Miss ion: To strengthen M

ichigan’s sy stem of local public health departm

ents and local governing boardsM

ichi

gan

Asso

catio

n fo

r Loc

al P

ublic

Hea

lthSe

rvic

e As

sess

men

t Res

ults

201

1

Acknowledgements

MALPH Staff

Meghan Swain – Executive Director

Lynda Horsley – Performance Improvement Coordinator

Executive Committee

Linda Buzas – Kalamazoo County

Loretta Davis – Wayne County

Joyce Kortman – Ottawa County

Mike Krecek – Midland County

Dean Sienko – Ingham County

Kim Singh – Mid-Michigan

Guy St. Germain – Western Upper Peninsula

Steve Tackitt – Barry-Eaton

Rashmi Travis – Allegan County

Linda VanGills – District Health Department #10

Table of Contents Page

I. Introduction ……………………………………………………………. 1

II. Map of Services Provided ……………………………………………… 2

A. Immunization ………………………………………………………. 3

B. Screening For Diseases/ Conditions ………………………. ……… 4

C. Treatment for Communicable Diseases ……………………………. 14

D. Maternal and Child Health …………………………………………. 17

E. Other Health Services ……………………………………………… 25

F. Epidemiology and Surveillance Activities …………………………. 32

G. Population-Based Primary Prevention Activities ………………….. 39

H. Regulation, Inspection and/or Licensing Activities ………………… 48

I. Other Environmental Health Activities ……………………………. 68

J. Other Activities ………………………………………...................... 82

III. Appendixes

A. LHD Response (Contracted or Self Performed Services) …………. 94

I. INTRODUCTION Local Health Departments (LHD) were asked to complete a 10/15 minute survey assessment on

services provided in their jurisdiction. The survey was completed via Survey Monkey by Health

Officers, Deputy Director(s), and/or Administrator(s). There was a response rate of 78% which

includes 35 of the 45 Local Health Departments. The intended purpose of the survey was:

• For best practices information, e.g. oral health programming, immediate access on

information for which health departments are currently running an oral health program.

• A tool for when Michigan Association for Local Public Health (MALPH) staff meets

with specific legislators to demonstrate that the health departments serving their

constituents receive these kinds of services from the local health department.

In the context of the survey LHD were asked to indicate whether their department provided a

specific service. The survey also gave the option to identify if the service was performed by the

LHD and/or contracted out. Contract out is defined as “Pay another organization to perform this

activity on behalf of the LHD.” If the LHD neither performed nor contracted out a service

(regardless of whether it was provided by some other organization), LHD selected “Performed

NEITHER by LHD directly NOR contracted out by LHD.” Appendix A illustrates this specific

information regarding who performs the service.  

 

1

II. Map of Services Provided

Western Upper Peninsula

The following maps include information on the services provided by LHD regardless if the

service is performed within the LHD or contracted out to another agency.

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganCompleted Survey

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Information Not Available

4

6

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

2

Immunization: ADULT AND CHILDHOOD

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

3

Screening For Diseases/Conditions: VISION AND HEARING

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

4

Screening For Diseases/Conditions: HIV/AIDS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

5

Screening For Diseases/Conditions: OTHER STDs

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

6

Screening For Diseases/Conditions: TUBERCULOSIS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

7

Screening For Diseases/Conditions: BREAST AND CERVICAL CANCER

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

8

Screening For Diseases/Conditions: OTHER CANCER (NOT BREAST AND CERVICAL)

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

9

Screening For Diseases/Conditions: CARDIOVASCULAR DISEASE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

10

Screening For Diseases/Conditions: DIABETES

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

11

Screening For Diseases/Conditions: HIGH BLOOD PRESSURE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

12

Screening For Diseases/Conditions: BLOOD LEAD

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

13

Treatment for Communicable Diseases: HIV/AIDS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

14

Treatment for Communicable Diseases: OTHER STDs

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

15

Treatment for Communicable Diseases: TUBERCULOSIS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

16

Maternal and Child Health: FAMILY PLANNING

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

17

Maternal and Child Health: PRENATAL CARE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

18

Maternal and Child Health: OBSTETRICAL CARE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

19

Maternal and Child Health: WIC

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

20

Maternal and Child Health: MATERNAL INFANT HEALTH

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

21

Maternal and Child Health: CHILDREN’S SPECIAL HEALTH CARE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

22

Maternal and Child Health: EPSDT

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

23

Maternal and Child Health: WELL CHILD CLINIC

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

24

Other Health Services: COMPREHENSIVE PRIMARY CARE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

25

Other Health Services: HOME HEALTH CARE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

26

Other Health Services: ORAL HEALTH PREVENTIVE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

27

Other Health Services: ORAL HEALTH RESTORATIVE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

28

Other Health Services: BEHAVIORAL/MEANTL HEALTH

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

29

Other Health Services: SUBSTANCE ABUSE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

30

Other Health Services: WISEWOMEN

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

31

Epidemiology and Surveillance Activities: COMMUNICABLE/INFECTIOUS DISEASE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

32

Epidemiology and Surveillance Activities: CHRONIC DISEASE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

33

Epidemiology and Surveillance Activities: INJURY

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

34

Epidemiology and Surveillance Activities: BEHAVIORAL RISK FACTORS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

35

Epidemiology and Surveillance Activities: ENVIRONMENTAL HEALTH

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

36

Epidemiology and Surveillance Activities: SYNDROMIC SURVEILLANCE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

37

Epidemiology and Surveillance Activities: MATERNAL AND CHILD HEALTH

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

38

Population-Based Primary Prevention Activities: INJURY

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

39

Population-Based Primary Prevention Activities: UNINTENDED PREGNANCY

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

40

Population-Based Primary Prevention Activities: CHRONIC DISEASE PROGRAMS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

41

Population-Based Primary Prevention Activities: NUTRITION

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

42

Population-Based Primary Prevention Activities: PHYSICAL ACTIVITY

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

43

Population-Based Primary Prevention Activities: VIOLENCE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

44

Population-Based Primary Prevention Activities: TOBACCO

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

45

Population-Based Primary Prevention Activities: SUBSTANCE ABUSE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

46

Population-Based Primary Prevention Activities: MENTAL ILLNESS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

47

Regulation, Inspection and/or Licensing Activities: MOBILE HOMES

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

48

Regulation, Inspection and/or Licensing Activities: CAMPGROUNDS AND RVs

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

49

Regulation, Inspection and/or Licensing Activities: SOLID WASTE DISPOSAL SITES

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

50

Regulation, Inspection and/or Licensing Activities: SOLID WASTE HAULERS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

51

Regulation, Inspection and/or Licensing Activities: SEPTIC SYSTEMS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

52

Regulation, Inspection and/or Licensing Activities: SCHOOLS/DAYCARE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

53

Regulation, Inspection and/or Licensing Activities: CHILDREN’S CAMPS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

54

Regulation, Inspection and/or Licensing Activities: COSMETOLOGY BUSINESSES

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

55

Regulation, Inspection and/or Licensing Activities: BODY ART (TATTOOS, PIERCINGS)

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

56

Regulation, Inspection and/or Licensing Activities: SWIMMING POOLS (PUBLIC)

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

57

Regulation, Inspection and/or Licensing Activities: TOBACCO RETAILERS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

58

Regulation, Inspection and/or Licensing Activities: SMOKE-FREE ORDINANCES

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

59

Regulation, Inspection and/or Licensing Activities: LEAD INSPECTION

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

60

Regulation, Inspection and/or Licensing Activities: FOOD PROCESSING

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

61

Regulation, Inspection and/or Licensing Activities: MILK PROCESSING

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

62

Regulation, Inspection and/or Licensing Activities: PUBLIC DRINKING WATER

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

63

Regulation, Inspection and/or Licensing Activities: PRIVATE DRINKING WATER

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

64

Regulation, Inspection and/or Licensing Activities: FOOD SERVICE ESTABLISHMENTS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

65

Regulation, Inspection and/or Licensing Activities : HEALTH-RELATED FACILITIES

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

66

Regulation, Inspection and/or Licensing Activities: HOUSING (INSPECTIONS)

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

67

Other Environmental Health Activities: INDOOR AIR QUALITY

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

68

Other Environmental Health Activities: FOOD SAFETY EDUCATION

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

69

Other Environmental Health Activities: RADIATION CONTROL

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

70

Other Environmental Health Activities: VECTOR CONTROL

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

71

Other Environmental Health Activities: LAND USE PLANNING

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

72

Other Environmental Health Activities: GROUND WATER PROTECTION

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

73

Other Environmental Health Activities: SURFACE WATER PROTECTION

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

74

Other Environmental Health Activities: HAZARDOUS MATERIALS RESPONSE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

75

Other Environmental Health Activities: HAZARDOUS WASTE DISPOSAL

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

76

Other Environmental Health Activities: INTERNATIONAL TRAVEL

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

77

Other Environmental Health Activities: POLLUTION PREVENTION

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

78

Other Environmental Health Activities: AIR POLLUTION

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

79

Other Environmental Health Activities: NOISE POLLUTION

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

80

Other Environmental Health Activities: COLLECTION OF UNUSED PHARMACEUTICALS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

81

Other Activities: EMERGENCY MEDICAL SERVICES

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

82

Other Activities: ANIMAL CONTROL

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

83

Other Activities: OCCUPATIONAL SAFETY AND HEALTH

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

84

Other Activities: VETERINARIAN PUBLIC HEALTH

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

85

Other Activities: LABORATORY SERVICES

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

86

Other Activities: OUTREACH AND ENROLLMENT FOR MEDICAL INSURANCE

(INCLUDING MEDICAID)

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

87

Other Activities: SCHOOL-BASED CLINICS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

88

Other Activities: SCHOOL HEALTH

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

89

Other Activities: ASTHMA PREVENTION AND/OR MANAGEMENT

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

90

Other Activities: CORRECTIONAL HEALTH

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

91

Other Activities: VITAL RECORDS

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

92

Other Activities: MEDICAL EXAMINER’S OFFICE

Western Upper Peninsula

Marquette

ChippewaLuce – Mackinac – Alger – Schoolcraft

Dickinson – Iron

District #4

Northwest Michigan

GrandTraverse

District #10

District #2

Central MichiganServices available by LHD

2

3

Midland Bay

Huron

MuskegonSaginaw

TuscolaSanilac

St. ClairLapeer

G

Mid-Michigan

Services not available by LHD

Information Not Available

4

6 1

Clairp

ShiawasseeIoniaKentOttawa

Allegan InghamLivingston Oakland

Macomb

KalamazooCalhoun

Jackson Washtenaw

Wayne

Genesee

Barry – Eaton

Berrien Lenawee

Monroe

Branch – Hillsdale – St. Joseph

93

Appendix A: LHD Responses (Contracted of Self Performed Services) IMMUNIZATION   Performed by 

LHD Directly Contracted out 

by LHD Performed by BOTH LHD and contacted out by LHD 

Performed NEITHER by LHD directly 

NOR contracted out by LHD 

Response Count 

Adult Immunizations 

97% (34)  3%  (1)  (0)  (0)  35 

Childhood Immunizations 

100% (35)  (0)  (0)  (0)  35 

 

SCREENING FOR DISEASES/ CONDITIONS   Performed by 

LHD Directly Contracted out 

by LHD Performed by BOTH LHD and contacted out by LHD 

Performed NEITHER by LHD directly 

NOR contracted out by LHD 

Response Count 

Vision  100% (35)  (0)  (0)  (0)  35 Hearing  100% (35)  (0)  (0)  (0)  35 HIV/AIDS  85% (29)  (0)  3% (1)  12% (4)  34* Other STDs  97% (34)  (0)  (0)  3% (1)  35 Tuberculosis  97% (34)  (0)  3% (1)  (0)  35 Breast and Cervical Cancer 

63% (22)  11% (4)  3% (1)  26% (9)  35 

Other Cancer (Not Breast and Cervical) 

17% (6)  6% (2)  3% (1)  74% (26)  35 

Cardiovascular disease 

37% (13)  (0)  3% (1)  60% (21)  35 

Diabetes  31% (11)  3% (1)  (0)  66% (23)  35 High blood pressure 

34% (12)  (0)  (0)  66% (23)  35 

Blood lead  80% (28)  3% (1)  (0)  17% (6)  35 * 1 respondent answer excluded due to error in filling out survey 

TREATMENT FOR COMMUNICABLE DISEASES   Performed by 

LHD Directly Contracted out 

by LHD Performed by BOTH LHD and contacted out by LHD 

Performed NEITHER by LHD directly 

NOR contracted out by LHD 

Response Count 

HIV/AIDS  34% (12)  (0)  3% (1)  63% (22)  35 Other STDs  97% (34)  (0)  3% (1)  (0)  35 Tuberculosis  91% (32)  3% (1)  (0)  6% (2)  35 

94

MATERNAL AND CHILD HEALTH   Performed by 

LHD Directly Contracted out 

by LHD Performed by BOTH LHD and contacted out by LHD 

Performed NEITHER by LHD directly NOR contracted out 

by LHD 

Response Count 

Family planning  69% (24)  3% (1)  (0)  29% (10)  35 Prenatal care  23% (8)  3% (1)  (0)  74% (26)  35 Obstetrical care  3% (1)  3% (1)  (0)  94% (33)  35 WIC  77% (27)  9% (3)  3% (1)  11% (4)  35 Maternal infant health 

86% (30)  3% (1)  (0)  11% (4)  35 

Children’s Special Health Care 

100% (35)  (0)  (0)  (0)  35 

EPSDT  11% (4)  (0)  (0)  89% (31)  35 Well Child Clinic  20% (7)  (0)  (0)  80% (28)  35  

OTHER HEALTH SERVICES   Performed by 

LHD Directly Contracted out 

by LHD Performed by BOTH LHD and contacted out by LHD 

Performed NEITHER by LHD directly 

NOR contracted out 

by LHD 

Response Count 

Comprehensive primary care 

9% (3)  3% (1)  (0)  89% (31)  35 

Home health care  9% (3)  (0)  (0)  91% (32)  35 Oral health preventive services 

29% (10)  9% (3)  (0)  63% (22)  35 

Oral health restorative services 

23% (8)  11% (4)  (0)  66% (23)  35 

Behavioral/mental health services 

11% (4)  (0)  (0)  89% (31)  35 

Substance abuse services 

34% (12)  (0)  (0)  66% (23)  35 

WISEWOMEN  26% (9)  (0)  3% (1)  71% (25)  35  

 

 

 

 

 

95

EPIDEMIOLOGY AND SURVEILLANCE ACTIVITIES   Performed by 

LHD Directly Contracted out by LHD 

Performed by BOTH LHD and contacted out by LHD 

Performed NEITHER by LHD directly 

NOR contracted out by LHD 

Response Count 

Communicable/infectious disease 

100% (35)  (0)  (0)  (0)  35 

Chronic disease  51% (18)  (0)  (0)  49% (17)  35 Injury  31% (11)  3% (1)  (0)  66% (23)  35 Behavioral risk factors  54% (19)  3% (1)  3% (1)  40% (14)  35 Environmental health  94% (33)  (0)  (0)  6% (2)  35 Syndromic surveillance  49% (17)  3% (1)  (0)  49% (17)  35 Maternal and child health 

71% (25)  3% (1)  (0)  26% (9)  35 

 

POPULATION‐BASED PRIMARY PREVENTION ACTIVITIES   Performed by 

LHD Directly Contracted out 

by LHD Performed by BOTH LHD and contacted out by LHD 

Performed NEITHER by LHD directly NOR contracted out 

by LHD 

Response Count 

Injury  17% (6)  (0)  (0)  83% (29)  35 Unintended pregnancy 

54% (19)  (0)  (0)  46% (16)  35 

Chronic disease programs 

37% (13)  (0)  (0)  63% (22)  35 

Nutrition  71% (25)  3% (1)  (0)  26% (9)  35 Physical activity  40% (14)  (0)  (0)  60% (21)  35 Violence  14% (5)  3% (1)  (0)  83% (29)  35 Tobacco  91% (32)  (0)  (0)  9% (3)  35 Substance abuse  46% (16)  3% (1)  (0)  51% (18)  35 Mental illness  11% (4)  3% (1)  (0)  86% (30)  35  

 

 

 

 

 

 

96

REGULATION, INSPECTION AND/OR LICENSING ACTIVITIES   Performed by 

LHD Directly Contracted out 

by LHD Performed by BOTH LHD and contacted out by LHD 

Performed NEITHER by LHD directly 

NOR contracted out by LHD 

Response Count 

Mobile homes  37% (13)  (0)  (0)  63% (22)  35 Campgrounds and RVs 

100% (35)  (0)  (0)  (0)  35 

Solid waste disposal sites 

31% (11)  (0)  (0)  68% (24)  35 

Solid waste haulers  37% (13)  3% (1)  (0)  60% (21)  35 Septic systems  100% (35)  (0)  (0)  (0)  35 Schools/daycare  94% (33)  (0)  (0)  6% (2)  35 Children’s camps  91% (32)  (0)  (0)  9% (3)  35 Cosmetology businesses 

3% (1)  (0)  (0)  97% (34)  35 

Body art (tattoos, piercings) 

94% (33)  6% (2)  (0)  (0)  35 

Swimming pools (public) 

100% (35)  (0)  (0)  (0)  35 

Tobacco retailers  34% (12)  3% (1)  (0)  63% (22)  35 Smoke‐free ordinances 

94% (33)  (0)  (0)  6% (2)  35 

Lead inspection  49% (17)  6% (2)  9% (3)  37% (13)  35 Food processing  15% (5)  (0)  (0)  85% (29)  34* Milk processing  (0)  (0)  (0)  100% (35)  35 Public drinking water 

89% (31)  (0)  (0)  11% (4)  35 

Private drinking water 

100% (35)  (0)  (0)  (0)  35 

Food service establishments 

100% (35)  (0)  (0)  (0)  35 

Health‐related facilities 

11% (4)  (0)  (0)  89% (31)  35 

Housing (inspections) 

20% (7)  (0)  (0)  80% (28)  35 

* 1 respondent answer excluded due to error in filling out survey 

 

 

 

 

97

 

OTHER ENVIRONMENTAL HEALTH ACTIVITIES   Performed by 

LHD Directly Contracted out 

by LHD Performed by BOTH LHD and contacted out by LHD 

Performed NEITHER by LHD directly 

NOR contracted out by LHD 

Response Count 

Indoor air quality  34% (12)  (0)  (0)  66% (23)  35 Food safety education 

89% (31)  3% (1)  (0)  9% (3)  35 

Radiation control  26% (9)  (0)  (0)  74% (26)  35 Vector control  60% (21)  (0)  (0)  40% (14)  35 Land use planning  34% (12)  (0)  (0)  66% (23)  35 Ground water protection 

89% (31)  (0)  (0)  11% (4)  35 

Surface water protection 

89% (31)  (0)  (0)  11% (4)  35 

Hazardous materials response 

34% (12)  (0)  (0)  66% (23)  35 

Hazardous waste disposal 

29% (10)  (0)  (0)  71% (25)  35 

International Travel 

34% (12)  (0)  (0  66% (23)  35 

Pollution prevention 

31% (11)  (0)  (0)  69% (24)  35 

Air pollution  6% (2)  (0)  (0)  94% (33)  35 Noise pollution  (0)  (0)  (0)  100% (35)  35 Collection of unused pharmaceuticals 

23% (8)  3% (1)  (0)  74% (26)  35 

 

 

 

 

 

 

 

 

 

98

OTHER ACTIVITIES   Performed by 

LHD Directly Contracted out 

by LHD Performed by BOTH LHD and contacted out by LHD 

Performed NEITHER by LHD directly 

NOR contracted out by LHD 

Response Count 

Emergency medical services 

(0)  3% (1)  (0)  97% (34)  35 

Animal control  14% (5)  3% (1)  (0)  83% (29)  35 Occupational safety and health 

3% (1)  (0)  (0)  97% (34)  35 

Veterinarian public health activities 

3% (1)  (0)  (0)  97% (34)  35 

Laboratory services 

36% (12)  14% (5)  9% (3)  41% (14)  34* 

Outreach and enrollment for medical insurance (include Medicaid) 

86% (30)  (0)  3% (1)  11% (4)  35 

School‐based clinics 

26% (9)  (0)  (0)  74% (26)  35 

School health  34% (12)  (0)  (0)  66% (23)  35 Asthma prevention and/or management 

17% (6)  (0)  (0)  83% (29)  35 

Correctional health 

11% (4)  (0)  (0)  89% (31)  35 

Vital records  11% (4)  (0)  (0)  89% (31)  35 Medical examiner’s office 

(13)  3% (1)  (0)  60% (21)  35 

* 1 respondent answer excluded due to error in filling out survey 

 

99