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Currently, the TALHO has only 1 award, the Janet Emerson Public Health Servant Award. A series of certificates and awards should be considered for LHAs and others. Possibilities could include recognition of LHAs who have completed LHA training; tenure recognition for 5, 10, 15, 20, and 25 years of service; and an award for extraordinary contributions to the local or public health community.

This training is intended to be inexpensive for the students and should provide many benefits to DSHS and the citizens of Texas. LHA training could provide tools for the DSHS to track not only LHAs but also physicians who have LHA training and might be recruited either in emergencies or as LHAs in venues without a LHA.

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Provision of inexpensive CME hours and ethics hours might be an inducement for other physicians to participate. The training should focus on practical, actionable information based on required competencies and responsibilities of LHAs.

This program could extend the eyes, ears, and hands of the DSHS into small and remote communities where they currently have no presence. Grants could be used to pay for development costs, and CME fees could pay for upkeep and update once the course is online.

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  • In provinces that levy health insurance premiums, deductions of employee contributions are made from salary and sent to the provincial authorities along with government contributions.
  • The provincial health insurance plan of British Columbia provides for premiums to be paid at reduced rates by residents whose income is below certain levels.
  • Article 28A of the Irish Constitutionrecognises the role of local government in providing a forum for the democratic representation of communities and in exercising and performing powers conferred by law.
  • It also provides a guarantee that local elections will be held every five years.

Elective courses and supportive training could be offered to provide increased skills in other areas of need and interest. The effectiveness of public health programs could be enhanced if local primary care physicians were trained in public health12 and could assume part-time positions as LHAs for their counties and cities. Currently, there is no formal training available to appointed LHAs in Texas. Of the counties with appointed LHAs, many LHAs are rural primary care physicians who serve part time.11 Concerns about time requirements, lack of training, and possible liability may make local best testosterone booster physicians reluctant to take on the duties of the LHA.

Possible venues for training include online courses and state meetings of the Texas Medical Association or the Texas Academy of Family Physicians . The courses should be free or paid for by the appointing county for LHAs and inexpensive for other physicians. The availability of free CME would be an inducement for physicians to become appointed LHAs.

Training for public health would have to be synchronized with the physicians’ practices. It must not be so time-consuming that it interferes with the physician’s regular work and other commitments. The training should be divided into 1-hour blocks to allow busy physicians to complete a module in 1 session.

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A public health warning was issued concerning diarrheal disease and recommending control measures. As a result of this outbreak, other municipal pools in the county were inspected, and 1 was temporarily closed because of inadequate chlorination. This second incident occurred from June 13 to June 16, 2011 in San Patricio County, Texas.