View from a State North Carolina Public Health • Population 9.5M • 54,000 square miles •5 th in growth rate in US • 100 counties • Decentralized Public Health system • 85 local health departments (county or district) Jeffrey Engel, M.D. Former State Health Director Senior Advisor for Health Policy NC DHHS
View from a State North Carolina Public Health. Population 9.5M 54,000 square miles 5 th in growth rate in US 100 counties Decentralized Public Health system 85 local health departments (county or district). Jeffrey Engel, M.D. Former State Health Director - PowerPoint PPT Presentation
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
View from a StateNorth Carolina Public Health
• Population 9.5M• 54,000 square miles• 5th in growth rate in US• 100 counties• Decentralized Public
Health system• 85 local health
departments (county or district)
Jeffrey Engel, M.D.Former State Health Director
Senior Advisor for Health PolicyNC DHHS
Major Investments in PreparednessNCPH 2002-2008
• State Capacity– Epidemiology– Laboratory– Informatics
E. coli Outbreak* at E. coli Outbreak* at State Fair ResponseState Fair Response
October 2011October 2011North CarolinaNorth Carolina
Departments of Health and Human ServiceDepartments of Health and Human Serviceandand
Agriculture and Consumer ServicesAgriculture and Consumer Services
*25 ill, 6 hospitalized, 3 needing dialysis
Public Health Operations Organization
Public Health Operations Organization
Information Fusion for Outbreak Investigation
Joint Operations
Epidemiology with context
Successful Outcome
Eight days following initial reported cases
State Reductions2011 Budget
• Elimination of Public Health Pest Management Program– NC no longer has any entomologists, so….– Hurricane Irene August 2011
• Post-hurricane marsh mosquito nuisance• No state capacity to respond• Every county “on their own”• Aerial spraying costly ($100,000 per application)• FEMA reimburses 75%• Dare County sprays, Pamlico County does not