Abstract
A RECITAL of the need for changes in organization and content of public health services is commonplace in public health discussions. Population growth, shifts in age distribution, and changes in morbidity patterns are referred to as factors that are producing or should produce changes in local health department organization and services. That there has been some change is, shown by the following national data on personnel in local health departments, taken from published (1) and unpublished material of the Public Health Service:
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