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This article seeks to expand what limited information we have on the composition and duties of local boards of health (LBOH) as an important foundational step in analyzing the role of LBOHs in leveraging improved public health outcomes.
LBOH members and chairs are more similar in demographics to the top executives at local health departments than the general population or the public health workforce. Most LBOH chairs, however, lack experience in public health, and a quarter or more of LBOHs do not use their powers to set or recommend health priorities as a mechanism to leverage better community health outcomes.