Which service is NOT listed as a basic LPHA service in the Emerson Report?

• A. Environmental health
• B. Laboratory services
• C. Maternal and child health
• D. Training

Answer: (D)

The Emerson Report lays out core services that local public health agencies should provide. Environmental health, laboratory services, and maternal and child health are all described as direct public health functions—activities that protect and promote health through inspection and enforcement (environmental health), testing and analysis (laboratory services), and programs for mothers and children (maternal and child health). Training, while essential for building a competent public health workforce, isn’t listed as a basic service in that framework. It’s a key support activity that enables the delivery of those core services, rather than a standalone basic service itself. So the service not listed as a basic LPHA function is Training.