Organization and role of the German public health service

The article describes the organization and role of the public health service in Germany. Health is not a federal but a state issue; sta-te health regulations are subject to state legislation. The role of the public health service may therefore differ among the federal sta-tes of Germany. In recent years there ha-ve been considerable changes in the main features of the role of the public health ser-vice. Prevention and health reporting have become top issues, as well as hygiene, control of epidemics, medical certificates, and physical and dental examinations for schoolchildren. The public health service has developed into an up-to-date and customer-focused organization. Using modern management methods and employing well-trained doctors and other highly skilled health professionals, the public health service will full-fill its role in working for the benefit of the citizens of Germany providing the necessary resources are available. The generational change in the public health service will be marked in the coming years, especially in the east of Germany. Many physicians will reach retirement age and need replacing. Physicians with postgraduate professional education in public health are rare; training in this area of expertise must be fostered.