TABLE 4—
Percentage Point Differences in Number of Workers by Occupational Category, Governance Structure, Geographic Region, and Jurisdiction Population Size in Local Health Departments: NACCHO Profile Survey, United States, 2010–2013
| Population Sizea |
Regionb,c |
Governance Structured |
|||||||||
| Occupational Category | Small | Medium | Large | New England | South | Mid-Atlantic and Great Lakes | Mountain and Midwest | West | Centralized | Mixed–Shared | Decentralized |
| Administrative or clerical personnel | 0 | −3 | −3 | −4 | −3 | −3 | −2 | −1 | −4 | −2 | −2 |
| Behavioral health professional | 0 | −1 | −2 | −1 | −2 | −2 | 0 | −1 | −1 | −1 | −1 |
| Emergency preparedness staff | 0 | 0 | 0 | −1 | 0 | −1 | −1 | 0 | 1 | 0 | 0 |
| Environmental health worker | 0 | −1 | 0 | −1 | −1 | 0 | −1 | 2 | −1 | 0 | 0 |
| Epidemiologist | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | −1 | 0 | 0 |
| Health educator | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 |
| Nutritionist | 0 | −1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
| Public health informatics specialist | 0 | <1 | 1 | 2 | 0 | 1 | 1 | 1 | 1 | 0 | 0 |
| Public health manager | 0 | −1 | 0 | 0 | 0 | 0 | −1 | 0 | 0 | 0 | 0 |
| Public health nurse | 0 | −2 | 2 | −1 | −4 | −2 | 1 | 5 | −1 | −2 | 1 |
| Public health physician | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Public information specialist | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Note. LHD = local health department; NACCHO = National Association of County and City Health Officials. Emergency preparedness staff and public health dental worker are not included because they were not categories in the 2010 NACCHO survey. Uncategorized or other workers not included in this table.
Small indicates a population of < 50 000 (n = 1171 LHDs in 2010; n = 1120 LHDs in 2013); medium indicates 50 000–499 999 (n = 708 LHDs in 2010; n = 706 LHDs in 2013); large indicates ≥ 500 000 (n = 126 LHDs in 2010; n = 127 LHDs in 2013).
New England, n = 344 LHDs in 2010, n = 320 LHDs in 2013; South, n = 565 LHDs in 2010, n = 534 LHDs in 2013; Mid-Atlantic and Great Lakes, n = 546 LHDs in 2010, n = 520 LHDs in 2013; Mountain and Midwest, n = 414 LHDs in 2010, n = 448 LHDs in 2013; and West, n = 136 LHDs in 2010, n = 131 LHDs in 2013.
New England included: ME, NH, VT, NY, MA, RI, CT, and NJ; the South included: KY, NC, SC, TN, GA, AL, FL, MS, LA, AR, OK, TX, and NM; the Mid-Atlantic and Great Lakes regions included: DE, MD, DC, VA, WV, PA, OH, IN, IL, MI, WI, and MN; the Mountain and Midwest included: IA, MO, ND, SD, NE, KS, MT, WY, CO, and UT; the West included: AK, WA, OR, ID, NV, CA, AZ, and HI.
Centralized, n = 223 LHDs in 2010, n = 221 LHDs in 2013; mixed–shared, n = 346 LHDs in 2010, n = 370 LHDs in 2013; decentralized, n = 1436 LHDs in 2010, n = 1362 LHDs in 2013.