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administrative American Hospital Association ASTHO BHTSA Bureau child health chronic disease clients clinic community health education Consumer involvement Cook County coordination County Health Department CPHD Department of Health DHEC DHEW diabetes Disease Control District Health Department environmental health evaluation example expenditures family planning federal Financing Focal Points grant Health Agencies 1980 Health District health education activities health education programs Health Education Project health education services health education staff Health education structure health education unit Health Promotion Health Services hypertension implementation inservice lead poisoning LHDs Littner major materials maternal and child MDPH Michigan newsletter nutrition OCHD Office of Health Ottawa County patient and community patient education Pee Dee percent Pinal County problems professional Public Health Agencies public health departments public health education reported responsible role school health Service area South Carolina survey target populations technical assistance Trident Venereal Disease Vickery Wheeler