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Public Health Services

History of Public Health in Douglas County
Public health services in Douglas County were originally established when the County joined the Tri-County District Health Department in 1966.  At that time, the county had a population of approximately 8,000. In February 2009, pursuant to the Colorado Public Health Act of 2008, the Board of Douglas County Commissioners adopted a resolution re-establishing Tri-County Health Department (TCHD) as the Public Health Agency of Douglas County.

By state law, Douglas County had the authority to withdraw from TCHD by resolution at least one year after written notice to the agency of its intent. The County provided the necessary one-year notice of an intent to withdraw from the Tri-County Health Department in a letter dated July 10, 2020.

On Sept. 7, 2021, the Board of Douglas County Commissioners adopted a resolution withdrawing from the governance of the Tri-County Health Department and establishing its own single-county public health agency.  The new Douglas County Health Department Board of Health was established by resolution on Sept. 14, 2021. To ensure the continuity of public health services for Douglas County, on Sept. 28, 2021 the Board of Douglas County Commissioners approved an intergovernmental agreement with TCHD to continue providing public health services through the end of 2022.

By creating its own, single-county public health agency that contracts for public health services, Douglas County has created a new, localized public health governance model, while maintaining continuity of core public health services for Douglas County.

For more information about the path forward regarding public health services delivery in Douglas County,  view a message from the Commissioners regarding Public Health Services in Douglas County.