​​​​​​Ask an American to define the term “public health laboratory,” and you are likely to get a puzzled look. Yet these highly specialized governmental health laboratories protect our lives daily.

Working at the federal, state and local level, public health laboratories monitor and detect health threats ranging from rabies and dengue fever to radiological contaminants, genetic disorders in newborns and terrorist agents. Equipped with sophisticated instrumentation and staffed by highly trained scientists, these unique institutions deliver services that may be unavailable or cost-prohibitive elsewhere.

Public health laboratories form the backbone of a national laboratory network on alert 24/7 ​to respond to novel strains of disease, natural disasters, chemical spills, foodborne outbreaks and other health emergencies. They collaborate closely in these efforts with the Centers for Disease Control and Prevention and other federal agencies including the Environmental Protection Agency, the Food and Drug Administration, the Federal Bureau of Investigation and the Department of Homeland Security.

Public health laboratories also partner with the World Health Organization and other international health entities to prevent and control health threats. For example, state public health laboratories participate in the WHO Global Influenza Surveillance Network which monitors circulating strains of influenza to inform selection of those to be included in the annual flu vaccine.

​Strategically Located and Diverse

Public health laboratories are strategically located across the United States. Every state and territory and the District of Columbia has a central public health laboratory that performs laboratory services for the jurisdiction. Many states also have local public health laboratories, ranging in size from large metropolitan laboratories to smaller facilities that serve a region or community. Some public health laboratories specialize in a single area of laboratory practice such as environmental health, food safety or agriculture. 

A Culture of Quality

Public health laboratories ascribe to a culture of quality. They continually strive to improve operations at their facilities and at clinical laboratories within their jurisdiction. They sponsor specialized training, send updates concerning health threats and share information on best practices. In many states, public health laboratories regulate private clinical and environmental laboratories. State public health laboratories also conduct applied research, for example, to develop enhanced testing methods.

... and in Action

Posts from the APHL blog exemplify public health laboratories' contributions to public health.

Newborn Screening

Public health laboratories screen in 97% of the four million babies born the US annually for genetic and metabolic disorders that must be treated soon after birth to prevent lifelong disability or death. Meet some of the families whose lives have been touched by newborn screening: ​

Connor and Kelen, PKU, Wisconsin and Caroline and Stephen, Isovaleric Acidemia, Virginia 

Food Safety

Public health laboratories monitor for outbreaks of foodborne diseases through the national network PulseNet. Using next generation sequencing, they connect the dots between cases of foodborne disease to halt outbreaks quickly. Find out how testing at New York’s agricultural lab led to a recall of contaminated dog food.

Emergency Response

Public health laboratories respond to intentional attacks, natural disasters, disease outbreaks and accidents involving hazardous substances. 

Learn how the state laboratory in Minnesota responded to a case of anthrax and New Jersey’s state laboratory screened for genetic and metabolic disorders in newborns during Hurricane Sandy.

Environmental Health

Public health laboratories assure the safety of water, soil and air through testing for chemical, biological or radiological agents and other contaminants. They also measure levels of chemicals in human tissues and fluids to assess potential environmental exposure.

Find out how Hawaii’s state laboratory responded to a molasses spill in Honolulu Harbor