Idaho's seven Public Health Districts were established in 1970 under Idaho Code to ensure essential public health services were made available to the citizens of the State. The Public Health Districts are controlled and governed by a local Board of Health appointed by county commissioners from that district. In the Treasure Valley, Central District Health Department provides services to Ada, Boise, Elmore and Valley counties. Southwest District Health provides public health services to Canyon, Adams, Gem, Owyhee, Payette and Washington counties.While Public Health Districts serve the health needs of low-income families and individuals, they also provide a broader range of services that impact everyone. Food establishment and public swimming pool inspections are conducted by health department staff to ensure safety for all. Child care facilities are inspected for health and safety. Public Health Preparedness staff work closely with local emergency response organizations such as law enforcement agencies, fire departments, emergency medical services and health care facilities to plan and prepare for public health emergencies. Women, Infants and Children (WIC) clinics provide supplemental nutrition, breastfeeding information and support, and referrals to other health care services for women, infants and children up to the age of five. Limited clinical services such as reproductive health/family planning, sexually transmitted disease treatment, and oral health education and preventive services for uninsured and Medicaid-eligible children are offered. Free or low-cost community-based Fit and Fall Proof classes for older adults are organized and overseen by local public health departments. Fit and Fall Proof classes are led by volunteer peer-leaders and designed to focus on functional exercises that reduce the risk of falling.The Public Health Districts are playing an integral role in chronic disease prevention. Diseases such as diabetes, heart disease and stroke have risen dramatically over the past several decades due to tobacco use, physical inactivity and poor eating. The Public Health Districts work within their communities to convene and coordinate efforts to increase access to physical activity and healthy eating opportunities and decrease tobacco use within the various community settings such as worksites, child care facilities and schools. Reducing chronic disease is a complicated issue and requires the coordinated efforts of many community partners. Public Health is working to link nontraditional agencies to address the chronic disease epidemic.This is just a sampling of the vast number of services provided by local Public Health Districts to promote healthy people in healthy communities.Jaime Harding, MHS, CHES Program Manager, Health Promotion and Health Policy Central District Health Department Boise, Idaho
