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The past two decades have been a time of great change for the public health system, including the workforce. Following the September 11, 2001 attacks on the World Trade Center and the use of the U.S. Postal Service to send Anthrax spores, the public health workforce grew rapidly, sustained largely through public health and emergency preparedness funding.1 By 2005, the focus on emergency preparedness began to wane, and federal funding for state and local health departments from the Centers for Disease Control and Prevention (CDC) was reduced by nearly 40% by 2012.2,3 Data collected by the National Association of County and City Health Officials (NACCHO) between 2008 and 2012 found that many local health departments had experienced budget cuts, loss of staff, and service reductions.4 By 2011, nearly a quarter of local health departments surveyed by NACCHO reported they had reduced or eliminated programs, including emergency preparedness and clinical health services.4

Undergraduate and graduate public health programs need changes to teach the public health workforce of the future