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DOH-Escambia 2025 Year in Review

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Florida Department of Health in Escambia County

Year in Review

From the HEALTH OFFICER

Marie Mott, JD, MS, RDN, CSSD, LDN

Marie Mott began her career with the Florida Department of Health in Escambia County (DOH-Escambia) in 2007 as a senior public health nutritionist. She served as DOH-Escambia’s public health communications manager until 2019, when she took on the role of director for the Division of Communications, Health Education, and Nutrition. In 2020, she was appointed health officer and administrator. Prior to entering the public health field, Mott practiced clinical dietetics in the areas of critical care nutrition, nutrition support, and medical nutrition therapy for chronic disease management and prevention.

Mott holds a Bachelor of Arts degree in both history and political science from the University of Montevallo, a Doctor of Jurisprudence from the University of Alabama School of Law, and a Master of Science in Human Nutrition from the University of Alabama College of Human Environmental Sciences. She maintains credentials as an attorney and counselor at law, registered dietitian, licensed dietitian/ nutritionist, and certified specialist in sports dietetics.

Since 1821, public health professionals in northwest Florida have been working to better the health of residents in our area. Today, the staff of DOH-Escambia continues this mission with an unsurpassable dedication to innovation, collaboration, responsiveness, accountability, and excellence in their work. As the health officer, I am humbled by their passion, care, and desire to serve the members of our community, and I am honored to be a part of this team!

2025 marked another impactful year in public health. This year’s report accounts numerous activities and successes within our programs, enabling us to better serve our community. Among our many notable successes are an improvement in breastfeeding rates, the

continued growth of our regional breast and cervical cancer screening efforts, the expansion of our school-based dental sealant program, and the successful exercise of our emergency point-of-distribution (POD) operation.

The accomplishments described in the 2025 Year in Review are the result of the combined efforts of our dynamic team and our partner organizations. Working together, we stand committed to protecting, promoting, and improving the health of our local community and beyond.

Escambia ABOUT DOH-

Health is shaped by the conditions in which people live, work, learn, and grow. Factors like education, employment, safe environments, access to care, and strong community connections all influence residents’ well-being.

DOH-Escambia is committed to protecting and improving the health of the community. The organization works closely with dedicated government and nonprofit agencies and community partners to address local health needs and build a healthier future for everyone in Escambia County. Key partners include, but are not limited to:

• Area hospitals and medical facilities

• Infectious disease practitioners

• The University of West Florida

• Pensacola State College

• Emergency Management

• Law enforcement

• The Escambia County School District and Early Learning Coalition

• City of Pensacola

• Emerald Coast Utilities Authority

• Healthy Start Coalition

• Opening Doors Northwest Florida

• Naval Air Station Pensacola

• Community Health Northwest Florida

• Boys’ and Girls’ Club

MISSION, VISION, VALUES

Mission

To protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts

Vision

To be the healthiest state in the nation

Values

• Innovation: We search for creative solutions and manage resources wisely.

• Collaboration: We use teamwork to achieve common goals and solve problems.

• Accountability: We perform with integrity and respect.

• Responsiveness: We achieve our mission by serving our customers and engaging our partners.

• Excellence: We promote quality outcomes through learning and continuous performance improvement.

ESCAMBIA COUNTY

Escambia County ranks 21st out of Florida’s 67 counties in population size and represents approximately 1.5% of the state’s residents. The county has a strong military presence, with four naval facilities:

1.

2.

3.

4.

Major employment sectors include military and civil service, education, health care, and retail.

Naval Air Station Pensacola
Corry Field Station
Saufley Field Station
Naval Hospital Pensacola

325,923

Escambia County Residents

372.1

Persons per Square Mile

DEMOGRAPHICS

COMMUNITY HEALTH PLANNING

DOH-Escambia partners with local hospitals and nonprofit organizations through Achieve Healthy EscaRosa (AHER), a collaborative initiative focused on improving community health in Escambia and Santa Rosa counties. Using the Mobilizing Action through Planning and Partnership framework, AHER leads the Community Health Needs Assessment (CHNA). This assessment compiles local data (demographics, health indicators, and social and economic factors) and community input to create a snapshot of local health needs. These insights help identify key priorities and guide the Community Health Improvement Plan (CHIP), which outlines strategies and actions to improve health across the community over time.

In spring 2024, AHER conducted a CHNA. Results were presented at a convening in November 2024. During this meeting, partners analyzed the findings and began identifying goals, objectives, and strategies for the upcoming 2026-2028 CHIP.

The following priorities were established:

• Health Equity and Access

• Mental Health

• Substance Use

• Food Is Medicine

• Healthy Community

• Child Safety

Throughout 2025, AHER partners continued monitoring progress on the 2023-2025 CHIP while planning for the next phase of community health work. The new CHIP will begin January 1, 2026.

“Stronger health outcomes begin with communities working together toward shared understanding and shared solutions.”

CLINICAL HEALTH

DOH-Escambia’s Clinical Health programs connect residents with essential health services through direct care and referrals to community resources. Services include primary and specialty care, family planning, sexually transmitted infection (STI) testing and treatment, immunizations, refugee health services, and breast and cervical cancer screenings.

These programs also work to remove barriers to care. Through the McMillan Fund, the department provides school physicals for those unable to pay. In recent years, services have expanded to include hepatitis C care, naloxone (Narcan) distribution, and a dental sealant program for school-aged children. Ultimately, the team promotes the importance of receiving care while working to ensure the services are accessible to all.

“Ensuring access to essential care isn’t just a service, it’s a commitment to the well-being of every resident we serve.”

STAFF SPOTLIGHT

Amber Hanna Suzanne Jeffers Clinic Staff

received the Directors’ Award for her outstanding work with the Florida Breast and Cervical Cancer Early Detection Program.

was selected to participate in the Florida Department of Health’s Public Health Executive Leadership Program.

completed Lean Six Sigma training. All staff achieved White Belt certification status, with some moving on to earn the Yellow Belt and/ or Advanced Yellow Belt certifications.

Sexually Transmitted Disease Clinic

The clinic team provides confidential testing, treatment, education, counseling, and fast-track services for individuals exposed to STIs, including syphilis, human immunodeficiency virus (HIV), chlamydia, and gonorrhea. Registered nurses and clinicians deliver these services while ensuring timely care and reducing the risk of disease transmission.

Family Planning Clinic

The clinic offers reproductive health services that support informed decision-making and preventive care. Services include family planning options, annual women’s health exams, clinical screenings, and referrals when additional care is needed.

We Care Referral Program

Founded by the Escambia County Medical Society Foundation, the We Care Referral Program addresses specialty medical needs of uninsured residents. Program staff screen clients for residence and income eligibility and connect them with participating physicians or hospitals for care. The program helps close a critical gap in health care access for uninsured residents who might otherwise delay treatment or rely on emergency departments. This reduces the strain on local hospitals and the broader health care system.

IMMUNIZATIONS

The Immunization Clinic provides vaccinations for all ages to ensure compliance with school and childcare requirements. DOH-Escambia is also a designated travel center, offering consultations and immunizations for individuals traveling abroad.

Impact in Action

One way DOH-Escambia’s Immunization Clinic serves residents is by protecting their health abroad. In 2025, the Foreign Travel Clinic was fully operational. The clinic offers individualized pre-travel consultations with an Infectious Disease physician and care based on the U.S. Centers for Disease Control and Prevention (CDC) Travelers’ Health Guidelines. One experience in particular demonstrated the clinic’s ability to coordinate specialized care: A client preparing for a humanitarian trip abroad required specialized travel health services before departure. To support this request, staff worked closely with the CDC and multiple DOHEscambia teams, including the medical director, facilities supervisor, and additional clinical staff. Through careful coordination and collaboration, the team arranged the necessary resources, conducted a consultation, and ensured the client received the care needed to travel safely. This unique experience highlighted DOH-Escambia’s ability to navigate complex requests as well as the dedication, expertise, and teamwork that help residents access health services.

Looking Ahead: 2026

• Expand the Foreign Travel Clinic

• Continue meeting the immunization needs of Escambia County residents

BytheNumbers

Florida Breast and Cervical Cancer Early Detection Program

The program provides education about breast and cervical cancers and emphasizes the importance of routine screenings. The program also provides the human papillomavirus (HPV) vaccine as a cancer prevention measure.

Services include referrals for screening and diagnostic mammograms, Pap tests, and assistance with medical insurance across Escambia, Santa Rosa, and Okaloosa counties.

2025 Highlights

• Hosted two mammogram bus events in collaboration with the Health and Hope Clinic, Florida Department of Health in Santa Rosa County, and the Northwest Florida Cancer Control Collaborative

• Became the first region in the state to meet the program’s mammogram bus screening goals

• Provided mammograms and cervical cancer screenings to 71 women in the community

Looking Ahead: 2026

• Facilitate three mammogram bus events to expand community access to breast cancer screenings

Improved Pregnancy Outcome Program (IPOP)

IPOP connects pregnant women to medical care and other community services. Nurses screen clients for potential risks, provide education to encourage healthy behaviors during pregnancy, and assist with Medicaid Presumptive Eligibility for Pregnant Women (PEPW) applications. Staff also refer clients to the Women, Infants, and Children (WIC) Program and help establish regular prenatal care with local physicians or clinics.

By the Numbers

Women, Infants, and Children

WIC is a federally-funded nutrition program that improves health outcomes for lowincome pregnant women, new mothers, infants, and young children. The program

2025 Highlights

• Increased the percentage of fully or partially breastfeeding infants at 6 months of age from 43.5% (2024) to 50.5%

• Maintained an average of 69% of WICenrolled children at a healthy weight, compared to the state average of 65.5%

provides access to nutritious supplemental foods, nutrition education, breastfeeding support, and referrals to health care services.

Looking Ahead: 2026

• Continue increasing WIC participation and breastfeeding rates through targeted outreach and education

HEALTHY START

The Healthy Start Program, established in Florida in 1992, provides comprehensive maternal and infant health services for clients at risk for adverse birth, health, and developmental outcomes. Services are provided regardless of financial status to ensure early interventions and support. The program focuses on reducing infant mortality, decreasing low birth weight, and improving overall health and development for Florida babies.

Impact in Action

“I have been seeing Ms. Linda for over a year with my pregnancy and my baby. Now my baby is one, so we ended the program, and I am going to miss her. She has guided me through so many new things and has taught me how to be a good mom. I will miss our visits!”

- Client feedback

Staff Spotlight

• Graciela McCarty, health program educator, received the Employee of the Quarter Award.

Looking Ahead: 2026

2025 Highlights

• Exceeded all state performance measures

• Continued efforts to reduce the rate of infant mortality in Escambia County

• Expand educational opportunities for mothers in Escambia County through free Healthy Baby classes at DOH-Escambia (topics include safe sleep, tummy time, and breastfeeding)

By the Numbers

CLIENTS SEEN 1,295

INTERCONCEPTIONAL EDUCATION AND COUNSELING SERVICES PROVIDED 507

WELLNESS PROGRAMS

Wellness programs at DOH-Escambia focus on preventing chronic diseases such as diabetes, heart disease, and cancer by encouraging healthy lifestyle behaviors. These behaviors include quitting tobacco use, maintaining a balanced diet and staying physically active. A team of subject matter experts provides health screenings, educational classes and presentations, interventions, referrals, and other support services to the community.

DOH-Escambia offers programs that support individuals managing chronic conditions, including the Chronic Disease SelfManagement, Diabetes Self-Management, and Worksite Wellness programs.

“Healthy habits empower healthier futures. With the right tools, education and support, every person can take steps toward lifelong wellness.”

RESET: Small Steps, Big Change Diabetes Prevention

DOH-Escambia offers the RESET: Small Steps, Big Change Diabetes Prevention Program (RESET). RESET is a CDC-recognized program that is proven to help participants reduce their risk of developing type 2 diabetes or delay its onset. The program is free and offered both in-person and online.

2025 Highlights

• Established five new partnerships for program referrals

• Received 10 physician referrals for clients to join the program

• Increased program enrollment rates by 50% through the implementation of an online waiting list

Looking Ahead: 2026

• Expand clinical partnerships

• Increase enrollment by 20% by hosting four program cohorts

Impact in Action

Health educators led a cohort in which three participants achieved or exceeded their weight loss goals (losing between 5% to 7.5% of their starting body weight) within the first six months of the program.

Health Liaison Team

Funding is provided to all 67 county health departments to improve health outcomes by promoting optimal health within their communities. Each county maintains a health liaison who facilitates meetings, collects data and leads program activities. The program also requires a local team to strengthen infrastructure and conduct assessments.

Additionally, the program supports a county coalition and plan taskforce that guides and implements projects addressing priority areas identified through initiatives such as AHER.

Looking Ahead: 2026

• Completed phase two of the Wayfinding and Client Experience Project, including the installation of new signage to improve facility accessibility

• Successfully utilized Patient Point technology to enhance health education and agency messaging in client waiting areas

Health Team Liasion Tanisha Thompson, Dr. Angel Bradley, and Emalita Bantista earned Lean Six Sigma Green Belt certificates and advanced to Black Belt training.

• Continue boosting participation in health education classes, including strengthening referral systems with local health care providers

• Gather feedback regarding the Wayfinding and Client Experience Project improvements through client feedback surveys

• Advance a human trafficking awareness project in collaboration with DOHEscambia staff and community subject matter experts

Impact in Action

The team has made steady progress toward increasing participation in health education classes. Recent rebranding and marketing efforts have generated increased interest in RESET.

Tobacco Free Florida

Tobacco Free Florida – Escambia (TFF-Escambia) promotes tobacco prevention and behavior change through policy advocacy, media campaigns, group counseling, community presentations, and engagement activities.

2025 Highlights

• Participated in Education Day with the Blue Wahoos, reaching more than 2,500 students, teachers, school staff and community members. The event educated youth about the dangers of tobacco use, delivered strong prevention messaging, and reinforced tobacco-free norms.

• Implemented a quality improvement initiative focused on strengthening collaboration between DOH-Escambia and external clinical providers. This effort improved the referral process for clients interested in quitting tobacco and resulted in increased attendance in tobacco cessation classes.

Looking Ahead: 2026

• Build on the clinical referral process to ensure interested clients are identified, referred appropriately, and supported through cessation services

• Strengthen youth engagement by increasing Students Working Against Tobacco recruitment efforts, expanding participation opportunities, and growing the number of youth involved in prevention and advocacy activities

• Continue elevating tobacco-free messaging through schools, community partnerships and large-scale outreach events in Escambia County

Impact in Action

A powerful example of the program’s impact in 2025 is the ongoing partnership with Emerald Coast Utilities Authority, which demonstrates a shared commitment to employee health and tobacco prevention initiatives.

By The Numbers

OUTREACHES/EVENTS

3,500

CLIENTS REACHED FOR CESSATION SUPPORT AND SERVICES

Overdose Data to Action

The statewide Overdose Data to Action (OD2A) Program was established in 2019 through a cooperative agreement with the CDC. This program aligns with national goals to:

• Decrease rates of all opioid misuse and opioid use disorder (OUD)

• Increase the provision of evidence-based treatment for OUD

• Decrease rates of emergency department visits due to opioid misuse or OUD

• Decrease the drug overdose death rate, including prescription and illicit opioid overdose death rates

Locally, OD2A-Escambia focuses on advancing community opioid awareness and prevention through education, outreach, and the distribution of Narcan at all DOHEscambia locations. The program also maintains partnerships with community organizations to expand prevention and response efforts.

2025 Highlights

• Partnered with Bright Bridge Ministries to host a Dinner and Learn event for Revive Awareness Day (June 6), featuring four speakers and 18 community resource vendors

• Participated in International Overdose Awareness Day (August 31)

• Distributed 5,058 doses of Narcan to Escambia County residents

• Provided two overdose emergency cabinets to local nonprofits, expanding access to lifesaving resources

Looking Ahead: 2026

• Advance community opioid awareness and prevention efforts

• Increase community engagement and outreach

• Strengthen local partnerships

• Reduce stigma surrounding OUD

100 PRESENTATIONS

42

750 appx

COMMUNITY MEMBERS SEEN

2,529

NARCAN KITS DISRIBUTED

5,058 Staff Spotlight

NARCAN DOSES DISTRIBUTED

Michelle Schilling was awarded the Community Appreciation Certificate from Momentum, a nonprofit organization, in recognition of her contributions to community overdose prevention efforts.

School Health

The School Health Program plays a vital role in supporting students in Escambia County by providing health education and preventive care. Registered nurses deliver classes to children, families and school personnel on dental hygiene, handwashing, nutrition, physical activity, and infectious disease prevention.

2025 Highlights

• Provided school-readiness clinics at all Escambia County middle schools

• Assisted nursing students from Pensacola State College and the University of West Florida with health promotion services at the January You-Count Event

Looking Ahead: 2026

• Collaborate with Escambia County Public Schools and the Florida Heiken Children’s Vision Program to provide no-cost comprehensive eye exams and glasses to students

• Expand the School-Based Dental Sealant Program

Impact in Action

Education from the School Health team’s classes is having an impact!

• A Molino Park Elementary family shared that their child, who had recently learned the importance of reducing screen time, started monitoring her family’s screen time at home.

• Lisa Alexander, a program nurse, was dining at a local restaurant when a student approached her to discuss what he’d learned from her 5-2-1-0 Let’s Go! Program at Beulah Elementary School. The student shared that he often talks with his family about what he learns in the program and encourages them to adopt healthier habits together.

By the Numbers

INFECTIOUS DISEASE

The Infectious Disease team protects community health by identifying and monitoring infectious disease outbreaks, investigating exposures, and working closely with health care providers and community partners to limit the spread of illness. Staff investigate outbreaks of foodborne and respiratory diseases and locate individuals who may have been exposed to tuberculosis (TB), HIV, and other sexually transmitted infections. When exposures are identified, the team connects individuals with appropriate testing, treatment, and local services.

Epidemiology

The Epidemiology team collaborates with a wide range of partners to prevent the spread of infectious diseases within the community. Key partners include:

• Community residents

• Doctors

• Nurses

• Health care facility administration

• Nursing homes

• Rehabilitation facilities

• Colleges

• Public and private schools

• Daycares

• State and local officials

• Prisons and jails

• Restaurants

• Hotels

• Businesses

The team works to identify individuals who may be sick or at risk for contracting contagious diseases, some of which may be lifethreatening. Early identification, monitoring, and response are necessary for protecting the community.

“Working alongside health care providers and community partners, we monitor, investigate, and respond to outbreaks to protect the health of all residents.”

Tuberculosis

TB is a serious infectious disease that can be fatal if not properly treated. As a disease of public health significance, DOH-Escambia’s TB Program focuses on both treating individuals with active infections and protecting those who may be at risk. Through partnerships with local health care providers, the team identifies suspected cases, coordinates diagnostic testing, and ensures appropriate treatment. Contact tracing and risk assessments are core components of the program and play a critical role in preventing transmission.

By the Numbers

15,274

SURVEILLANCE CASE COUNT

9,662

CONFIRMED CASES OF TB

ACTIVE INFECTIOUS DIESASE INVESTIGATIONS 1,031

Area 1 Regional STD Program

522

CASES INTERVIEWED BY EPI STAFF

57

DISEASE OUTBREAKS INVESTIGATED

>530

CASES ASSOCIATED WITH ALL OUTBREAKS

The Area 1 Regional STD Program serves Escambia, Santa Rosa, Okaloosa, and Walton counties, and works to reduce STI rates through surveillance, case investigation, screening, testing, outreach, and education. The program’s mission is to help all people in Florida live safer, healthier lives through the prevention of STIs.

The program uses a multifaceted approach that includes training and proactive community engagement. Disease intervention specialists serve as frontline defenses in contact investigations and partner elicitation to intervene in the spread of STIs. Staff also collaborate with public and private health care providers to support the diagnosis and treatment of all reportable STIs.

2025 Highlights Looking Ahead: 2026

• Conducted case tracing and partner elicitation and notification to over 11,000 clients, including nearly 5,000 in Escambia County

• Collaborated with the Regional HIV Program on numerous outreach activities across the four-county region, which included an after-hours HIV and syphilis clinic

11,000+

• Expand community outreach to increase public education of STIs, encourage healthy lifestyles and environments and improve access to care

Impact in Action

When a client needed assistance connecting to medical care, a disease intervention specialist went above and beyond to provide support. The client’s mother shared that she had not realized services were available to meet her son’s medical needs and expressed deep appreciation for the care and guidance provided by the program.

By the Numbers

OUTREACHES 28

CLIENTS RECEIVED CASE TRACING AND PARTNER NOTIFICATION SERVICES; NEARLY 5,000 IN ESCAMBIA COUNTY.

STI Comparison Rates (DOH-Escambia 2024-25)

Chlamydia down 2.4%

Gonorrhea down 9%

HIV down 45%

Syphilis, Primary down 22%

Syphilis, Secondary up 24%

Syphilis, Late latent/unknown down 25%

Syphilis, Congenital down 14%

The Area 1 HIV/AIDS Program serves Escambia, Santa Rosa, Okaloosa, and Walton counties. The program provides disease surveillance, prevention services, education, linkage to care, perinatal linkage services contract management, HIV counseling and testing, training, and technical assistance and support to communitybased organizations and health care facilities. The HIV Program works to stop the spread of HIV, reduce rates of new infections, and reduce acquired immunodeficiency syndrome (AIDS)-related deaths. The team supports these goals through several initiatives including:

• AIDS Drug Assistance Program (ADAP)

• Early Intervention services

• Linkage/perinatal linkage

• Pre-exposure prophylaxis (PrEP)

• Test and Treat

• Surveillance

• Outreach

• Contract management

The HIV Program is proud to work in public health and to be of service to the community.

• Attended multiple outreach events in Area 1 2025 Highlights

Looking Ahead: 2026

• Continue offering free HIV testing to the community

• Strengthen ties with other Area 1 Program staff

• Increase community awareness of HIV prevention strategies

By the Numbers

CLIENTS SEEN FOR TEST AND TREAT SERVICES 15

PREP CLIENTS SEEN 15

PREP REFERRALS TO COMMUNITY PARTNERS. 71 SERVICES PROVIDED 30

HIV TAKE-HOME KITS WERE PROVIDED TO THE COMMUNITY 175

Staff Spotlight

Tamara Borders was promoted to surveillance coordinator.

ENVIRONMENTAL PUBLIC HEALTH

The Division of Environmental Public Health (EPH) safeguards the community’s health through inspections, permitting, licensing, code and statute enforcement, and response to environmental health concerns. Staff apply education and training in natural, physical, and environmental sciences to monitor and control environmental factors that can impact health.

EPH activities ensure safe water, food and recreational, and residential environments. The EPH Program also supports emergency preparedness and outbreak investigation efforts to reduce risks from contamination and sanitation-related nuisances.

Looking Ahead: 2026

• Continue core public health work by expanding support for regulated facilities

• Offer training and consultation opportunities to help facilities meet safety standards

• Advance the Swimming Pool Program engineering files digitization project to improve operator access and efficiency

Impact in Action

In December, the EPH team completed the final construction inspection for a project that had been in progress for nearly three years. Although staff schedules initially did not allow for it, the team found a way to prioritize the client’s request and carry out the inspection before the end of the year. This effort exemplified the team’s commitment to both public safety and responsive customer service.

“From inspections to environmental monitoring, our work ensures that homes, businesses, and public spaces remain safe and healthy.”

Staff Spotlight

Gigi Gerichten earned her Master of Public Health degree and met all the requirements to become a certified environmental health professional in food hygiene, which is vital to her duties inspecting schools, prisons, and bars in Escambia County.

Petroleum Compliance

The Petroleum Compliance Program protects consumers, safeguards the environment, and supports public health by overseeing facilities with regulated petroleum tanks. The program assists facilities in navigating Rules 62-761 and 62-762, Florida Administrative Code, and responding to facilities’ petroleum storage tank-related inquires across seven counties in the Panhandle.

2025 Highlights

• Successfully navigated staffing transitions and the integration of new hires while maintaining active engagement with associated facilities and contractors

• Exceeded the minimum triannual inspection contract requirements for Fiscal Year 2025-26

Looking Ahead: 2026

Continue outreach to facilities and contractors conducting tank work to ensure awareness of compliance requirements

Staff Spotlight

Daniel Gartin was promoted to environmental supervisor I.

Impact in Action

The importance of the Petroleum Compliance Program is often demonstrated through direct interactions with facility operators. In one instance, a client called to thank the team for their patience and timely response to questions about a facility’s tank system. These moments highlight the program’s commitment to customer service and effective collaboration with the community.

Petroleum Cleanup

The Petroleum Cleanup Program addresses petroleum discharges to protect Florida’s groundwater and drinking water supplies. The program issues purchase orders for site assessments (which keeps contaminants out of wells and waterways), delineates soil and groundwater contamination, and oversees remediation efforts.

2025 Highlights

• Welcomed two new site managers, Benjamin Russell and Paul Kelly, who quickly became essential members of the team

• Maintained statewide status as a top four local program for the most purchase orders issued with a low error rate

• Issued over $21.6 million in work orders

Looking Ahead: 2026

• Continue streamlining internal review processes and refining program tools to strengthen overall effectiveness

• Maintain the status as one of the top local programs in the state for the volume of work issued, reinforcing the team’s commitment to timely, high-quality petroleum discharge assessment and remediation

Impact in Action

A local business owner submitted a funding agreement to the state but was unaware of several available options within the program. When the cleanup team received the agreement, they contacted the owner to fully explain the options and provide guidance.

During this call, the owner thanked the team for reaching out, offering more information, and clearing up any misunderstanding. Though not required of the team, this extra effort was worth it as it helped someone else understand the multifaceted program.

Staff Spotlight

• Albert DeLorge, Carrie Daniel, and Ryan Clawson completed and passed the Florida Certified Contract Manager training.

• All site managers attended the 2025 Annual PRP Cleaning Conference in Tallahassee. At the conference they met site managers from other Florida counties and participated in trainings.

Water Quality, Healthy Beaches and Swimming Poolses

The Water Quality, Healthy Beaches, and Swimming Pools Program regulates drinking water for residential and multifamily units, limited use drinking water systems under the provisions of Chapter 64E-8, F.A.C., and the construction and operation of public swimming pools. This program also monitors bacteriological qualities of Escambia County’s beaches, bays, and bayous.

Looking Ahead: 2026

• Increase the number and frequency of coastal water samples collected

• Add four additional beaches to the sampling schedule

• Increase sampling frequency from biweekly to weekly at 10 of the 16 beach sites, significantly expanding water quality monitoring efforts

Impact in Action

While collecting water samples for the Healthy Beaches Program, LeeAnn Lutz, environmental specialist III, was often approached by beachgoers, fishermen, and boaters who were curious about the sampling process. LeeAnn used the opportunities to explain the purpose of water quality monitoring and how the process helps protect public health.

These interactions are important as they offer insight to vital public health work that may otherwise be considered “behind-thescenes.”

PUBLIC HEALTH PREPAREDNESS

The Public Health Preparedness (PHP) Program helps ensure Escambia County is able to prepare for, respond to, and recover from public health emergencies and disasters through planning, training, and community collaboration.

DOH-Escambia equips residents, health care providers, and partners with critical resources for strengthening emergency readiness and community resilience. Initiatives include coordinating special needs shelters (SpNS), supporting community preparedness efforts, providing preparedness trainings and exercises, and managing public health response activities through Emergency Support Function 8 (ESF 8).

2025 Highlights

• Volunteered and supplied 43 cots to support the 15-to-50 mass casualty exercise with Ascension Sacred Heart Hospital to strengthen preparedness for large-scale emergencies by identifying gaps in response times and patient care

• Planned, coordinated and executed a drive-through rabies vaccination POD that resulted in the administration of 235 rabies vaccines, 235 distemper vaccines, and 100 microchips to local pets

Looking Ahead: 2026

• Elevate regional preparedness efforts

• Improve community partnerships

• Expand public readiness initiatives

• Boost volunteer recruitment for the Medical Reserve Corps

• Consistently deliver on quarterly goals to keep the county safe and resilient

“Through

strong partnerships and continuous planning, public health preparedness ensures health care services, shelters, and critical resources are ready during emergencies.”

Impact in Action

DOH-Escambia staff participated in HERricane, a unique camp for girls in grades 7 through 9 that offers hands-on learning in emergency management and related fields. This initiative highlights DOH-Escambia’s strong commitment to community partnership, working alongside local agencies to combine expertise, resources, and mentorship opportunities that strengthen

community resilience. Staff, including Dr. Vanessa Phillips, DOH-Escambia assistant county health department director and HERricane board member, mentored 35 students from Escambia and Walton counties. The camp’s mission is to advance the next generation of female leaders by empowering girls with confidence and knowledge.

Staff Spotlight

The PHP team reestablished the Escambia County Medical Reserve Corps (MRC) in partnership with the Administration for Strategic Preparedness and Response (ASPR) and the regional liaison. The MRC is a volunteer program composed of trained medical and non-medical personnel who support public health operations and emergency response. The team also collaborated with Okaloosa County to expand surge capacity, improve readiness and strengthen support during emergencies. By the Numbers

COMMUNICATIONS

DOH-Escambia’s Communications team develops and delivers health messages to the public and through a wide range of platforms. These include print and web advertisements, press releases, social media, e-newsletters, videos, community presentations, and shareable resources for community organizations.

Public information officers (PIOs) work with local and regional media outlets to provide accurate, timely, and relevant health information. They share updates through news coverage, social media, digital and print publications, and through the local health department website. During disaster response, PIOs play a critical role in coordinating public health communications, collaborating closely with partner organizations, and the Department’s Central Office of Communications in Tallahassee to ensure that the public receives necessary health and safety information.

PRESS RELEASES

MEDIA INQUIRIES

• Heart health

• OD2A

• Preparedness

• Back-to-School

• Breastfeeding

• FBCCEDP

• Wellness classes

• Healthy Babies

• Flu prevention

• RESET

• Foreign Travel Clinic CAMPAIGNS

PERFORMANCE MANAGEMENT AND QUALITY IMPROVEMENT

DOH-Escambia holds accreditation through the Public Health Accreditation Board (PHAB), a nonprofit organization that promotes quality improvement, accountability, and performance management among health departments. DOH-Escambia was reaccredited in 2022 and will remain accredited through 2027.

As part of public health accreditation requirements, DOH-Escambia implements a performance management system and operates on six foundational plans containing priorities, goals, objectives, and strategies to guide the health department’s functions. In alignment with the state agency priorities, each plan maintains a three-year cycle and encompasses all aspects of organizational development and quality improvement.

The Performance Management System provides a comprehensive approach to monitoring, assessing and improving the quality of services offered at DOHEscambia. Plans are reviewed monthly by the Performance Management Council and objectives are tracked quarterly by the performance management and quality improvement liaison. This allows insight into departmental progress and areas needing improvement.

Throughout 2025, DOH-Escambia continuously monitored the plans and will begin preparation for the new plan cycles in 2026.

DOH-Escambia is dedicated to evaluating and improving its programs, processes, and services. This commitment to quality enables the department to achieve efficiency, effectiveness, and customer satisfaction by identifying opportunities for improvement.

Utilizing a continuous quality improvement cycle, DOH-Escambia was able to initiate 13 quality improvement projects and complete nine in 2025.

159 96% 13 FULL-TIME EMPLOYEES

Quality Improvement Performance Management System

ACCOUNTING

DOH-Escambia Fiscal is responsible for the careful management and oversight of public funds that support essential public health services for the community. The section ensures that state, federal, and local funds are budgeted, tracked, and spent in compliance with applicable laws, regulations, and Florida Department of Health policies. Through accurate financial reporting, strong internal controls and responsible fiscal practices, the section supports the delivery of vital health programs while promoting transparency, accountability, and the efficient use of taxpayer resources to protect and improve the health of Escambia County residents.

Impact in Action

Knowledge sharing in action! Fiscal budget supervisor Lisa Kemp led two budget management classes for supervisors, helping staff strengthen their skills in planning, tracking, and maintaining responsible budgets.

Revenues $14,386,802 2 Expenses $14,955,305

CLIENT REGISTRATION

Client Registration is DOH-Escambia’s central scheduling hub. The team provides services including appointment set-up, obtaining immunization records, and offering local resources for any items they cannot assist with onsite.

2025

Highlights

• Completed onboarding for four new employees

• Streamlined the auditing process to ensure that medical records and scheduling, check-in, and billing information are accurate while maintaining an error rate below 5%

Looking Ahead: 2026

• Develop an efficient process for managing the increase in clients during the back-toschool timeframe

• Continue providing high-quality service and support to the community

By

the Numbers

6,890

CLIENTS SEEN

15,148

9,190

9,832

7,338

APPOINTMENTS SCHEDULED

APPOINTMENTS MADE FOR CLINICAL SERVICES

APPOINTMENTS CHECKED IN FOR CLINICAL SERVICES

VITAL STATISTICS

The Vital Statistics section maintains and issues birth and death certificates for Escambia County residents. These records play a critical role in community health assessment and planning. Data collected from birth and death certificates helps public health professionals monitor disease trends, mortality patterns and other indicators that inform health improvement efforts throughout the county.

EMPLOYEE WELLNESS

One of the many ways DOH-Escambia employees exemplify the Department’s mission to protect, promote, and improve health is by participating in wellness activities. A well-designed employee wellness program fosters increased productivity, improved morale, and decreased absenteeism while promoting a healthier workplace.

2025 Highlights

• Utilized bulletin boards and internal signage to promote wellness information and interactive activities for staff

Looking Ahead: 2026

• Continue sharing health and wellness information with employees through internal communication channels

• Expand wellness initiatives and employee engagement opportunities

FACILITIES AND IT

The Facilities and Information Technology programs support DOH-Escambia operations by maintaining both technological infrastructure and safe, functional work environments. Together, these teams provide essential behind-the-scenes services that enable staff to focus on delivering quality public health programs to the community.

By the Numbers

HELP DESK TICKETS COMPLETED FOR FACILITIES AND IT 3,711

Facilities and Maintenance

The Facilities and Maintenance team ensures a clean, safe, and wellmaintained working environment. Staff regularly inspect buildings and structures to detect malfunctions, perform routine maintenance across all three DOHEscambia locations, and support day-today needs, including office moves, minor repairs, and any other needs through the help desk system.

Information Technology

The Information Technology (IT) Program supports DOH-Escambia’s technological needs and infrastructure. The IT Help Desk serves as the primary contact for all issues related to computer, network and telecommunications systems, allowing IT staff to provide the highest level of support and resolve reported technology issues quickly and effectively.

2025 Highlights

• Installed four-way divisible Microsoft Teams rooms at the Fairfield location. The updates allow for the accommodation of specific events and group sizes as the rooms and audio/video technology can be connected.

• Replaced most desktop computers with laptops for easier relocation and remote fieldwork

Staff Spotlight

In 2025, IT experienced position reclassifications:

Looking Ahead: 2026

• Modernize infrastructure by eliminating analog lines

• Advance data governance through the launch of the Data Compliance and Retention project to better manage storage and decrease redundancy

• Upgrade physical security with new door access systems and enhanced surveillance at the Fairfield and Downtown Center locations

• David Gordon was promoted to information technology business consultant manager.

• Jamie Kidwell assumed the role of distributed computer systems consultant.

• Ivan McIntyre became computer network support specialist III.

• Yla Kaibigan transitioned to the role of data processing control specialist.

Employee Training

The DOH-Escambia Training team is committed to employee development, safety, and community engagement. The team ensures all staff are equipped to excel in their roles and uphold the agency’s mission, vision, and values.

2025 Highlights Looking Ahead: 2026

• Successfully provided new staff orientation for 22 new hires and seven interns

• Held four quarterly all-staff training days

• Collaborated with local leadership and other health departments to deliver regular supervisor-centered training

• Facilitated Lean Six Sigma White Belt training for all staff, with 14 employees advancing to receive Green Belt certifications

• Expand training initiatives focused on growth, consistency, and innovation

• Enhance the onboarding process to better support new team members from day one

• Continue offering informative, helpful training days that reinforce skills and knowledge

• Introduce training opportunities designed to meet evolving needs

• Continue to empower the organization for success

Staff Spotlight

Graciela McCarty Q1

Employee of the Quarter

Vital Statistics Team

Directors’ Award

Rosemary Smyth Q2

Employee of the Quarter

Amber Hanna

Directors’ Award

Kelly Jones Q4

Employee of the Quarter

James Brough

Directors’ Award

Locations

Fairfield Service Center

1295 West Fairfield Drive

Pensacola, FL 32501

Hours of Operation

Monday through Friday 8 a.m. to 5 p.m.

Programs and Services

• Breastfeeding Support and Education

• Community Health Northwest Florida Dental Clinic

• Community Health Planning and Statistics

• Epidemiology

• Family Health Clinic

• Family Planning Clinic

• Florida Breast and Cervical Cancer Early Detection Program

• Health Education

• Healthy Start

• Immunizations Clinic

• Improved Pregnancy Outcome Program

• Medical Records

• Public Health Preparedness

• Public Information

• Nutrition Services

• STI, TB, HIV/AIDS Screening and Treatment

• Tobacco Free Florida-Escambia

• Vital Statistics

• We Care Referral Program

• Women, Infants, and Children Program

Downtown Service Center

1300 West Gegory St. Pensacola, FL 32502

Hours of Operation

Monday through Friday

9 a.m. to 4:30 p.m.

Programs and Services

• Healthy Beaches

• Biomedical Waste

• Body Piercing and Tattoo Establishments

• Fiscal

• Food Hygiene

• Mobile Home Parks

• On-site Sewage Treatment and Disposal Systems

Programs and Services

• Women, Infants, and Children

• Public Pools and Spas

• Public and Private Schools

• Rabies Surveillance

• School Health

• Storage Tank Compliance and Petroleum Cleanup

• Tanning Salons

• Water Quality Research

Northside Service Center

8390 N Palafox St. Pensacola, FL 32534

Hours of Operation

Monday through Friday Appointment Only.

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