Harris County Public Health (HCPH) is a large LHD that surrounds and includes Houston, Texas, the fourth largest city in the United States. In 2010, Harris County/Houston surpassed New York City and its surrounding area to become the most diverse place in America (Link to May 9, 2017 Los Angeles Times Article - http://www.latimes.com/nation/la-na-houston-diversity-2017-htmlstory.html). Racial demographics of the 4.54 million Harris County residents are as follows (per U.S. Census Bureau): - 42% Hispanic or Latino - 30% White - 18% African American - 6% Asian - 2% Two or More Races - Below 1% Native American - Below 1% Native Hawaiian Pacific Islander - Below 1% Other Races Geographically, Harris County covers over 1,770 square miles of mixed urban, suburban and rural areas. Data USA analysis shows a median age of 33.1 years, median household income of $56,629, median property value of $156,000 and a poverty rate of 16.7%. One of the major public health issues in serving such a diverse community spread across such a large geographic area is transportation. The population of unincorporated Harris County (those areas outside the city limits of Houston) is greater than the population inside the city proper. Yet unincorporated Harris County has virtually no public transportation. Getting residents to brick and mortar HCPH facilities is a significant challenge to providing services to the community. HCPH's model practice in response to this problem is to bring a holistic approach to mobile outreach. The primary goal of the HCPH mobile program is to mobilize as many of the full spectrum of public health services as possible. This means the traditional use of assets such as mobile medical and dental clinics or pet adoptions, but also moving beyond traditional thinking. HCPH has additionally mobilized nutrition outreach, vector-borne disease education, and environmental health. We even incorporated virtual reality into a specialty vehicle that addresses healthy lifestyle education plus preparedness/response. HCPH's mobile program is best summed up as, “Bringing Public Health to the Public”. Activities surrounding implementation of this model practice began with literally a blank page. HCPH's Innovation and Engagement (I&E) Team custom designed, engineered and project managed seven vehicles simultaneously to specifically address the seven primary areas of service HCPH provides. Working directly with each of the Divisions within the Department, the concept of operations was developed to create integrated public health fairs using the seven mobile vehicles. These events enable HCPH to provide essentially its full range of services at “pop-up” locations anywhere in Harris County. The results and outcomes of this practice have exceeded the expectations of HCPH. This was illustrated by its success in response to the Hurricane Harvey disaster. Originally HCPH planned a public rollout of its mobile program in partnership with the Harris County Public Library (HCPL) system for September 19, 2017. HCPL facilities are an educational and services resource for many of HCPH's target population. This partnership is a perfect collaboration for the mobile program. However, the HCPH plan for this “soft roll-out” of the mobile program was derailed by Hurricane Harvey on August 24, 2017. The HCPH mobile fleet and its concept of operations for bringing public health to the public experienced a “trial by fire” in response to the needs of Harris County residents suffering from Hurricane Harvey flooding. The results and outcomes met (and continue to meet) the objectives. The impact of this practice immediately following Hurricane Harvey was significant. The HCPH Mobile Outreach Team partnered with local grocery stores, faith-based organizations, schools and community centers. Among the many school partners, HCPH worked with the Sheldon Independent School District (ISD) to provide vital services to children and their families. Sheldon ISD worked with HCPH staff multiple times during the hurricane relief period, and helped the planning team spread the word about mobile outreach services being provided. Partnerships with supermarket chains included Walmart, Kroger, and Home Depot, all of which provided food donations, cleaning supplies, and incentives for the public. Over 32 days of its post-Harvey operations, HCPH's Mobile Outreach Team served 923 patients for childhood vaccinations, adult and child tetanus, plus adult and child flu shots. They provided nutrition education to 3,133 patients, dental education to 3,694 patients, food safety information to 2,240 individuals and mosquito/vector-borne disease education to 5,160 individuals. The team enrolled 501 individuals for WIC benefits, and 2,232 families received food supplies from the HCPH mobile pantry. The team also provided pet vaccinations, microchipping, food and flea medications to 1,436 animals. The Harris County Public Health website is accessible at this link: http://publichealth.harriscountytx.gov/