312 SECTION 4 Public Health Office of the Chief of Stafl caT Office of the Office of Diversity Management Director Office of the Assoc ate D recor Office of Minority Health and Office of the Assoc ate direc ce of Public Health Office for State, Tribal, Lccal and redness and ResponsecG Ofice of Surveillance, Epidemiology and Laboratory Services in u oy and emyrmnicanta hsa abes. Office of Infectious Diseases National Institute for National Center for Heath National Center on Birth Statistics Center for Global Heal Safety and Health NDiseas e preer otion hon ractce Program Office and Zoonotic Infectious Iseases cVL Technology Program Office Environmental Health/A ral Hepatitis, STD and TB Toxic Substances and Public Health Surveillance Professional Develoment Approved 7/27/20 Figure 25-2 u.S. Centers for Disease Control and Prevention( CDC)organizational chart. STD, Sexually transmitted disease; TB, tuberculos (frOmhttp://www.cdc.gov/maso/pdf/cdc-offcial.pdf) Promotion(see Chapter 26)and oversees the U.S. Surgeon 2. The policy development role requires that"every public General's office President's Council on bioethics U.S. Public health agency exercise its responsibility to serve the Health Service Commissioned Corps, and Office of Minority lbic interest in the development of comprehensive Health(Fig. 25-3) public health policies by promoting the use of the scien tific knowledge base in decision-making about public developing public health policy, B. Responsibilities of States nd by taking a strategic approach, developed on the basis f a positive appreciation for the democratic political In the United States the fundamental responsibility for the process health of the public lies with the states. This authority derives 3. The assurance role requires that"public health agencies from the 10th Amendment to the Constitution: The powers assure their constituents that services necessary to achieve not delegated to the United States by the Constitution, nor agreed upon goals are provided, either by encouraging prohibited by it to the States, are reserved to the States action by other entities(private or public sector), by respectively, or to the people quiring such action through regulation, or by providing In 1988 the IOM stated that"the mission of public health services directly. 3 to ensure conditions in which people can be healthy",and that the three core functions of public health agencies at all within these three core functions, 10 essential public levels of government are assessment, policy development, health services have been defined(Box 25-1). Administrators and assurance and others involved in public health have been struggling to define how the mission and three core functions can best be 1. The assessment role requires that" every public health fulfilled. As indicated by the assurance role, public health agency regularly and systematically collect, assemble, agencies enjoy considerable latitude. Although not required analyze, and make available information on the health of to provide all (or even most of)the services themselves, the the community, including statistics on health status, com- agencies are expected to use all their authority and resources munity health needs, and epidemiologic and other studies to ensure that needed policies, laws, regulations, and services of health problems eXIs