Popis: |
O ST of us know something about the history of enviM r ronmental health organizations, but we may find it troublesome to grasp and accept organizational change and, like Alice in Wonderland, determine which way to travel amongst the diversified wonderland of possibilities. Public health officials should lead in making such public policy recommendations rather than leaving a void that others will certainly fill. Historically, environmental health and environmental health personnel were basic components of public health departments. Environmental health problems caused the creation of many health departments. Environmental health personnel were products of health departments and existed primarily, if not solely, in health departments. State and local public health departments had a uniform organizational pattern with a physician health officer at the top, a sanitary engineer in charge of programs usually termed sanitary engineering, and a cadre of sanitarians delivering most of the field services. A similar pattern existed in the U.S. Public Health Service that was then responsible for most federal environmental health activities. Environmental health began diversifying at the federal level at an |