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Essex County Health Department includes four (4) Units:

  • Public Health
  • Home Health
  • Children’s Services
  • Women, Infants & Children (WIC)

Our Public Health Unit is a Local Health Department of New York State Department of Health (NYSDOH).  It conducts the 6 Core Functions of local health departments as mandated by NYSDOH:

  • Community Health Assessment
  • Communicable Disease Prevention and Control
  • Chronic Disease Prevention and Control
  • Emergency Preparedness and Response
  • Family Health
  • Environmental Health

Most of Environmental Health is executed by a NYSDOH District Office.  This office is located in Saranac Lake & serves Essex, Franklin & Hamilton counties.

Our vision is healthy people in healthy communities.

It is the mission of Essex County Public Health Unit to prevent disease, promote health, and protect life by contributing to conditions within out communities such that people can be healthy.  This mission is achieved by :

  • assessing and responding to public health needs;
  • educating and empowering people about health issues;
  • mobilizing community partnerships;
  • assuring effective programming and practices; and
  • linking people to health services.


Our Home Health Unit provides in-home skilled professional services including nursing, occupational therapy, physical therapy and speech/language therapy.  Home health aide services are also made available through the Nursing Services Unit .


Our Children’s Services Unit conducts three (3) programs as mandated and regulated by NYSDOH and the New York State Education Department (NYSED).  Programs are designed to assure children with developmental and health delays or disabilities – including physical, cognitive, communication, social-emotional, and/or adaptive – receive early intervention therapeutic and support services.


Our WIC Unit offers nutrition education, breastfeeding support, referrals and a variety of nutritious foods to low-income pregnant, breastfeeding or postpartum women, infants and children up to age five to promote and support good health.

You can get more information about each of these units on this website or by calling (518) 873-3500.



The United States constitution describes a system of federalism that invests in the authority of states to determine what responsibilities they retain and what responsibilities are delegated to local public health.

New York is one of 26 states where the provision of public health services is decentralized. Essex County Health Department is one of fifty-seven (57) local public health departments (plus the New York City Department of Health and Mental Health) in NYS that operates under the administrative authority of local government.

We have been in operation since the inception of Essex County in 1877.