A state health agency (SHA), or state department of health, is a department or agency of the state governments of the United States focused on public health. The state secretary of health is a constitutional or at times a statutory official in several states of the United States. The position is the chief executive official for the state's state health agency (or equivalent), chief administrative officer for the state's Board of Health (or equivalent), or both.
Following passage of the Safe Drinking Water Act of 1974, during the first ten years of the program the state health departments were given new and important roles under the law. Due to new grants available, they had enhanced their programs and had many more resources to oversee and help utilities come into compliance with drinking water standards, and they were able to develop other related activities like the capacity for doing risk assessments on new contaminants of concern. [1]
Although the vast majority of these agencies are officially called "departments," the Association of State and Territorial Health Officials adopted "state health agency" as the generic term to reflect the fact that a substantial number of these agencies are no longer state "departments" in the traditional sense of a cabinet-level organizational unit dedicated exclusively to public health. [2] During the 1950s, 1960s, and 1970s, at least 20 states and the District of Columbia merged these departments with other government agencies that provide social services, welfare, or other types of unrelated services. [2] The result is that in those jurisdictions, the state government agency that actually provides public health services is but one of several units inside a large cabinet-level agency. [2]
State health departments have different names and responsibilities; in some states they are top-level administrative agencies, while in other states they are a division or bureau of another office. Health departments are usually responsible for public health, including preventive medicine, epidemiology, vaccinations, environmental health (sometimes including health inspections), and the licensing of health care professionals; the collection and archiving of vital records such as birth and death certificates and sometimes marriage and divorce certificates; health statistics; developmental disabilities; mental health; occupational safety and health; receiving and recording reports of notifiable diseases; and tobacco control.[ citation needed ]
In some states, state health departments may additionally be responsible for social services and welfare, environmental protection/pollution control, or the operation of the state psychiatric hospital. Some states have a Surgeon General.[ citation needed ]
 | It has been suggested that this section be split into a new article titled Health departments in the United States . (discuss) (April 2024) |
The following are state health agencies as identified by the Centers for Disease Control and Prevention: [3]
EPA Alumni Association: Drinking Water, Half Century of Progress – a brief history of U.S. efforts to protect drinking water
The Environmental Protection Agency (EPA) is an independent agency of the United States government tasked with environmental protection matters. President Richard Nixon proposed the establishment of EPA on July 9, 1970; it began operation on December 2, 1970, after Nixon signed an executive order. The order establishing the EPA was ratified by committee hearings in the House and Senate.
Drinking water or potable water is water that is safe for ingestion, either when drunk directly in liquid form or consumed indirectly through food preparation. It is often supplied through taps, in which case it is also called tap water.
The United States Public Health Service is a collection of agencies of the Department of Health and Human Services concerned with public health, containing nine out of the department's twelve operating divisions. The Assistant Secretary for Health oversees the PHS. The Public Health Service Commissioned Corps (PHSCC) is the federal uniformed service of the PHS, and is one of the eight uniformed services of the United States.
The Morbidity and Mortality Weekly Report (MMWR) is a weekly epidemiological digest for the United States published by the Centers for Disease Control and Prevention (CDC). It was originally established as Weekly Health Index in 1930, changing its title to Weekly Mortality Index in 1941 and Morbidity and Mortality in 1952. It acquired its current name in 1976. It is the main vehicle for publishing public health information and recommendations that have been received by the CDC from state health departments. Material published in the report is in the public domain and may be reprinted without permission. As of 2019, the journal's editor-in-chief is Charlotte Kent.
American Water Works Association (AWWA) is an international non-profit, scientific and educational association founded to improve water quality and supply. Established in 1881, it is a lobbying organization representing a membership of around 50,000 members worldwide.
The Safe Drinking Water Act (SDWA) is the primary federal law in the United States intended to ensure safe drinking water for the public. Pursuant to the act, the Environmental Protection Agency (EPA) is required to set standards for drinking water quality and oversee all states, localities, and water suppliers that implement the standards.
Maximum contaminant levels (MCLs) are standards that are set by the United States Environmental Protection Agency (EPA) for drinking water quality. An MCL is the legal threshold limit on the amount of a substance that is allowed in public water systems under the Safe Drinking Water Act (SDWA). The limit is usually expressed as a concentration in milligrams or micrograms per liter of water.
The Illinois Environmental Protection Agency of the state of Illinois is the primary body concerned with the protection of the environment for the state. The Illinois EPA's mission is "to safeguard environmental quality, consistent with the social and economic needs of the State, so as to protect health, welfare, property and the quality of life."
In the United States, public drinking water is governed by the laws and regulations enacted by the federal and state governments. Certain ordinances may also be created at a more local level. The Safe Drinking Water Act (SDWA) is the principal federal law. The SDWA authorizes the United States Environmental Protection Agency (EPA) to create and enforce regulations to achieve the SDWA goals.
Water testing is a broad description for various procedures used to analyze water quality. Millions of water quality tests are carried out daily to fulfill regulatory requirements and to maintain safety.
Drinking water quality in the United States is generally safe. In 2016, over 90 percent of the nation's community water systems were in compliance with all published U.S. Environmental Protection Agency standards. Over 286 million Americans get their tap water from a community water system. Eight percent of the community water systems—large municipal water systems—provide water to 82 percent of the US population. The Safe Drinking Water Act requires the US EPA to set standards for drinking water quality in public water systems. Enforcement of the standards is mostly carried out by state health agencies. States may set standards that are more stringent than the federal standards.
Public water system is a regulatory term used in the United States and Canada, referring to specific utilities and organizations providing drinking water.
Lead-based paint was widely used in the United States because of its durability. The United States banned the manufacture of lead-based house paint in 1978 due to health concerns.
Water fluoridation in the United States is common amongst most states. As of May 2000, 42 of the 50 largest U.S. cities had water fluoridation. On January 25, 1945, Grand Rapids, Michigan, became the first community in the United States to fluoridate its drinking water for the intended purpose of helping to prevent tooth decay.
Drinking water quality standards describes the quality parameters set for drinking water. Water may contain many harmful constituents, yet there are no universally recognized and accepted international standards for drinking water. Even where standards do exist, the permitted concentration of individual constituents may vary by as much as ten times from one set of standards to another. Many countries specify standards to be applied in their own country. In Europe, this includes the European Drinking Water Directive and in the United States, the United States Environmental Protection Agency (EPA) establishes standards as required by the Safe Drinking Water Act. China adopted its own drinking water standard GB3838-2002 enacted by Ministry of Environmental Protection in 2002. For countries without a legislative or administrative framework for such standards, the World Health Organization publishes guidelines on the standards that should be achieved.
The Guam Environmental Protection Agency is a government agency of the United States territory of Guam.
Government departments responsible for health issues and health services in the United States exist at federal, state and local levels. The first, at city level, were founded in the late 18th century; now many operate at city or county level. State-level work began in the mid-19th century, now every state has one. The federal agency now known as the United States Department of Health and Human Services originated in 1939.
The Bureau of State Services (BSS) was one of three principal operating agencies of the United States Public Health Service (PHS) from 1943 until 1966. The bureau contained the PHS divisions that administered cooperative services to U.S. states through technical and financial assistance, and included significant programs in community health, environmental health, and workforce development.
The Environmental Health Divisions was a unit of the U.S. Public Health Service (PHS) that focused on environmental health, existing in various forms from 1913 until 1970. It is the primary direct predecessor of the U.S. Environmental Protection Agency. It had several other names earlier in its history, including the Office of Stream Pollution Investigations and Division of Sanitary Engineering Services.
