In the U.S., state and local governments have primary responsibility for public health. Why are public...

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In the U.S., state and local governments have primary responsibility for public health. Why are public...

In the U.S., state and local governments have primary responsibility for public health. Why are public health capabilities so fragmented and inconsistent across states?

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Answer 1

Answer #1

# Federal government role in public health

- Ensure all levels of government have the capabilities to provide essential public health services

- Act when health threats may span more than one state, region, or the entire nation

- Act where the solutions may be beyond the jurisdiction of individual states

- Act to assist the states when they lack the expertise or resources to effectively respond in a public health emergency (i.e. a disaster)

- Facilitate formulation of public health goals

- Provides leadership through regulatory powers in setting health goals, policies, and standards

- Contribute operational and financial resources

- Finance research and higher education

- Support the development of scientific and technological tools to improve effectiveness of public health infrastructure at all levels

- Regulate interstate commerce

- Collect taxes to pay debts and provide for common defense and general welfare

# State government role in public health

- Screening for diseases and conditions

- Treatments for diseases

- Technical assistance and training

- State laboratory services

- Epidemiology and surveillance

- Collect data about population

- Immunize children before entering school

- Regulate environment for sanitation

- Regulate safety

# The public health capabilities are so fragmented and inconsistent across state because of the following reasons :-

- lack of resources

- shortage of staffs

- poor management

- lack of proper fundings

- lack of approvals from the government

- unestablishment of health policies

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