DOWNLOAD EXAMPLE OF A LOCAL HEALTH DIRECTOR'S JOB DESCRIPTION

ANCBH Public Health Nursing Conference May 31, 2024 Raleigh, NC 1/1 Photos courtesy of Hannah Rodgers, MPH, ANCBH Board Member and Alecia Smith, Ph.D., Communications and Public Relations Manager Durham County Health Department

Supporting local Boards of Health to meet Accreditation Standards Accreditation The North Carolina Local Health Department Accreditation website is the definitive source for information about the accreditation process for BOH members in North Carolina. The NC Institute for Public Health offers the official training courses for new and current BOH members. For members’ convenience, here are some quick links: NC Institute for Public Health (also see the CE Information link on the ANCBH Resources tab above) NC Local Health Department Accreditation Home Page Health Department Self-Assessment Materials Flowchart of the Accreditation Process Board of Health Operating Procedures Template (Word document download)

The legal organizational structure including Goals and Purpose, Membership and Dues, Officers, Directors, Meetings, Committees, Budget and Finance, Parliamentary Authority BYLAWS

Recognizes outstanding public health workers, educators, and students. Provides financial support for members to attend conferences and meetings. Current and Past Award Recipients Robert L. Strother Award 2020: Warren County Health Department (Dr. Margaret Brake) and H.O.P.E Regional Medical Clinic (Demaura Russell) 2 020: Yadkin County Health Department (Jessica Wall) and Hands of Hope Medical Clinic (Marty Driver) 2023: Surry County Health and Nutrition Center and Mark Willis, Director of the Surry C ounty Office of Substance Abuse and Recovery 2024: Christie Sykes, RN, Alamance County Refugee Program 2025: Dr. Bahby Banks and Pillar Consulting Carl Durham Award 2020: Eva Brown (Warren County) 2023: Surry County Board of Health (Eddie Jordan, Chairman) 2024: Catawba County Environmental Health Team 2025: Rachel Royce, PhD, MPH (Orange County) Vaughn Upshaw Award 2020: Tanvi Shaw 2021: Aoife O'Connor 2022: Karina Gonzalez 2023: Karina Gonzalez 2024: N/A 2025: N/A Robert Blackburn Award 2020: Jessica Lynn Mrugala 2021: Megan DeMarco 2022: Samuel Elliott Krause 2023: Robert Zerniak 2024: N/A 2025: N/A Outstanding Board of Health Award 2023 : Stanly County’s Consolidated Health and Human Services Board 2024: Guilford County Board of Commissioners 2025: Madison County Board of Health ANCBH President's Award 2024: Dr. Benjamin W. Tillett (Person County) 2025: Ms Edna Hensey (Wake County)

National Advocacy Sites American Public Health Association www.apha.org Library of Congress www.loc.gov Research America www.researchamerica.org United States House of Representatives www.house.gov United States Senate www.senate.gov

History of ANCBH A newsletter article is presented below. Read a draft outline of the history of ANCBH here. “… Board of health members are the bedrock of local public health, a foundation for our future, and a strength on which we can build.” — Carl Durham, ANCBH Founding Member and First President The following is a small article as it appeared in the September, 2002 ANCBH newsletter. It provides a thumbnail sketch of ANCBH’s return to the status of an all-volunteer association. The author is Barbara Ann Hughes, PhD, a past president of ANCBH. “In 1993, as a way to invest in the education of new Board of Health members across the state, the General Assembly started a $100,000 grant in aid to ANCBH. This arrangement worked fine until the state budget crisis caused the cancellation of this grant in 2001. Fortunately, the Division of Public Health of the University of North Carolina, believed in the value of training, applied for, and was granted $70,000 from the state to continue training. A UNC Board of Health Proposed Training Plan was written on September 24, 2001. An agreement was made between the Division of Public Health and ANCBH to allow for the continued training of local Board of Health members. The agreement, signed on January 14, 2002, provided for employees to be appointed for a period of either 3 or 5 years to carry out this training from within the Institute of Public Health of the Division of Public Health of UNC. Carmine Rocco became a staff member of the Institute for Public Health, and continued to conduct training of local board members. He tendered his resignation to become the Local Health Director for Warren County, North Carolina. The Board of Directors meets quarterly and is committed to offering more and valuable services to its membership.” Historical Outline of the ANCBH This historical outline provides highlights from the Association’s past and it is presented to provide some background information to those who have little information about the Association. 1985 The seed for the Association of North Carolina Boards of Health was sown when a Steering Committee was appointed after a seminar on “The Future of Public Health for Local Boards of Health” held in Chapel Hill, NC. 1986 First Annual Meeting of ANCBH is held in September in Greensboro, NC. Articles of Incorporation were signed in November. 1987 Staff was hired including Vaughan Mamlin Upshaw, a founding member of the National Association of Local Boards of Health (NALBOH). Second Annual Meeting of ANCBH was held in Fayetteville, NC. 1988 Established independent office in Pittsboro, NC. Received IRS tax exempt status. Pilot Board of Health Orientation Program occurred in Charlotte, NC. Third Annual Meeting of ANCBH in Winston-Salem, NC. 1989 ANCBH Board of Directors approved hiring a part-time assistant. Receive $5,000 grant from W. K. Kellogg for research and development of board health manual. Fourth Annual Meeting of ANCBH in Charlotte, NC. W. K. Kellogg approved a grant for $310,311. 1990 Grant Review Committee appointed. 1993 General Assembly allocated a $100,000 grant in aid to ANCBH to invest in the education of new Board of Health members across the state. General Assembly ratified Senate Bill 1505 which included the continuation of a $100,000 grant-in-aid through DHHS to ANCBH to invest in the education of new Board of Health members across the state. 1994 General Assembly grant-in aid continued. 1995 General Assembly grant-in aid continued. First Emeriti Reception was held. 1996 General Assembly grant-in aid continued. 1997 General Assembly grant-in aid continued. Carmine Rocco joins ANCBH as Executive Director in September. 1998 General Assembly grant-in aid continued. 1999 General Assembly grant-in aid continued. David Phillips, teenage son of ANCBH Board member Charles Phillips of Cabarrus County, volunteers to develop and establish the first ANCBH website. 2000 General Assembly grant-in aid continued but funding is in jeopardy. 2001 General Assembly cuts the $100,000 grant in aid to ANCBH. ANCBH entered into a short-term contract with the North Carolina Institute for Public Health to assist with the downsizing. Contract terminated on June 30, 2002. ANCBH receives the North Carolina Public Health Association's Partners in Public Health Distinguished Group Award. 2002 ANCBH Executive Director resigned. NCIPH wins a grant to provide orientation training to local board of health members. ANCBH files are relocated to NCIPH. 2003 ANCBH Board of Directors began to reassess its organization and role with an all-volunteer structure. 2004 ANCBH continued to assess its organization and role, looked back to re-connect with its history, and then began planning for the future. 2005 Bylaws were amended to add an Emeriti membership category. Membership survey was conducted. Affiliation agreement was signed with the National Association of Local Boards of Health (NALBOH). Memorandum of Understanding was signed with the North Carolina Institute for Public Health. Website was evaluated for necessary changes. 2006 The January 2006 annual meeting presented an educational session on accreditation, the most frequently requested topic in the membership survey. The website receives major changes.

Newsletters of public health-related topics for Boards of Health and Health Directors ANCBH NEWSLETTERS Subscribe here to join the mail list to receive future editions. 2026 February (Measles updates, Rural Health Transformation Funding, North Carolina HPV Stakeholder Meeting (Free), and more) 2025 December (2025–2030 North Carolina Cancer Plan, Radon Action Month, Medicare cost increases, QuitlineNC ) October (Tylenol-Autism, Tobacco control, nursing shortage, Helen recovery grants, trainings, Annual meeting) August (Federal legislation impact on NC, Hurricane season, Food recalls, Training opportunities) 2024 February ( Health Equity - Public Health and Pharmacy Partnerships , BOH liability, Pharmacist pres cribed contraceptives) June (PFAS and MNP (Forever Chemicals) in Today’s World, Cancer and cancer surveillance resources in NC) August (Ideas for sharing and BOH action: chronic disease prevention, gun violence, environmental health) October (Focus on immunizations, reporting animal rabies cases to the public, Zyn(TM)-an oral nicotine pouch) 2023 Janu ary (vie w 8 community-based action items for Board of Health Members plus FAQs about the BOH) June (North Carolinian, Dr. Mandy Co hen, Tapped for Leadership Position at CDC) Septem ber (PFOS/P FAS water advisory, firearms injuries and death: a public health issue, 2 023 A w ards, and more) November (Healthcare worker burnout, Triple viral threat, State Health Improvement Plan u pdated, BOH Chair network)

Improving public health in North Carolina About ANCBH Since its incorporation in 1986, the Association of North Carolina Boards of Health has been and continues to be a unique organization serving North Carolina’s local boards of health and their members. The Association’s goal is clear: to pursue excellence in public health in North Carolina by providing leadership and support for local Boards of Health in their efforts to protect and promote the public's health. And its purposes remain focused on the health of the public by: Promoting high standards of comprehensive public health services for the citizens of North Carolina. Providing consultation and education for, and facilitate the exchange of ideas among, Board of Health members. Supporting health policy and finance issues in support of public health in North Carolina. Promoting close working relationships between local Boards of Health and other allied agencies. Promoting programs and projects deemed necessary to protect and promote the health of the citizens in North Carolina. Supporting public awareness of public health issues and dangers. ANCBH continues to meet the needs of our members by working with: Local health directors by attending their monthly meetings, supporting their advocacy efforts, and giving a monthly report of our activities; The N.C. Institute of Public Health local board of health training program by providing a trainer; The N.C. Local Health Department Accreditation Board with four members serving on the board; Liaison groups such as N.C. Association of County Commissioners, N.C. Alliance for Health, and the N.C. Citizens for Public Health. ANCBH in Review Bylaws

ANCBH Public Health Nursing Conference "Our Nurses, Our Future, You Make a Difference" May 5 2023 Greensboro, NC View program and speakers 1/2 1/2

Food Insecurity in NC: Food Pantries and Food Banks Food insecurity is a Public Health concern. The USDA defines food insecurity as a lack of consistent access to enough food for every person in a household to live an active, healthy life. According to the organization "Feeding the Carolinas ", 660,000+ children and 1 in 7 Carolinians are food insecure, either temporarily or on a long-term basis. The need is especially acute given the recent significant cuts and elimination of Federal funding that supports food pantries and food banks in NC and across the country. ANCBH will begin to highlight the organizations that are helping to meet this need. We will do this by 1) profiling programs with demonstrated excellence and 2) by providing an index of links to local programs. If you need assistance or know of someone needing assistance, or if you are a DONOR or SUPPORTER , please use these links to reach out to the local program in your community. https://foodfinder.us/ https://feedingthecarolinas.org/ https://food-banks.org/north_carolina-programs.html Profiles in Excellence CHATHAM COUNTY CORA - Chatham Outreach Alliance View their video CORA: Building a Community Without Hunger CORA's mission is to provide nutritious food to community members facing food insecurity. We provide access to healthy food through our choice food pantry, Mobile Markets, and specialized programs like SNACK! and CORApacks, which address the unique needs of children. CORA envisions a healthy, strong, and connected community without hunger, where all people have access to abundant, safe, and nutritious food. Our work helps build a healthy Chatham County where families thrive, children do well in school, and seniors do not face the stress of choosing between food and other necessities. CORA is on track to provide food for over 2 million meals this year, ensuring that no one in our community goes hungry. We are committed to serving everyone with dignity, respect, and compassion. Together, we can create a hunger-free community. Profile sin Excellence

Continuing Education The NC Institute for Public Health (NCIPH) at the UNC Gillings School of Global Public Health provides both orientation training and ongoing training for local public health governing boards in North Carolina. Options for Organizing and Governing a Local Health Department These training slides and the accompanying video were provided by the UNC School of Government's Kristi Nickodem, an attorney and Assistant Professor of Public Law and Government. These are excellent resources for Board of Health members as part of an overall Governance training program. If you need to verify your participation in this training for purposes of receiving CE credit or as part of providing documentation for your health department’s accreditation process, a CE self-reporting form is provided here . Download the training slides here and watch the video here . Roles and Responsibilities of Local Public Health Governing Boards This training is provided through funding support from the Local Technical Assistance & Training Branch within the NC Division of Public Health. This two-hour classroom-based session is led by an experienced, retired health director or by a former board of health member and meets NC Local Health Department Accreditation requirement 36.2 which stipulates all new board of health members receive training and reference materials on the authorities and responsibilities of the local board of health within the first year after appointment to a board. Learn more. On-going Training for Local Public Health Governing Boards NCIPH offers a number of training opportunities for local public health governing boards looking to meet ongoing board training requirements for accreditation (i.e., Activity 36.3) or local board policies for regular/annual training. Through a collaboration with the NC AHEC Program, NCIPH can provide expert speakers on topics such as accreditation, community health assessment, community health improvement and evidence-based public health. In addition, NCIPH provides online trainings which may be used as self-paced learning for individual board members or used for group training. Learn more . NC Board of Health Rulemaking Authority This online training is designed to explain rulemaking authority as it applies to a local board of health including the board’s general authority to make rules, limitations on this authority, and procedural requirements that NC law imposes on the rulemaking process. The training may be accessed as needed for “just-in-time” training when boards are actively engaged in rulemaking or used towards meeting requirements for ongoing training for board of health members. Learn more. Introduction to Public Health in NC This free online series of six short modules serves as a basic introduction to the practice of public health in North Carolina. Learn more. Boards of Health Resources NCIPH has compiled a page of resources for local public health governing boards including links to state and national agencies who provide training materials and resources. Learn more.