Health departments in the United States

The waiting room of a local community public health department in the United States.

Government departments responsible for health issues and health services in the United States exist at federal, state and local levels. The first, at city level, were founded in the late 18th century; now many operate at city or county level. State-level work began in the mid-19th century, now every state has one. The federal agency now known as the United States Department of Health and Human Services (HHS or Health Department) originated in 1939.