Note: Hawaii and Rhode Island do not have local health departments (LHDs). Hawaii and Alaska are not pictured to scale. Estimates from LHDs that did not respond to the 2016 Profile were imputed on the basis of previous surveys or jurisdiction size. Data sources: ASTHO 2016 Profile and NACCHO 2016 Profile.
ASTHO, Association of State and Territorial Health Officials; FTE, full time employees; NACCHO, National Association of County and City Health Officials; SHA, state health agency.