In this report, the Trust for America's Health (TFAH) examines public health funding and key health facts in states around the country. Federal funding for public health has remained at a relatively flat and insufficient level for years. The budget for CDC has decreased from a high of $6.62 billion in 2005 to $6.32 billion in 2011. At the state and local levels, public health budgets have been cut at drastic rates in recent years. According to a TFAH analysis, 40 states decreased their public health budgets from FY 2009-10 to FY 2010-11, 30 states decreased budgets for a second year in a row and 15 for three years in a row. In FY 2010-11, the median state funding for public health was $30.09 per capita, ranging from a high of $154.80 in Hawaii to a low of $3.45 in Nevada. From FY 2008 to FY 2011, the median per capita state spending decreased from $33.71 to $30.09. A recent study conducted by the National Association of County and City Health Officials (NACCHO) found significant cuts to programs, workforce and budgets at local health departments (LHDs) around the country. Since 2008, LHDs have lost a total of 34,400 jobs due to layoffs and attrition. Combined state and local public health job losses total 49,310 since 2008. LHDs continue to struggle with budget cuts. In July, 2011, nearly half of LHDs reported reduced budgets, which is in addition to 44 percent that reported lower budgets in November 2010. In addition, more than 50 percent of LHDs expect cuts to their budgets in the upcoming fiscal year.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)