Table 4. Local health department director's perceptions of expertise available to them on the public health aspects of climate change.

Statement	SD	D	A	SA	DK	NA
My health department currently has ample expertise to assess the potential public health impacts associated with climate change that could occur in my jurisdiction.	27.8 (37)	49.6 (66)	18.8 (25)	3.8 (5)	0.0 (0)	0.0 (0)
My health department currently has ample expertise to create an effective climate change adaptation plan.	31.6 (42)	51.1 (68)	15.8 (21)	0.8 (1)	0.0 (0)	0.8 (1)
My state health department currently has ample expertise to help us create an effective climate change adaptation plan in this jurisdiction.	18.8 (25)	34.6 (46)	22.6 (30)	3.0 (4)	21.1 (28)	0.0 (0)
The Centers for Disease Control and Prevention currently has ample expertise to help us create an effective climate change adaptation plan in this jurisdiction.	1.5 (2)	16.5 (22)	31.6 (42)	2.3 (3)	48.1 (64)	0.0 (0)
The health care delivery system in my jurisdiction–including hospital and medical groups–has ample expertise to help us create an effective climate change adaptation plan.	22.6 (30)	41.4 (55)	15.8 (21)	0.8 (1)	18.8 (25)	0.8 (1)
My health department currently has ample expertise to create an effective climate change mitigation plan.	38.3 (51)	47.4 (63)	11.3 (15)	0.0 (0)	1.5 (2)	1.5 (2)
My state's health department currently has ample expertise to help us create an effective climate change mitigation plan in this jurisdiction.	21.8 (29)	37.6 (50)	15.8 (21)	0.0 (0)	24.8 (33)	0.0 (0)
The Centers for Disease Control and Prevention currently has ample expertise to help us create an effective climate change mitigation plan in this jurisdiction.	6.0 (8)	18.0 (24)	21.8 (29)	3.0 (4)	51.1 (68)	0.0 (0)

The first entry in each cell is the percent of respondents; second is the actual number of respondents.

SD = Strongly Disagree; D = Disagree; A = Agree; SA = Strongly Agree; DK = Don't Know;

NA = No answer was given.