslives so that babies are born healthier andpeople live longer. Yet we also realize thathealth is more than statistics: health isultimately very personal, helpingindividuals and families achieve their lifegoals by staying in school, at work and incommunities, and celebrating importantevents like a 50th wedding anniversary or80th birthday!

After more than 125 years of Floridapublic health, I am confident that ourteamwork together will continue to helpmake Florida the healthiest state to live,work, play, practice and retire.

2015 StatewidePerformanceMeeting, OrlandoThis meeting of stateand local healthleadership is heldannually andshowcases bestpublic healthpractices in Florida.

STATE HEALTH OFFICE LEADERSHIP TEAM Left to right: Marty Stubbleeld, DeputySecretary for Administration; Kim Barnhill, Deputy Secretary for Statewide Services;Dr. John Armstrong, State Surgeon General and Secretary of Health; Dr. Celeste Philip, DeputySecretary for Health/Deputy State Health Ofcer for Childrens Medical Services; andJennifer Tschetter, Chief of Staff.

A Message from theState Surgeon General & Secretaryof Health Dr. John Armstrong

Rick Scott, Governor

John H. Armstrong, MD, FACS

The Department of Health serves nearly 20 million people who live in

Florida and 1.9 million visitors on any given day. Our 15,000 public health

professionals work daily across all 67 counties to protect, promote and

improve the health of Floridas children, adults and families.

36%

25%

39%

3soda

For more than two years,Healthiest WeightFlorida has broughttogether state agencies,

nonprofit organizations,businesses and entirecommunities to help Floridaschildren, adults and familiesmake consistent, informedchoices about healthy eatingand active living.

The number one public healththreat is unhealthy weight. InFlorida, only 36percent of Floridiansare at a healthyweight. A number offactors contribute tothis widespread health issue,making it difficult to address.Through Healthiest WeightFlorida, the Department focuseson five strategy areas to make adifference for Floridians.The initiative worksclosely with partners to:

1. Increaseopportunities forphysical activity

2. Increase access tohealthy foods

3. Promote health atthe workplace

4. Strengthen schools asthe heart of health

5. Increase publicawareness ofunhealthy weight andits associated healthoutcomes

TOP15

Over the next 20 years in

Florida, obesity is

expected to contribute to

millions of cases of

preventable chronic

diseases such as Type 2

diabetes, heart disease

and cancer, costing an

estimated $34 billion.

Currently, only 36percent of adultFloridians are at ahealthy weight. Onequarter are obese andthe rest are overweight.

Florida has moved from being in the top 20healthiest weight states to now being in thetop 15. Our goal is for Florida to bethe healthiest weight state in thenation.

5506 out of 10 childrentoday will beoverweight or obese

by the time theygraduatehigh school.

36%

2

$34,000,000,000

6

We have seenmeaningful

improvementsin 3 high school

behaviors forhealthy weight:

Sodaconsumptionand TV time

have decreased.

Physical activityhas gone up. +

To date, theDepartment isworking withover 550 stateand localorganizationsto promotehealthy weightin Florida.

Florida CHARTSHealthy Weight SnapshotHealthy Weight-related statistics can befound online at Florida CHARTS; Florida hasa robust data collection system, and it isone of the only states in the country with amethodology in place to collect and reportcounty level data in this highly accessibleformat. This information can now be usedto support community health assessments,provide data for health and weight relatedresearch, and encourage communities toimprove nutrition and increase physicalactivity.

Breastfeeding AwarenessTo celebrate Breastfeeding AwarenessMonth, Healthiest Weight released a suite oftools and promotional items to help createsupportive breastfeeding environments.Each week in August, a new component wasannounced, which introduced new andexciting resources for women and families,employers, child care facilities, hospitalsand healthcare professionals. The resourcesgenerated over 16,000 downloads from thewebsite, reaching Floridians across thestate.

Florida Health Cleans Up!FHCU! is a partnership with theDepartment of Transportation toincrease physical activity andcontribute to healthier, litter-freeenvironments. Through regularvolunteer clean-ups, employees and othercommunity members have cleaned over 313miles and collected approximately 10,553pounds of litter.

Fall into Healthy HabitsBecause fall is a great time of year to enjoythe outdoors with friends and family, theFall into Healthy Habits campaign offeredtools for Floridians to engage in theirfavorite activities in healthier ways.Included in the launch were healthy weightguides to camping, tailgating, gardening,geocaching and even enjoying Halloweenfestivities.

HealthyPromise FloridaHealthy Promise Florida, aninteractive campaign to promote healthychoices, was launched in January to kick off2015. Through the campaign website,Floridians can post a healthy promise andpersonal photo, and view the photos andpromises of others who have committed tolive healthier and more active lives.

Healthy CampreCooking ProgramTaught by Florida Park Rangers, the HealthyCampre Cooking Program is designed tocreate opportunities for park visitors to tryhealthier camping foods while learning newrecreational skills. In partnership with theFlorida Department of EnvironmentalProtection, Healthiest Weight created aseries of make-it-yourself healthy camprerecipes, which can be accessed on theirwebsite. The recipe cards also includerecommended activities to offset the caloriecount of the recipes.

Since the initiatives launch in 2013,Florida has seen improvement inthree key health behaviors of highschool students, including decreasedsugar-sweetened beverageconsumption, decreased time spentwatching television and increasedpercentage of students meeting therecommended levels of physicalactivity. This year, according to areport from the Centers for DiseaseControl and Prevention, Florida alsocelebrated a 7.1 percent decline inobesity rates among preschoolchildren from disadvantaged families;only 17 other states also saw declines.

In the past 12 months, the programhas launched 35 new and innovativeprojects as well as evidence-basedinterventions that engage a variety ofaudiences. Some notable examples:

16,000

313

3

2015a Good Year forHealthy Choices!

4Childrens Medical ServicesFor the Health of Floridas Children

60,000+

75,000

7,000

Medicaid ManagedCare PlanOn August 1, 2014, the Division ofChildrens Medical Services (CMS)began operating a statewideMedicaid managed care plan forchildren up to age 21 with chronicand serious physical,developmental, behavioral oremotional conditions. As of July 1,2015, the CMS Specialty Plan servesover 60,000 enrollees. Each memberhas a local nurse care coordinator toassist them and their family tonavigate through the health system.

20th Annual Childrens WeekThe 20th Annual Children's WeekApril 1317, 2015broughtthousands of children to FloridasCapitol for an opportunity to meetlegislators. CMS and the Division ofCommunity Health Promotioncelebrated Childrens Day on April 14by sharing health-focused messagesand materials to educate andencourage families to develophealthy food and activity habits. Dr.Armstrong participated in a youthtown hall meeting held the sameday.

Electronic Health RecordSystem Prudential AwardCMS moved to an electronic healthrecord system with an initialtransferring of over 100,000 medicalrecords, each record averaging 100pages. Mark LaLuzerne received a2015 Prudential ProductivityIndividual Award for thedevelopment of a procedure andsoftware application to scanmedical records into electronicformat taking less time withincreased accuracy. The reduction inprocessing time saved an estimated75,000 work hours, which wouldhave required additional staff.

Child Protection TeamStatewide ForensicInterview TrainingThe Special Technologies Unit andChild Protection Unit successfullyprovided an improved ForensicInterview Training format, whichempowers the CMS Child ProtectionTeam with skills necessary tointerview neglected and abusedchildren. This mandatory ve-daytraining is crucial in assessing thesafety of children and the team wasable to provide three sessions.Through web-based technology andthe use of a centralized location,costs were reduced for an effectivesavings of $124,038.

Florida Babies Get TheirHearing CheckedEach year, an average of 7,000newborns do not pass their hearingscreening. Floridas NewbornScreening Program conducts follow-up to ensure that additional testingis completed. In 201415, the lost-to-follow-up rate for babies that didnot receive the necessary follow-uptesting decreased from as much as30 percent to a record low of under10 percent. Newborn Screeningcontinues to improve follow-up,which means hearing loss isdetected early, maximizingopportunities for optimalcommunication development.

Medical Foster Care TrainingRegional Medical Foster ParentTrainers provided 10 Medical FosterCare (MFC) Parent Pre-ServiceTrainings during 201415, bringingaboard 60 new MFC parentsstatewide. The Tallahassee,Jacksonville, Gainesville, Orlando, St.Petersburg, Fort Myers and VieraCMS ofces and two areacommunity partners hosted theseweek-long trainings.

4032+21+16

5

21.7%Floridas overall 2014

infant mortality rate

equals the final 2013

U.S. rate of infant

deaths per 1,000 live

births.

This year, the Cancer Center of Excellence Award Program, which recognizesorganizations for demonstrating commitment to excellencebyproviding patient-centered coordinated care for those undergoing cancer treat-

ment and therapy in Florida, awarded the first ever Cancer Center of Excellence

Awards. Award recipients include the H. Lee Moffitt Cancer Center and Research

Institute, Mayo Clinic Florida, University of Miami Sylvester Comprehensive Cancer

Center and University of Florida Health Cancer Center, which includes University of

Florida Health Shands Hospital, Univer-

sity of Florida Health Proton Therapy

Institute and Orlando Healths Orlando

Regional Medical Center.

4

WaterproofFL

promotes

three layers of

protection

supervision,

barriers and

emergency

preparednessto keep

children safe near

swimming

pools.

Cancer Centersof Excellence

The teen birth rate in Florida is at ahistoric low. In 2013, the birth rate forteens ages 1519 was 23.8 per 1,000 livebirths. The data for 2014 shows the rate hasdecreased again to 21.7 per 1,000 live births.This marks a signicant decrease from the62 per 1,000 rate in 1994.

Floridas overall 2014 infant mortalityrate equals the final 2013 U.S. rate of6.0 infant deaths per 1,000 live births.Race/ethnicity national data were lastreported in 2012. Floridas 2014 infantmortality rates for black (11.0) and white (4.4)infants were lower than the 2012 U.S. ratesat 11.2 and 5.1 infant deaths per 1,000 livebirths, respectively. 2012 U.S. infant deathrates for Hispanic infants have yet to bereported.

WaterproofFL is a statewideinitiative that promotes the threelayers of protectionsupervision,barriers and emergencypreparednessto keep children safenear swimming pools. The Departmentprovided funding through 12 mini-grants tocommunity-based organizations to provide:water safety public awareness messagingthrough 150 television ads, 1,661 radio spots,and 8 billboards; education to 2,757 parentsand children; swim lessons to 611 children;896 door alarms; and training to familystrengthening agencies and child protectioninvestigators to conduct water safetyassessments during home visitations.

The Public Health Dental Programincreased the number of school-basedsealant programs from 28 programs in201314 to 32 programs in 201415. School-based and school-linked dental sealantprograms have been shown to reduce toothdecay by up to 60 percent (Childrens DentalHealth Project, 2013). Dental sealantsprevent 86 percent of cavities at one-thirdthe cost of a lling.

The Women, Infants and Children(WIC) Program celebrated its 40thyear of providing nutrition counseling,breastfeeding support and healthy foods toFloridas low income pregnant women, newmothers, infants and children under vewho are at nutritional risk in 2014. WIC is ashort-term intervention program designedto inuence lifetime nutrition and healthbehaviors in this targeted, high-riskpopulation during a time of critical growthand development.

In April 2015 Office of Minority Healthlaunched the Body and Soul OnlineToolkit to promote healthy eating andphysical activity. Body and Soul is a faith-based initiative designed to encourageAfrican Americans to eat a healthy diet andmaintain an active lifestyle. During theinitial launch 32 churches, 21 Local HealthOfces and 16 public and privateorganizations downloaded the toolkit.

Floridas teen birthrate at a historiclowfor ages 1519,per 1,000 live births.

6%

32

WIC celebratedits 40th year.

The PublicHealth Dental

Programincreased the

number ofschool-based

sealantprograms from

28 to 32programs in

201415.

32 churches, 21 LocalHealth Ofces and 16public and private organizationsdownloaded the Body and SoulOnline Toolkit.

3

6The Bureau of Environmental Health launchedthe Is Your Well Water, Well? campaign topromote private well testing and encourageFlorida residents who own and use privatewells to make sure their water supply is safeand healthy. Currently, one-fth of Floridas 19million residents own and use private wells. Thecampaign includes a comprehensive websiteand two public service announcements whichaired on Florida Public Broadcast Televisionreaching 8.6 million households.

Payment ProcessImprovementsThe Division of Administrationstreamlined the paymentprocess for pharmaceuticalpurchases and maximized the"cost of goods discount" withits prescription medicationprovider, Cardinal Health. Aftera full year, the team saved theDepartment over $2.5 millionand reduced the workload forboth the Department and theDepartment of FinancialServices. This cost savingsallows the Department topurchase additional vital drugsfor Florida residents.

Florida SHOTSEnhancementsFlorida SHOTS implementedsystem enhancements for theVaccines for Children Programto capture and monitor vaccinestorage unit temperatures forover 1,900 providersadministering publicallyfunded vaccines statewide.

The Department maintainedthe availability of varicella(chickenpox) and measles,mumps, rubella vaccines for allexposed persons at local healthofces. These vaccines areavailable to children and adultsregardless of ability to pay.

School HealthServices IncreasedThe Department increased thenumber of School HealthServices by 13 percent since200809. Increases in thenumber of students withchronic health conditionsrequiring school day healthservices combined withimproved coding of schoolhealth services in the HealthManagement System havecontributed to the increase inservices from 22,745,526 in200809 to 25,657,003 in201314. School Health Servicesinclude, but are not limited to,nursing assessments, growthand development screenings,and emergency health services.

Florida Health Promotes Well Water Testing

25,657,003

8.6 million

7Over 11,000 visitors saw the Departments 125Years of Florida Public Health exhibit at the Florida Historic Capitol

Museum between September 2014 and May 2015. Curators Tours

were hosted monthly every third Friday at the Museum from

October through April and included topics such as: History of Public

Health in Florida, Leprosy, Newborn Screening,

Civil Rights, Environmental Health, Tobacco Free

Florida and Healthiest Weight Florida. The exhibit

featured an opening reception and presentation

by State Surgeon General and Secretary of Health

Dr. John Armstrong

and several special

events including

An Evening with

Dr. John Agwunobi.

EXHIBIT EVENTSSeptember 30Opening Reception and Presentation by Dr. JohnArmstrong, state surgeon general and secretary of health.Watch: https://goo.gl/4GEDFo.

October 23 Lunch and Learn: The History of Being Born(Midwifery) in Florida with Dr. A.D. Brickler, CertiedMidwife Cindi Denbow, Licensed Midwife Jennie Joseph andformer Florida State Health Ofcer Dr. Charlton Prather.

March 19 An Evening with Dr. John Agwunobi: LeadershipThrough Preparation, Prevention and Response.Watch: https://goo.gl/sFzvWT.

April 12 Family Health Day, during National Public HealthWeek.

May 11 Exhibit Closing.

The 125 Years ofFlorida Public Health

Celebration Cameto a Close in 2015. . .

The PrudentialProductivityAwardsprogramrecognizes andrewards hard-working stateemployees whocreate and implementinnovative cost-savingand efciencyimprovements. TheDepartment submitted atotal of 72 nominations,of which 33 were chosenby the judges panel toreceive either a plaqueor cash award. The StateHealth Ofce receivedve awards and LocalHealth Ofces across thestate received 28 awards.Overall, the Departmentreceived the mostawards of any stateagency.

72

33

5

#1

NUTRITION EDUCATIONTHROUGH THE YEARS

. . . as Florida HealthContinued to Serveour Citizens & Visitors.

1894

1940

19561970s

1992

2014

The Department meets

Floridas residents and

visitors where they are, on

social media. By providing

engaging content and real

time response, social media

offers the Department an

interactive platform to

promote health in all places

and spaces.

Facebook: June 2015, 7,310 likes

Twitter: June 2015, 5,866 followers

Youtube: 525 videos, 217,831 lifetime views

LinkedIn:re-launched April 2015,7,085 followersan increase of 423in 3 months!

SoundCloud: 2,400 plays,34 tracks, 9 reposts, 27 likes,

80 downloads

7,3101,055,155

5,866 2,400

7,085

Pinterest:1,331 followers,

1,763 pins,34 boards

1,763

605

Issuu: overall impressions for all publications:1,055,155

217,831

& ALL SPACES

ALL PLACES

HEALTH IS INIS ISISS

&

Flickr: 605 photos

8

9Florida Newborn ScreeningResults Web AppChildrens Medical Services added functionality to theFlorida Newborn Screening Results onlineapplicationa system that generates results of testsperformed on newborn babiesallowing hospitalstaff to search by Kit Number, the unique barcode onblood specimen cards. The system enhancement helpsstaff save time by simply entering the kit number andbabys birth date to search; approximately 125 birthhospitals in Florida benefit from increased efficiency.

Trauma Informed Care WebsiteThe Florida Trauma Informed Care StatewideWorkgroup created a new Trauma Informed Care (TIC)website (www.oridatrauma.org), featuringinformation on trauma and toxic stress, lifetimeeffects of early adversity, trauma informed systemsand various related topics. Statewide and local area TICworkgroups use the new site to help raise traumaawareness and provide education and resources toproviders.

The CERC PortalThe Division of Emergency Preparedness and Responsedeveloped a state-wide plans repository where morethan 700 federal, State Health Office and Local HealthOffice emergency preparedness and response plansare stored in a searchable web-based portal. The portalis available to public health preparedness plannersand responders throughout the state.

Online Summer CampThe Department hosted the rst Florida Health OnlineSummer Camp using #FLHealthCamp, on Facebookand Twitter in July and August 2014. This free virtualinformation campaign highlighted a variety of healthtopics and aimed to encourage children to choosehealthy habits and engage in their communities.

Local Health DepartmentsLaunch New WebsitesBecause more Floridians than ever rely on the web astheir primary means of accessing health resources andinformation, the Department launched 67 new andimproved Local Health Ofce websites in February2015. The Local Health Ofce websites integrate withthe state website providing a unied web presencewith easy access to important public healthinformation at the local and state level. All sites areaccessible through www.FloridaHealth.gov.

Awards for ExcellenceThe Department received the Gold Medal Award fromthe National Public Health Information Coalition(NPHIC) for the in-house production of Welcome toSocial Media, a video featuring Dr. Armstrong. TheNPHIC Awards for Excellence were presented at the2014 National Conference for Health Communication,Marketing and Media in Atlanta, Georgia.

28,000PARTICIPANTS OF THE

OnlineSummer Camp

LEARNED TO:

Select events thatencouraged physical

activity.

Choose healthy,delicious meals and

snacks.

Protect againstmosquitoe and other

disease carriers.

Plant a garden.

Practice rst aid, sun,water and heat safety.

Plan for emergencies.

FLORIDAHEALTH

Online

700

125

88.32% Registered respiratory

therapistscompare to 78%

in 2013

Licensedrespiratory practitioners, critical carecompare to 62%in 2013

Licensed dietitians/nutritionists compare to 71% in 2013

Licensednutrition counselors compare to 56% in 2013

78.07%

Certified respiratory

therapistcompare to 55%

in 2013

Certified

78.02%

83.72%

d di titi / t iti i t

88.36%L

10

Florida has become the privileged home to anincreased health care workforce. The populationof licensed health care practitioners in Floridaincreased by 15.9 percent since 2010, while theresident population increased by only 5.5 percent.MQA received 119,968 license applications andissued 86,408 licenses between July 1, 2014, andJune 2, 2015, and the Department has made aconcerted effort to reduce regulation andeliminate unnecessary barriers to licensure. Dueto newfound efficiencies and processes, severalboards were able to expedite their licensureprocess and help get Floridians to work faster. TheBoard of Medicine and Board of Nursing reducedlicensure time by a combined 25 days, leading toan additional $60,000,000 in potential salaryearned and a boost to the Florida economy.

Licensure TimeReducedBoosts Delivery of Care & State Economy

$60,000,000Unlicensed Activity& EnforcementBetween July 1, 2014, and June 30, 2015,MQA received 1,094 complaints ofunlicensed activity, referring more than 90percent for investigation. Additionally, 398cease and desist notices were given tounlicensed practitioners whoseunregulated and illegal activity could bedisguring and even deadly to its victims.This is a 72 percent increase from last scalyear.

VALORMQA works to honor and support veterans,current members of the military and allmilitary families to help make Florida themost veteran-friendly state in the nation.Between July 1, 2014, and June 30, 2015, 113practitioners obtained their licenses usingthe VALOR program and 1,043 practitionerswere able to use the military fee waiver.MQA is currently working with the FloridaDepartment of Veteran Affairs to furtherraise awareness about the program whilepromoting job opportunities within LocalHealth Ofces.

The Division of MedicalQuality Assurance (MQA)

Are YouRenewalReady?In January, MQAsBureau of Operationskicked off its Are YouRenewal Ready?campaign to remindhealth carepractitioners to reportcontinuingeducation/continuingmedical education(CE/CME)requirements prior torenewing theirlicense. Following thecampaign outreachefforts, the rstgroups of mandatoryCE/CME reportingprior to renewalshowed their highestpercentage ofreporting ever.

11

More FormerSmokers thanSmokers in Florida

16.8%

7.5%Since the launch of Tobacco Free

Florida, the Department has made

signicant progress in preventing

youth from smoking and helping adults

quit. In 2014, Floridas youth smoking rate

reached an all-time low. Only 4.3 percent of

Florida youth, ages 11 to 17, were current

cigarette smokers. There were 59 percent

fewer youth smoking cigarettes than before

the Tobacco Free Florida program launched

in 2007. The smoking rate among Florida

high school students was 7.5 percent in

2014, which was one of the lowest in the

country.

Among adults in Florida, the most current

cigarette smoking rate was 16.8 percenta

rate lower than the national average of 19

percent. In fact, there are more former

smokers than current smokers in the state.

More than 126,000 Floridians have

successfully quit using one of Tobacco Free

Floridas 3 Free & Easy Ways to Quit.

Quit & TellIn 2015, Tobacco Free Florida launched a

new initiative called Quit and Tell, which

celebrates Floridians who have quit tobacco

and encourages them to share their stories

to inspire others to join them. The Quit and

Tell launch coincided with the seventh

annual Tobacco Free Florida Week from

April 27 to May 3. Floridians can

Quit and Tell at tobaccofreeorida.com/

quitandtell. They can also join the

conversation on social media by sharing

their personal quit stories using the

hashtag #QuitAndTell.

126,000+

12

The Department provides 24/7 diseasesurveillance in Florida. Over the past year, theDepartment has increased the number of hospitals and urgent care

centers submitting data to 205 emergency departments (ED) and 32

urgent care centers capturing 87 percent of all ED visits in Florida.

Through review of ED data, 262 previously unreported reportable

disease cases were identified. Over 9.4 million electronic disease

results were received and processed representing a 51 percent

increase in volume from the previous year.

In response to the 2014 Ebola outbreak, Personal ProtectiveEquipment packages were developed and delivered to 31locations across Florida to help local hospitals and firstresponders manage patients with highly infectious diseases.

Five Ebola Virus Disease (EVD) seminars were provided to morethan 280 health care professionals throughout the state on how tomanage highly infectious patients.

The Department delivered more than 80 community-based EVDpresentations to educate health care providers, emergencymanagers, schools, law enforcement, elected officials, faith-basedorganizations and residents on the EVD virus, disease andprevention steps.

The Bureau of Public Health Laboratories conducted 20 infectioussubstances packaging and shipping training classes for over 500participants from over 200 facilities. The Bureau also helpeddevelop EVD diagnostic specimen collection, packaging, andshipping guidance for laboratories and county health departmentsand guidance for point of care testing for patients suspected of EVDor confirmed EVD.

The Department monitored 430 travelers from Ebola-affectedcountries, ruled out over 150 suspected EVD cases and conductedEVD testing on four individuals (receiving results within eight hoursof receipt).

FloridaHealth

Responds

9.4 million+

24/7

13

Delivered more than 80community-based EVD

education presentations.

The Bureau ofPublic HealthLaboratoriesconducted 20infectioussubstancespackagingand shippingtraining classes forover 500 participants.

Known, Emerging & Re-EmergingDiseases In 201415, the Departmentconducted investigations into several highpriority health threats from known,emerging, and re-emerging diseases,including measles, chikungunya and theEbola Virus Disease. Twelve locallyacquired cases of chikungunya wereinvestigated and 500 travelers associatedwith the chikungunya cases were alsoidentied and investigated. Floridaresponded to 10 confirmedmeasles cases andinvestigated over 7,000potential contacts.

Training The Department deliveredPublic Health Response Strike Team Leaderorientation training to 179 participants atseven locations around Florida. Thistraining provided an overview ofresponsibilities and expectations of anEmergency Support Function strike teamor task force leader. A self-paced, onlinetraining was also made available on TRAINFL.

Refresher Nursing Skills Training wasprovided in every Florida region, resultingin 210 trained nurses who can operate andstaff Special Needs Shelters (SpNS) duringan emergency. While an emergency shelteris the responsibility of local emergencymanagement, stafng an SpNS is providedby Local Health Ofce nurses and otheremployees.

Emergency ManagementInterpreters With support from publicand private partners, the Departmenthelped create an emergency managementtraining and credentialing process forAmerican Sign Language interpreters whoare available for disaster deployments toensure effective communication.

Recovery Boot Camps The Departmenthosted three Recovery Boot Camps withthe Florida Division of EmergencyManagement and U.S. Department ofHealth and Human Services. Participantsfrom health care coalitions and LocalHealth Ofces received an in-depth look athow to meet short and long-term post-disaster needs of communities.

Project Public HealthReady Florida increasedthe number of Local HealthOfces that meet Project PublicHealth Ready (PPHR) recognition. Ninety-two percent of Floridas Local HealthOffices received PPHR recognition, whichis based on nationally recognizedstandards for local public healthpreparedness.

92%

31Ebola

Five Ebola Virus Disease(EVD) seminars wereprovided to more than280 health careprofessionals.

Personal ProtectiveEquipment packageswere developed anddelivered to 31locations in Florida.

280+

80+500+

The Department ruledout over 150

suspected EVD cases.

150

+

7,000+

Bay Incollaboration withthe Bay CountyDiabesity ActionTeam, promotedhealthy weight as acomponent ofavoiding Type 2diabetes. Screenedover 1,000 residents,of whichapproximately 9%indicated increasedrisk for Type 2diabetes. As a result,161 residents aretaking stepstoward loweringtheir risk ofdiabetes by increasing physical activity, losing weight andimplementing simple diet changes.

Calhoun Hosted a Womens Health Seminar titled,Your Health. Your Life. Taking Shape for a Healthier You.Motivational speaker Wendie Pett, from the nationallysyndicated television program, Visibly Fit, discussedopportunities for women to adopt healthy lifestyles.

Escambia Promoted the four 5-2-1-0 behaviors of 5fruits and vegetables, 2 hours or less screen time, 1 hour ofphysical activity and 0 sugary drinks, known to impact weightand health, in multiple settings throughout Escambia County.Implemented 5-2-1-0-based interventions in 12 schools, 6 childcarecenters, and numerous community organizations and at over 47community events, making over 149,800 direct contacts withcommunity members.

Members of DOH-Escambia promote the 5-2-1-0 behaviors ata local event. From left to right: Julie Terrell, Dixiana Bray, AinzaPerry, Dr. John Lanza, Deborah Tucker, Sherry Sparks and PamHagan.

161

Holmes As part of theHealthiest Weight Floridainitiative, partnered with DOH-Washington, Farm Share ofQuincy and local faith-basedorganizations to distribute freehealthy food to 383 families inthe community on Food Day 2014.Recipients received freshvegetables, whole-grain bread,water, juice and educationalmaterials.

149,800+

JacksonPlanted a communitygarden with the help ofthe Jackson CountyMaster GardenersAssociation to promotehealthy food choices.Thanks to the hardwork of Departmentemployees, nearly 90pounds of nutritiouswinter greens,broccoli andcauliflower weredonated to a localfood bank.

383

Emerald Coast

15

Liberty Launched FLASH (FitLifestyles Active Strong Healthy) initiativewhere participants were encouraged toincrease physical activity by attendingweekly tness classes provided by DOH-Liberty. A total of 986 pounds were lostby participants.

Santa Rosa As part ofthe Departments Healthiest WeightFlorida initiative, hosted the 2015 Walkfor Mommy and Me at the Santa RosaCounty Auditorium in Milton. The eventfeatured 68 vendors, games, face paintingand was attended by over 300 people.

Okaloosa Doubled thenumber of students who participated inStudents Working Against Tobacco(SWAT) in Okaloosa County relative to theprevious year. Due to the increasedparticipation, SWAT students were ableto give a series of original, educationalpresentations to more than 400elementary school students.

Washington Along withDOH-Holmes, organized PINK Night forthe Northwest Florida ChampionshipRodeo to recognize cancer survivorsand commemorate cancer victims.Survivors and those representing victimswere recruited to participate in amoment of silence followed by a 1,000-balloon release in their honor. Inaddition, eight riders carried pink andblack breast cancer awareness agsduring the Grand Entry and NationalAnthem.

Walton Partnered with WaltonHigh students, teachers and schoolnurses to promote healthy behaviorsthrough HOPE classes (HealthOpportunities through PhysicalEducation) at Walton High. Over 350students participated and at the year-end evaluation, 86% of underweightstudents and 45% of overweightstudents made progress toward theirgoals, gaining 214pounds and losing478 pounds,respectively.

400+

986lbslost

School garden maintained by second grade students at Freeport Elementary in Walton County.

300+

16

Emerald Coast

Gadsden WIC in GadsdenCounty hosted a cooking demonstrationby the Florida Department of Agricultureand Consumer Services to promote theFarmers Market Nutrition Program.The demonstration encouraged healthyeating and healthy living in Florida andwas enjoyed by clients and staff.

1,674

5+lbs.

Jefferson Promoted physical activity,healthy lifestyles, bicycle safety and school readinessat their Back to School Jefferson County event. Theevent was held at Jefferson Arms Apartments, included10 vendors and reached more than 300 childrenand parents.

Leon Through a partnership withLeon County Schools, United Way of theBig Bend and Whole Child Leon, servedMedicaid-eligible children with the AllAboard the Molar Express for a SmileUnited campaign. In total, reached 11schools, 544 students and sealed 1,674teeth.

Madison Partnered withMadison County Memorial Hospital andthe Junior Auxillary to provide freemammograms and diagnostic breastcare services to underserved women inMadison County. Approximately 22 eligiblewomen will receive over $9,000 in freeservices.

Taylor Collaborated with thecity of Perry and local businesses todisplay red bows to raise awareness forheart health during February, HeartHealth Month. Red bows were hungoutside local businesses and throughoutthe downtown corridor.

1,002Wakulla Wakulla CountyStudents Working Against Tobaccoparticipated in the yearly WakullaCoastal Cleanup event. 30 youth and10 adults collected more than fivepounds of cigarette butts andseveral pounds of debris and trashalong the coast and coastal highways.

Capital17

Alachua To help control the spread of u, immunized almost14,000 students in public, private and charter schools through its school-basedvaccination program making this years campaign the most successful in theprograms history.

~14,000

Columbia Partneredwith the Richardson CommunityCenter to provide dental servicesto summer program participants.During the weeklong event,DOH-Columbias dental bus caredfor 47 children and provided 180services such as restorations,extractions and sealants.

Gilchrist Partnered with theGilchrist County School Districts SchoolHealth Advisory Committee to coordinatethe rst annual Employee Health andWellness Day for county school staff. Thisevent allowed employees an opportunityto explore healthier lifestyle options.

Hamilton Received a $5,000Physical Activity and NutritionInitiatives in Florida grant from theFlorida Comprehensive Cancer ControlProgram to educate the countys Blackcommunity. The grant was used toincrease awareness about cancertreatment and prevention and to highlightthe importance of early detection.

Bradford Held acommunity-wide event to celebrateNational Food Day with theUniversity of Florida Institute ofFood and Agricultural Services,Anytime Fitness, Subway andother local partners. 120community members wereeducated and trained on thebenets of home gardening,exercise and healthy food choicesand were given free BP and BMIchecks. 180

120

DixieAttainedaccreditation asProject PublicHealth Ready fromthe NationalAssociation ofCounty and CityHealth Ofcers byexhibiting itsability torespond toemergencies,reassuring citizensand countyofcials of theDepartmentsability to lead inthe event of adisaster.

North Central

18

11 miles

Left to right, DOH-Marion employees SheilaStorlie, Tina Robinson-Plumb, Megan Reimer,Randy Ming, Daniel Dooley and Lastenia Martenshelped keep Southeast 52nd Street in Ocalabeautiful.

Marion Recognized by the National Association of County and City HealthOfcials (NACCHO) for its partnership with the College of Central Florida, which NACCHOnamed a model practice. By collaborating with the college, the dental clinic was ableto expand from two stations at the local facility to eight treatment areas at thecolleges Hampton Center.

Lafayette Planted four gardenbeds with a group of Mayo citizens to createa community garden, promotephysical activity and encouragehealthy eating. In addition, collaboratedwith DOH-Suwannee to participate inHealthiest Weight Floridas Florida HealthCleans Up initiative. Enjoyed physical activityand picked up several large bags of litteralong the Heritage Trail in Live Oak, anapproximately 1.1 mile-long trail.

Levy Promoted healthy eating andphysical activity by working with LevyCounty middle schools students topromote exercise and healthy eating.Contributed to the curriculum of physicaleducation classes for a day to promotehealthy concepts, conducted a eld dayand awarded prizes to students through apartnership with Action for Healthy Kids.

1,000Suwannee Participated inKids Day in Live Oak, an event attendedannually by an estimated 1,000 children. Set up a booth at Kids Day, encouragedphysical activities such as jumping jacks and passed out goody bags that includedhealthy eating activity books, water, bike safety information and a toothbrush.

UnionAs part of thestatesHealthiestWeightFloridainitiative,kicked off a90-dayweight losschallengewith a staffbreakfast thatincludedpresentations onadopting a healthylifestyle and healthybreakfast food alternatives.In total, 20 staff membersparticipated, andemployees lost acombined 124 poundsduring the challenge.

124lbs.

North Central

19

6.5million

Nassau Teamed up with Nassau County EmergencyManagement to form a countywide Ebola IncidentManagement Team from October 2014 to February 2015.Provided Ebola preparedness training to community partnersand conducted a full-scale drill and tabletop exercise to testcapabilities.

Putnam Completed Operation Boomerang, a public healthmission designed to decrease the rate of tuberculosis in the Black farmingcommunity. Using a business case scenario as entry to care and developingtrust in the community, Operation Boomerang achieved a 93% successrate.

Clay Sponsored a multitude ofhealthy activities throughout thecounty, including six Adopt-A-Milecleanup events that resulted in staffwalking over 90 miles to providetrash-free roadways. In addition,brought 50 partners to demonstrate allaspects of healthy life at the MiddleburgHigh School Health Expo.

Duval HeldChildhood ObesityPrevention Summit incollaboration with IMA STAR Foundation,Healthy Jacksonville,Duval County PublicSchools and Subway tobuild a youth-ledhealthy living plan andpromote healthy habitsleading into theholiday season. Morethan 500 studentsparticipated.

FlaglerTobacco Free Flaglercollaborated with thecounty school districtto update its wellnesspolicy for theupcoming year. As aresult, the countyschool district addedtwo tobaccoprevention classesfor 20152016.

St. JohnsAwarded the 2015Governors SterlingAward, the highestaward a private orpublic organization canreceive forperformanceexcellence in Florida.As a role modelorganization, St. Johnsprovided core publichealth services to219,000 residentsand approximately6.5 million visitors.

90+m

iles

Mary Garcia, administrator for DOH-Putnam, MayorTerrill Hill of the City of Palatka and Putnam CountyCommissioner Chip Laibl participated in the Walk withthe Mayor event on April 1, 2015.

900+500+

Baker Began a newCommunity Health AssessmentSurvey to better evaluate thehealth of Baker County residents.At time of publication, over 900surveys have been receivedfrom the community.

Northeast

20

Broward Recognized as the Large Local HealthDepartment of the Year 2015 by the National Association of Countyand City Health Officials (NACCHO). NACCHO also awarded DOH-Browardthree Model Practice Awards and selected fourDOH-Broward practices as Promising Practices in 2015. Miami-Dade Provided

educational and preventive dentalservices to 14 schools and six Head StartCenters within the county through theirSeals on Wheels Mobile Dental Program.In an effort to decrease disparities in oralhealth throughout the county, provided1,643 dental sealants and 5,000dental procedures to children, freeof charge.

5,000#1

Monroe DOH-Monroes WIC Program received the IBCLC CareAward from the International Board of Lactation Consultant Examiners andthe International Lactation Consultant Association. The award recognizesfacilities that maintain high standards for breastfeeding education,support and promotion and DOH-Monroes WIC is one of only ninecommunity-based programs in the United States to receive the award.

Palm Beach Worked with theObesity Coalition, Diabetes Coalition and 32 othercommunity stakeholders to provide communityawareness and screening for diabetes. In total,screened more than 2,500 residents at over 67locations. In addition, the Maternal Child Health Divisionhelped improve pregnancy outcomes, reduce lowbirth weight, increase parenting skills, establishmedical homes for women and their babies,coordinate immunizations, reduce child abuse andneglect, improve paternal literacy, and increaselevels of family self-sufciency. Over 850 familieswere served.

1of9

850+Southeast

21

12%

$100,000

Lake Working with clients, peer breastfeeding counselors and three localhospitals, WIC increased the number of mothers who breastfeed by 12%. All threehospitals have committed to the goal of becoming baby friendly. The Baby FriendlyInitiative enhances hospital efforts to systematically integrate the Ten Steps toSuccessful Breastfeeding.

Orange Through the implementation of Tuberculosis (TB) Video DirectObservation Therapy, reduced cost per TB patient by $655.35 and increased patient

compliance with treatment protocol byallowing staff to observe medicationcompliance through the clients smartphonedevice.

Brevard Earned a ModelPractice Award for their EmergencyDepartment Diversion Dental Program,a Promising Practice Award for theirDrowningPreventionAwarenessProgram, andPrudentialProductivityAwards wereearned by theVaccine SupportTeam and the TeenPregnancy Reduction Team.

MartinAddressed the issue ofchildhood obesity byproviding outreachand education onachieving a healthyweight. Activitiesreached children andfamilies in schools, atlibraries andcommunity centers.65 programsreached more than1,000 residents.

IndianRiver Acceptedthe 2015 OrganizationSapphire Award and acheck for $100,000from the Florida BlueFoundation for theirwork in Protocol forAssessing CommunityExcellence inEnvironmental Healthand the opening of apediatric clinic inGifford.

1,000+

Central22

700+

$14,000Osceola Awarded $14,000 by the American Cancer Society, FloridaDivision, to participate in the Practice Improvement Program to increase colorectalcancer screening in Florida. Two Department representatives attended the 80% by 2018Colorectal Cancer Summit and returned to train organization staff.

St. LucieIn collaboration withschool nurses andcommunity partners,addressed childhoodobesity with the5-2-1-0 program,resulting in a 2%decrease in thenumber of rst, thirdand sixth graders whowere overweight inthe last year.

2%

Seminole In partnershipwith community organizations,

created the Pick of the Pantrycookbook, which features healthyrecipes that can be preparedusing ingredients found inlocal food pantries, farmers

markets and grocery stores.Distributed the cookbook to more

than 700 Seminole County residents.

Dr. Swannie Jett, health ofcer for DOH-Seminole (left),and Venise White, grants administrator (right), participatedin the rst annual Live, Work, Move Seminole 5K and HealthExpo during National Public Health Week.

Volusia To improve community safety, investigated263 pools through the Abandoned Wells Project in aneffort to locate closed public pools and make them known tolocal building code ofcials. A total of 10 Volusia County poolswere classied as abandoned through site visits and the poolswere either secured or demolished.

23

Central

DOH-Hillsborough coordinated with hospitals and local, state and federalrst responders to test their emergency plans during the annual, countywideMass Casualty Exercise.

HillsboroughAs part of the Healthiest WeightFlorida initiative Florida HealthCleans Up, adopted the IgnacioHaya Linear Park in Tampa.During four scheduled parkcleanup events, staff and familycollected more than 1,500pounds of trash, raisedawareness about the mostcommon types of litter,increased physical activityamong staff and promotedhealthier environments.

1,500lbs.

HernandoHernando CountyHealthy Start hostedthe 2015 WorldsGreatest Baby Showerevent. Thirtycommunity partnerscombined efforts toprovide education,resources and fun formore than 250expectant families.

1,290+Citrus Provided quality care to Citrus Countysunderserved and uninsured population with their MobileHealthcare Unit. Providing the same services available in brick-and-mortar facilities, units and staff served local homelessshelters monthly, saw over 1,290 dental clients and over 378primary care clients.

Hardee Healthy Start in Hardee Countyencouraged and assisted residents to keep children safeby providing 78 car seats along with installationeducation. Staff also fitted and distributed59 bicycle helmets and provided bicyclesafety education to Hardee County children.

250+

59

West

24

$17,000Pinellas Offered select WIC and Nutrition services via a drive-thruwindow, the rst of its kind in the nation. The window, which serves more than 250clients monthly, was awarded a 2014 Davis Productivity Award, was named a PromisingPractice by the National Association of County and City Health Ofcials, and saved thecounty almost $17,000.

Polk DOH-Polks Emergency Preparedness Unit worked with local schools tointroduce a Junior Medical Reserve Corps (MRC) for students interested in pursuingcareers in the medical eld or in emergency management. In its rst year, the JuniorMRC had 23 participants from three local schools in the program.

SumterGraduated a total of 117children from SwimSafe Sumter, adrowning preventionprogram for childrenages three through 12.In its third year ofservice, Swim SafeSumter has trained 547Sumter County childrenin life-saving swimmingsafety techniques.

Manatee Responded to a conrmed case ofmeningococcal meningitis in a pre-kindergarten student bysetting up an on-site clinic to provide prophylacticmedication and education to all who had been in close contactwith the student. The clinic was deployed and immunizationswere nalized within 24 hours of the meningitis conrmation.Staff immunized 79 students, 15 family members and 13 schoolfaculty members,successfullypreventing additionalcases.

117

3,876lbs.

23

Pasco Along with local partners,led a Drop 5 Team Challenge. Schools,public, private and faith-based groupscommitted to dropping 5% of their teamsweight over a 12-week period. More than80 teams and 1,000 participants lost acombined 3,876 pounds.

79+15+13

West

25

22

Collier Responded totuberculosis case at a Collier Countyhigh school. Offered free testing to thoseat risk of becoming infected, offered aninformational meeting for concernedparents and initiated a dedicated phone line for questions orconcerns from the public. 111 students and staff who mayhave been exposed to TB were screened.

DeSoto Partnered with theDeSoto County School District, and theTooth Fairy, to participate in the FloridaHealthy School District program. As aresult of this collaboration, the countyschool district has been recognized as aFlorida Healthy School District at theSilver level for the period of May 2015 toApril 2017.

Charlotte Participated inthe Parkside Community Fall Festivalby providing rst-aid stations.Employees and volunteers workedclosely with event coordinators toprovide a safe environment forcommunity members to enjoy greatweather, great food and great events.

Glades Developed youthleadership by coordinating over 20outreach activities for Students WorkingAgainst Tobacco (SWAT) members inGlades County. There are more than 50SWAT members in Glades County thathave gained real-life experiences throughplanning, executing and evaluatingtobacco prevention activities.

50+

Hendry Challenged the community tolose 2,014 pounds in the year 2014 as part of theHealthier Me 2014 Initiative, which was part ofHealthiest Weight Florida. More than 15 teams metthe challenge and lost a total of 2,015 pounds.

2,015lbs.111

Southwest

26

Okeechobee Tackled food insecurity by workingwith Treasure Coast Food Bank, Okeechobee Medical ReserveCorps volunteers and community partners to bring mobile foodtrucks into Okeechobee County monthly. Distributed a total of116,663 pounds of fresh fruits, meats and dairy products to1,162 families, a total of 5,231 residents served.

Sarasota Collaborated with Sarasota County,Mote Marine Laboratory and local municipalities to expandthe Healthy Beaches Program, conducting sampling weeklyat 16 area beaches.16

Highlands In partnershipwith the Highlands County SchoolDistrict, the Dental Sealant Programprovided 379 sealant services anddental exams to second gradestudents throughout Highlands Countyduring the 201415 school year.

LeeUtilized theProtocol forAssessingCommunityExcellence inEnvironmentalHealth in PineManor toincreasecommunitypride and lowerthe crime rate.Pine Manor nowhas 70% lesscrime andongoing healthy-living activitiesare teaching adultand youthresidents job andlife skills.

37970%

116,663lbs.

Southwest

27

Alachua 224 S.E. 24th St.Gainesville 32641(352) 334-7900FAX (352) 955-8837

Baker 480 W. Lowder St.Macclenny 32063(904) 259-6291, ext. 2230FAX (904 ) 259-4761

Bay 597 W. 11th St. Panama City 32401(850) 872-4455FAX (850) 747-5475

Bradford 1801 N. Temple Ave. Starke 32091(904) 964-7732FAX (904) 964-3829

Brevard 2575 N. Courtenay Pky.Merritt Island 32953(321) 454-7111FAX (321) 454-7154

Broward 780 S.W. 24th St. Ft. Lauderdale 33315(954) 467-4700FAX (954) 760-7798

Calhoun 19611 S.R. 20 WestBlountstown 32424(850) 674-5645FAX (850) 674-5420

Charlotte 1100 Loveland Blvd.Port Charlotte 33980(941) 624-7200FAX (941) 624-7258

Citrus 3700 W. Sovereign PathLecanto 34461(352) 527-0068, ext. 264FAX (352) 527-8858

Clay 1305 Idlewild Ave.Green Cove Springs32043(904) 529-2800FAX (904) 529-2802

Collier 3339 Tamiami Trail EastSuite 145, Bldg. H Naples 34112(239) 252-8200FAX (239) 774-5653

Columbia 217 N.E. Franklin St.Lake City 32055(386) 758-1068FAX (386) 758-3900

DeSoto 34 S. Baldwin Ave. Arcadia 34266(863) 993-4601FAX (863) 993-4606

Dixie 149 N.E. 241st St.Cross City 32628(352) 498-1360FAX (352) 498-1359

Duval 900 University Blvd.NorthJacksonville 32211(904) 253-1010FAX (904) 253-2743

Escambia 1295 W. Faireld Dr.Pensacola 32501(850) 595-6500FAX (850) 595-6745

Flagler 301 Dr. Carter Blvd.Bunnell 32110(386) 437-7350FAX (386) 437-7353

Franklin 139 12th St. Apalachicola 32320(850) 653-2111FAX (850) 653-9896

Gadsden 278 LaSalle LeFall Dr. Quincy 32353(850) 875-7200, ext. 325FAX (850) 875-7210

Gilchrist 119 N.E. 1st St. Trenton 32693(352) 463-3120FAX (352) 463-3425

Glades 1021 Health Park Dr. Moore Haven 33471(863) 946-0707FAX (863) 946-3097

Gulf 2475 Garrison Ave. Port St. Joe 32456(850) 227-1276FAX (850) 227-1766

Hamilton 209 S.E. Central Ave.Jasper 32052(386) 792-1414FAX (386) 792-2352

Hardee 115 K.D. Revell Rd.Wauchula 33873(863) 773-4161FAX (863) 773-0978

Hendry 1140 Pratt Blvd.LaBelle 33935(863) 674-4041, ext. 108FAX (863) 674-4076

Hernando 300 S. Main St.Brooksville 34601(352) 540-6800FAX (352) 754-4132

Highlands 7205 S. George Blvd.Sebring 33875(863) 386-6040FAX (863) 402-5435

Hillsborough 1105 E. Kennedy Blvd.Tampa 33602(813) 307-8000FAX (813) 272-6984

Holmes 603 Scenic CircleBonifay 32425(850) 547-8500FAX (850) 547-8515

Indian River 1900 27th St.Vero Beach 32960(772) 794-7400FAX (772) 794-7453

Jackson 4979 Healthy WayMarianna 32446(850) 526-2412FAX (850) 482-9978

Jefferson 1255 W. Washington St.Monticello 32344(850) 342-0170FAX (850) 342-0257

Lafayette 140 S.W. Virginia CircleMayo 32066(386) 294-1321FAX (386) 294-3876

Lake 16140 U.S. Hwy. 441Eustis 32726(352) 589-6424FAX (352) 589-6492

Lee 3920 Michigan Ave.Ft. Myers 33916(239) 332-9501FAX (239) 332-9656

Leon 2965 Municipal WayTallahassee 32304(850) 606-8150FAX (850) 487-7954

Levy 66 W. Main St.Bronson 32621(352) 486-5300FAX (352) 486-5307

Liberty 12832 N.W. Central Ave. Bristol 32321(850) 643-2415FAX (850) 643-5689

Madison 218 S.W. Third Ave.Madison 32340(850) 973-5000FAX (850) 973-5007

Manatee 410 6th Ave. EastBradenton 34208-1968(941) 748-0747, ext. 1222FAX (941) 747-7347

Marion 1801 S.E. 32nd Ave.Ocala 34471(352) 629-0137FAX (352) 694-1613

Martin 3441 S.E. WilloughbyBlvd.Stuart 34994(772) 221-4000FAX (772) 221-4966

Miami-Dade 1350 N.W. 14h St.,Suite 300Miami 33125(305) 324-2400FAX (786) 336-1297

Monroe 1100 Simonton St.Key West 33040(305) 293-7500FAX (305) 809-5619

Nassau 30 S. 4th St.Fernandina Beach32035(904) 548-1800FAX (904) 277-7286

Okaloosa 221 N.E. Hospital Dr.Ft. Walton Beach32548(850) 833-9240FAX (850) 833-9252

Okeechobee 1728 N.W. 9th Ave.Okeechobee 34972(863) 462-5819FAX (863) 462-5280

Orange 6101 Lake Ellenor Dr.Orlando 32809(407) 858-1400FAX (407) 858-5514

Osceola 1875 Boggy Creek Rd.Kissimmee 34745 (407) 343-2016FAX (407) 343-2002

Palm Beach 800 N. Clematis St.West Palm Beach33401(561) 840-4500FAX (561) 837-5197

Pasco 10841 Little Rd.New Port Richey 34654(727) 619-0300, ext. 305 Fax (727) 862-4230

Pinellas 205 Dr. Martin LutherKing Jr. St. NorthSt. Petersburg 33701(727) 824-6900FAX (727) 820-4275

Polk 1290 Golfview Ave.Bartow 33830(863) 519-7900, ext.11002FAX (863) 534-0293

Putnam 2801 Kennedy St.Palatka 32177(386) 326-3200FAX (386) 326-3350

Santa Rosa 5527 Stewart St.Milton 32570(850) 983-5200FAX (850) 983-4540

Sarasota 2200 Ringling BlvdSarasota 34237 (941) 861-2900FAX (941) 861-2837

Seminole 400 W. Airport Blvd.Sanford 32773(407) 665-3000FAX (407) 665-3259

St. Johns 200 San Sebastian ViewSuite 1322St. Augustine 32084(904) 209-3250FAX (904) 823-6875

St. Lucie 5150 N.W. Milner Rd.Port St. Lucie 34983(772) 462-3800FAX (772) 873-4960

Sumter 415 E. Noble Ave.Bushnell 33513(352) 569-3102FAX (352) 793-1506

Suwannee 915 Nobles Ferry Rd.Live Oak 32064(386) 362-2708FAX (386) 362-6301

Taylor 1215 N. Peacock Ave.Perry 32347(850) 584-5087FAX (850) 584-8653

Union 495 E. Main St.Lake Butler 32054(386) 496-3211FAX (386) 496-1599

Volusia 1845 Holsonback Dr.Daytona Beach 32117(386) 274-0500FAX (386) 274-0840

Wakulla 48 Oak St.Crawfordville 32327(850) 926-0400FAX (850) 926-1938

Walton 362 State Hwy. 83 St.DeFuniak Springs32433(850) 892-8015FAX (850) 892-8457

Washington 1338 South Blvd.Chipley 32428(850) 638-6240FAX (850) 638-6244

Local Health Offices

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Flickr.com/photos/healthyfla

soundcloud.com/floridahealth

FloridaHealth.gov

Mission:To protect, promote and improve thehealth of all people in Florida throughintegrated state, county andcommunity efforts.

Vision:To be the Healthiest State in theNation.

Florida Department of Health4052 Bald Cypress Way, Bin A04Tallahassee, Florida 32399-1705850-245-4444

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Florida Health Impact Report 2014-2015

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