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Related Experiment Video

Updated: Feb 11, 2026

Swabbing the Urban Environment - A Pipeline for Sampling and Detection of SARS-CoV-2 From Environmental Reservoirs
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Environmental Health Program Performance and its Relationship with Environment-Related Disease in Florida.

Justin A Gerding1, Nailya O DeLellis2, Antonio J Neri3

  • 1Lead Performance Improvement Team, Environmental Health Services Branch, Centers for Disease Control and Prevention, Atlanta, GA.

Florida Public Health Review
|May 8, 2018
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Summary

Improving environmental health (EH) program performance, specifically diagnosing and mobilizing essential public health services, may reduce enteric disease rates like cryptosporidiosis and salmonellosis. This highlights the impact of EH services on public health outcomes.

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Area of Science:

  • Environmental Health
  • Public Health Policy
  • Epidemiology

Background:

  • Environmental Health (EH) programs are crucial for preventing environment-related diseases.
  • The performance of the 10 Essential Environmental Public Health Services (EEPHS) and its impact on disease rates require further investigation.

Purpose of the Study:

  • To examine the performance of Florida county health department EH programs regarding the EEPHS.
  • To determine the relationship between EEPHS performance and enteric disease rates.

Main Methods:

  • Correlation analysis was used to test associations between EEPHS performance and five enteric disease rates.
  • Multivariate regression analysis examined these relationships, controlling for program organizational characteristics.

Main Results:

  • Cryptosporidiosis showed associations with EEPHS 2 (diagnose) and EEPHS 8 (workforce).
  • Salmonellosis was associated with EEPHS 4 (mobilize) and EEPHS 6 (enforce).
  • Multivariate regression confirmed significant associations for EEPHS 2 (diagnose) with cryptosporidiosis and EEPHS 4 (mobilize) with salmonellosis.

Conclusions:

  • Improved performance in diagnosing and mobilizing essential public health services may decrease the incidence of specific enteric diseases.
  • Enhancing EH program performance can improve service delivery and public health outcomes.