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The Deputy
Secretariat for Public Health Services is one of three
deputy secretariats in the Department of Health and Mental
Hygiene (DHMH) which employs about 7,900 individuals (90%)
of the 8,700 employed by DHMH. The budget is $1.267 billion
(37%) of DHMH's $3.451 billion budget. The Secretariat is
also responsible for the 24 Local Health Departments
throughout the State. They employ an additional 6,800 State
employees and add $78 million annually in State funding.
The Deputy
Secretariat includes 7 administrations: AIDS - Alcohol and
Drug Abuse - Chief Medical Examiner - Community and Public
Health - Developmental Disabilities - Laboratories - Mental
Hygiene
The
Secretariat owns/operates 2 chronic care
hospitals/facilities, 4 facilities for the developmentally
disabled and 12 mental hospitals. In addition, we also fund
community-based residences for the developmentally disabled
(1600 sites), persons with mental illness (800 sites) and
persons with substance abuse problems (50 sites) through
private providers statewide.
The primary
focus of the Deputy Secretariat is PREVENTION.
Each administration has clearly defined roles in the areas
of prevention and education. Examples are hereditary
disorders, chronic diseases such as diabetes, heart disease
and cancer, family planning, prenatal care, immunizations,
substance abuse and HIV and tobacco risk reduction
education.
As the
provider of last resort for many of the State's poor and
disabled, the Department provides DIRECT SERVICES or
FUNDING through Local Health Departments and other
programs. Case management services are offered for persons
with HIV/AIDS and disabled children. The Department provides
breast and cervical cancer screening and treatment, dialysis
services and refugee and migrant health services.
Programs/treatment for the developmentally disabled,
mentally ill and substance abusers help them remain at
home/work and lead more productive lives. Programs to fund
services for the medically indigent, the homeless, and
pharmaceuticals for persons with HIV/AIDS are also provided.
REGULATORY SERVICES help the
economy by keeping businesses consumer friendly. These
services include inspection of food processing and food
service establishments, youth camps, migrant labor camps,
swimming pools, milk and drinking water plants. Through the
public health laboratories, the Department enforces food and
drug laws, monitor air and water pollution, and reviews the
quality of tests performed by medical and environmental
laboratories.
SURVEILLANCE is a silent but
critical part of the public health program. The Secretariat
investigates and monitors communicable diseases reported by
physicians and health care facilities such as hospitals,
nursing homes and schools. Diseases such as pneumonia,
meningitis, tuberculosis, legionella, and rabies are
measured, investigated, and actions taken to prevent their
further spread.
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