The Oregon Administrative Rules contain OARs filed through June 15, 2014







Standards for County and District Health Departments



The purpose of these rules is to establish minimum standards and administrative rules to:

(1) Define the organization, operation, and extent of activities required or expected of county and district health departments to carry out their responsibilities in implementing the public health laws of this state, and the rules and regulations of the Public Health Division; and to

(2) Assist in the development, improvement, and support of local health departments in their efforts to promote and protect the health of Oregon citizens.

Stat. Auth.: ORS 431.350
Stats. Implemented: ORS 431.345 & 431.375
Hist.: HB 269, f. 4-19-71, ef. 5-11-71; HD 5-1990, f. & cert. ef. 1-24-90


Health Department Services

(1) Each county and district health department shall perform (or cause to be performed) all of the duties and functions imposed upon it by Oregon Revised Statutes, and by official administrative rules adopted by the State Public Health Division and filed with the Secretary of State. These duties and functions shall be performed in a manner consistent with Minimum Standards for Local Health Departments, adopted by the Conference of Local Health Officials (CLHO).

(2) The following program areas shall be considered essential, and be specifically included in the overall annual plan of each county and district health department who shall assure programs are available:

(a) Control of reportable communicable disease which includes providing epidemiologic investigations which report, monitor, and control communicable disease and other health hazards; providing diagnostic and consultative communicable disease services; assuring early detection, education, and prevention activities which reduce the morbidity and mortality of reportable communicable disease; assuring the availability of immunizations for human and animal target populations; and collecting and analyzing of communicable disease and other health hazard data for program planning and management to assure the health of the public;

(b) Parent and child health which includes education, screening and follow up, counseling, referral, or health services for family planning, perinatal care, infants, and children;

(c) Health statistics which includes birth and death reporting, recording, and registration; analysis of health indicators related to morbidity and mortality; and analysis of services provided with technical assistance from the Public Health Division;

(d) Information and referral services to the public regarding local health and human services;

(e) Environmental health services which includes inspection, licensure, consultation and complaint investigation of food services, tourist facilities, institutions, public swimming and spa pools, and regulation of water supplies, solid waste and on site sewage disposal systems.

(3) In addition, each county and district health department should include or provide for programs in the following areas (according to the community's health needs):

(a) Dental health, including preventive education, promotion of fluoride use and procedures for early detection and treatment of dental problems;

(b) Emergency preparedness including participation in the development of the county's emergency response plans and internal procedures necessary to carry out the health department's role in the plans;

(c) Health education/health promotion including activities and programs to promote health and assist individuals and groups to achieve and maintain healthy behaviors;

(d) Laboratory services including providing diagnostic and screening tests to support public health services which are in compliance with quality assurance guidelines established by the Public Health Division;

(e) Medical examiner services to coordinate the epidemiological investigation of deaths of public health significance with the county medical examiner;

(f) Nutrition services including identification and intervention with clients at nutritional risk, and education and consultation for the promotion of good dietary habits;

(g) Older adult health including services to reduce morbidity and premature death; detect conditions which impair functioning; strengthen the ability to remain independent; and to promote physical, social and emotional well-being;

(h) Primary health care services including participation in community efforts to promote necessary services and/or provide health services;

(i) Shellfish Sanitation (in coastal counties) to monitor harvesting and provide public information to harvesters of shellfish.

(4) Each county and district health department, given the specific needs of their local communities, may decide to implement additional programs.

Stat. Auth.: ORS 431.350
Stats. Implemented: ORS 431.345, 431.385 & 431.416
Hist.: HB 205, f. 3-26-68; HD 5, 1990, f. & cert. ef. 1-24-90


Program Plans

(1) Each county and district health department shall submit an annual plan by May 1 of each year to the State Public Health Division.

(2) The Public Health Division shall develop the format of the plan in consultation with the Conference of Local Health officials.

(3) The plan should address all program areas identified in section (2) of this rule and any that are applicable in OAR 333-014-0050(3) including:

(a) Program indicators as defined by CLHO standards and agreed upon by the local health department and the Public Health Division; and/or

(b) A statement describing why services defined in OAR 333-014-0050(2) are not being provided.

(4) The annual plan shall become a key element of the county review done by the Public Health Division.

(5) The Public Health Division shall provide technical assistance on request to local health departments in developing the annual plan.

Stat. Auth.: ORS 431.350
Stats. Implemented: ORS 431.385
Hist.: HB 269, f. 4-19-71, ef. 5-11-71; HD 5-1990, f. & cert. ef. 1-24-90



Each county and district health department shall:

(1) Employ a qualified administrator who is responsible for the operation of the health department;

(2) Employ registered nurses licensed by the Board of Nursing, sanitarians registered by the Sanitarians Registration Board, and such other administrative professional, technical, and clerical staff sufficient to carry out the responsibilities of the department;

(3) Employ or contract with a physician licensed by the Oregon Medical Board as health officer;

(4) Use as guidelines for employment the minimum personnel qualifications as defined in the CLHO standards;

(5) Adhere to state or county civil service, merit system, or personnel rule requirements in the selection, promotion, or termination of all health department staff;

(6) Maintain an office open to the public during the normal work week of the local government.

Stat. Auth.: ORS 431.350
Stats. Implemented: ORS 431.345
Hist.: HB 269, f. 4-19-71, ef. 5-11-71; HD 5-1990, f. & cert. ef. 1-24-90

The official copy of an Oregon Administrative Rule is contained in the Administrative Order filed at the Archives Division, 800 Summer St. NE, Salem, Oregon 97310. Any discrepancies with the published version are satisfied in favor of the Administrative Order. The Oregon Administrative Rules and the Oregon Bulletin are copyrighted by the Oregon Secretary of State. Terms and Conditions of Use

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Phone: (503) 986-1523 • Fax: (503) 986-1616 • oregon.sos@state.or.us

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