Specifications include, but are not limited to: Missoula County, Montana covers approximately 2,600 square miles in the western part of the state. Five large valleys and two major rivers wind through this mountainous region. Missoula County has a population of approximately 119,600 (2019 US Census estimate), and the city of Missoula is the county seat. Missoula County is governed by three Commissioners elected to staggered six-year terms. The nearly 30 departments within Missoula County provide services to County residents in the areas of general government, criminal justice, law enforcement, public health, public works, culture and recreation, community services, and land use planning. The Missoula City-County Health Department is operated under an interlocal agreement between the City of Missoula and Missoula County and is accredited by the national Public Health Accreditation Board. The sevenmember Board of Health, which governs the Department, is appointed equally by the City Council and the County Commissioners. The department’s Health Services, Environmental Health, and Health Promotion Divisions serve to protect and promote the public health of citizens in the community. Health Board members also serve in separate governing capacities as the Air Pollution Control Board and as the Water Quality District Board, both of which are also established by city-county interlocal agreements. The Water Quality District Board has an eighth member appointed by the local Conservation District. The Health Services Division is divided into three units: • Home Visiting Services Unit: o Missoula Healthy Families o Universal Home Visiting o Nurse-Family Partnership o Parents as Teachers o SafeCare Augmented o Visit Coaching o Love and Logic o Circle of Security o Foster Child Health Program o Asthma Home Visiting o Registered Dietitian Nutrition Services