Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018:15:1-12.

Environmental Health Program Performance and its Relationship with Environment-Related Disease in Florida

Justin A Gerding  1 , Nailya O DeLellis  2 , Antonio J Neri  3 , Timothy A Dignam  4
Affiliations

Environmental Health Program Performance and its Relationship with Environment-Related Disease in Florida

Justin A Gerding et al. Fla Public Health Rev. 2018.

Abstract

This study used a unique approach to examine Florida county health department environmental health (EH) program performance of the 10 Essential Environmental Public Health Services (EEPHS) and its relationship with environment-related disease, described by enteric disease rates. Correlation analysis tested the association between performance of each EEPHS and five different enteric disease rates, while multivariate regression analysis further examined the relationships while considering program organizational characteristics as potential confounders. Correlation analyses revealed cryptosporidiosis was associated with EEPHS 2 diagnose (Tb = .195, p = .027) and EEPHS 8 workforce (Tb = .234, p = .006), and salmonellosis with EEPHS 4 mobilize (Tb = .179, p = .042) and EEPHS 6 enforce (Tb = .201, p = .020). Multivariate regression results showed EEPHS 2 diagnose (p = .04) and EEPHS 4 mobilize (p = .00) had statistically significant associations with cryptosporidiosis and salmonellosis, respectively, and suggested that improved performance of these two EEPHS may have decreased disease incidence. EH programs may benefit from improving the performance of EEPHS to address the incidence of certain enteric diseases. Continued efforts to develop a robust understanding of EH program performance and its impact on environment-related disease could enhance EH services delivery and ability to improve health outcomes.

PubMed Disclaimer

References

    1. Adams DA, Thomas KR, Jajosky R, Foster L, Sharp P, Onweh DH, … Anderson WJ. Summary of notifiable infectious diseases and conditions – United States, 2014. Morbidity and Mortality Weekly Report. 2016;65:1–152. doi: http://dx.doi.org/10.15585/mmwr.mm6354a1. - DOI - PubMed
    1. American Fact Finder. n.d Retrieved December 16, 2016 from https://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml.
    1. Bhandari MW, Scutchfield DF, Charnigo R, Riddell MC, Mays GP. New data, same story? Revisiting studies on the relationship of local public health systems characteristics to public health performance. Journal of Public Health Management and Practice. 2010;16:110–117. doi: 10.1097/PHH.0b013e3181c6b525. - DOI - PubMed
    1. Bohan PO. 2007. Adequacy of the National public health performance as a measure of the capacity of local environmental public health programs in Oklahoma. Retrieved from Proquest: Dissertations and Theses. 3256955.
    1. Byers AL, Allore H, Gill TM, Peduzzi PN. Application of negative binomial modeling for discrete outcomes: a case study in aging research. Journal of Clinical Epidemiology. 2003;56(6):559–564. - PubMed

LinkOut - more resources