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This study assessed the variability in investigation, prevention, and control of communicable diseases of public health significance among Washington State local health jurisdictions
Washington State residents receive different public health advice and services for communicable disease issues depending on where they reside in the state. Unnecessary variation is undesirable and may undermine public confidence in the public health system. Additional research is needed to better understand reasons for these differences and to determine whether there are policy, funding, or programmatic changes that could address areas in need of standardization..