Pillars of Governmental Environmental Public Health | A Guide to Scalable Environmental Public Health Programs
Appendices Appendix A 10 Essential Environmental Public Health Performance Standards
The 10 Essential Environmental Public Health Services, developed by the Centers for Disease Control and Pre- vention (CDC, 2021) and derived from CDC’s 10 Essen- tial Public Health Services, comprise the “collective set of capacities and activities necessary in an environmental public health system or program to effectively support the provision of services and programs needed to improve and protect environmental health.” They also serve as the framework for CDC’s Environ- mental Public Health Performance Standards, which is an instrument that EPH programs can use to assess their performance and identify areas for improvement (CDC, 2010), as well as for the Public Health Accredita- tion Board’s (2013) Standards and Measures, which are
used to demonstrate eligibility for public health depart- ment accreditation. These services are consistent with the foundational capa- bilities of the Institute of Medicine (2012), which are a set of six competencies that all public health departments should have the capacity to support, as well as the Foun- dational Public Health Services and the Public Health National Center for Innovations (de Beaumont, 2025; PHNCI, 2022). Many of these EPH services are also indi- cated in the World Health Organization’s (WHO, 2018) International Health Regulations. Most of the recommen- dations given by the documents included in this review can be categorized into one of the 10 Essential Services, which are enumerated and described in detail:
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