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Public health data modernization: moving from challenges to solutions

Big Cities Health Coalition

In 2022, Houston Health Department became one of only two jurisdictions in the country to be recognized by CDC as a National Wastewater Surveillance System Center of Excellence. The figure below shows the challenges big city health departments face as they strive toward data modernization.

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Promoting and protecting the public’s health: recommendations for a new Administration and Congress, 2025

Big Cities Health Coalition

These departments have primary responsibility for protecting local, state, and territorial jurisdictions under our federalist system. There are more than 3,000 local health departments that work in tandem with the 59 state and territorial health departments, as well as Tribal departments.