Matthew Hodges ’19 – As a pre-med student with a primary care focus, I tend to frame preventive care at an individual level. When I think of preventive health measures, I generally think of proper diet, adequate physical exercise, reducing high-risk behaviors, and receiving routine checkups, vaccinations, and examinations. While these factors are undoubtedly important and play a key role in public health, there are so many preventive measures beyond the scope of individual lifestyle choices that are absolutely vital to a healthy community. Working at the Montgomery County Health Department this summer, I’ve had the opportunity to see a small fraction of the work that goes on behind the scenes to keep our community healthy.

Matt Hodges ’19 laughs during a day of picking up mosquitos.

Many of the health department’s responsibilities are things that we don’t think about; we simply take them for granted because they have been done so well for such a long time. Food inspection and sanitation specifically come to mind. When we sit down at a local restaurant and order our favorite menu item, we assume the food is clean and won’t make us sick. When we look down at our plate, we generally don’t ask ourselves at what temperature the meat was cooked, whether or not there was cross-contamination in the kitchen, if everyone was wearing a hairnet, or if the freezer was cold enough. Fortunately, Adrianne Northcutt has already asked all of these questions so we don’t have to. Similarly, the whole appeal of indoor plumbing is that we don’t have to think about what happens after we flush. That isn’t magic – it’s a man named Don Orr. Don personally inspects every septic system in the county to make sure they meet standards that prevent a whole host of unpleasant sewage-related problems.

Without people like Adrianne and Don, it would only be a matter of time before diseases and health issues that primarily exist in history books and developing countries come back to bite us. Working at the health department, I’ve learned the importance of a sound, well-regulated infrastructure. Many of the societal comforts we take for granted are in fact substantial victories for public health.