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State and Local Levels

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Public health services at the state and local levels include boards of health and state and local health departments. Even with the 1988 IOM Report on public health, the ability of public health departments to engage in improving the health of the public has become limited (Tilson & Berkowitz, 2006). In addition, efforts for bioterrorism and disaster preparedness have brought the nation's infrastructure desolation to light, causing increased funding for this nation's disaster preparedness efforts, with little money focused on public health care funding and infrastructure redevelopment.

Kelly Vana's Nursing Leadership and Management

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