The management of public health departments has never been easy.
In recent times, local health departments have seen the return of infectious diseases, an increase in chronic disease, shrinking budgets,
and new concerns about bioterrorism and the association between environmental contaminants and illness. At the same time, there are new laws and regulations on personnel management, while new priorities on patient privacy complicate efforts to protect the health of the public. Furthermore,
the Internet can make a local mistake become part of a global 24-hour news cycle. There is less room for error, and public health managers need new skills to address old and new problems in new contexts.
Lopez R. Public Health Administration: Principles for Population-based Management. JAMA. 2008;299(1):97-102. doi:10.1001/jama.2007.23