Our Mission
NYSACHO supports, advocates for, and empowers local health departments in their work to promote health and wellness and prevent disease, disability and injury throughout New York State.

Our Vision
Strong, vibrant local health departments creating healthy, safe communities in New York State.

Our Values

Working together with others to promote excellence in public health through the exchange of ideas, programs and policies.

Ensuring transparent, ethical, and accountable performance.

Showing regard for self and others and maintaining the environment of team work, growth, and enhancement.

Building passion and shared responsibility to achieve our goals.

Developing and exemplifying the courage to set a course and shape the future of public health.

Leveraging our knowledge and experience to achieve success.


Organized in 1979, the New York State Association of County Health Officials (NYSACHO) is a membership association representing the 58 local health departments in New York State, each of which has one vote.  Participation includes health commissioners, public health directors, deputy commissioners, environmental health directors and directors of patient services.   NYSACHO is incorporated as a not-for-profit, non-partisan charitable organization with 501(C)(3) tax exempt status.  Through its members and staff, NYSACHO seeks to build upon its strong collaborative partnerships with the New York State Department of Health (NYSDOH) and other academic and health-related organizations in designing and implementing effective public health policies.

NYSACHO is the local performance site (LPS) for New York State under Region 2. As an LPS, we serve as a planning member of the Region 2 PHTC Advisory and Steering Committees. The purpose of both Region 2 PHTC and NYSACHO as an LPS is to:

  • Increase learning resources for local health and state health departments’ public health (PH) workforce especially in the areas of Health Disparities and Social Determinants of Health
  • Identify training needs of New York State’s Local Health Department PH Workforce
  • Region 2 also identifies other available training opportunities to meet our members’ training needs, including national opportunities and opportunities from the other LPS in our region.

Linda Wagner

wagnerLinda Wagner is Executive Director of the New York State Association of County Health Officials (NYSACHO), the only organization that represents all 58 local health departments (LHDs) in New York State (NYS), and the New York LPS Director for the Region 2 Public Health Training Center. She has actively served on the advisory boards of the NY/NJ PHTC, Empire State PHTC and NYC-LI-Lower Tri-County PHTC, assisting them with training needs assessments of LHDs, outreach, recruitment, implementation and evaluation of training programs for LHD staff members in our state. For more than five years, Linda has also served on the Leadership Advisory Group for the NYS Prevention Agenda, providing input to the Community Health Assessment and Improvement process for the state and local health departments and their partners in the provider and NGO communities throughout the state.


MPA, Columbia University, School of International and Public Affairs

BA, University at Buffalo State University of New York

Memberships and Certifications

SACCHO Leader within NACCHO


Ad Hoc Committee for the New York State Prevention Agenda

NYS Governor’s Task Force to End the AIDS Epidemic

What do you believe is the most important topic to focus on in public health workforce development?

Local health department staff need to be informed and educated about:

  • the analysis and interpretation of population health data from a broad range of sources
  • the methods and means to identify and implement the most effective evidence-based practices and programs to meet the needs that they identify during their community health assessments
  • innovative ways to spearhead and sustain coalitions with hospitals, other clinical service providers, community organizations, schools and businesses to ensure continuous improvement in population health in their communities
  • cultural competencies related to the diversity within their communities
  • trends and tools in health information technology

Margaret (Peggy) DiManno

dimannoPeggy DiManno is a Special Projects Executive at NYSACHO and manages New York LPS projects for the Region 2 Public Health Training Center. She has 35 years’ experience working in a local health department starting out as a front line field staff worker and retiring as the Assistant Commissioner of Health. As the Director of Nurses for the Albany County Department of Health, Peggy directly supervised a nursing staff of approximately 80 professionals and clerical support staff. As the Assistant Commissioner, she was very involved with and oversaw the finance division of the department. She has written and administered many grants including a Robert Wood Johnson/Kellogg grant. In addition, Peggy has worked on assisting local health departments with preparing for and starting the process for national accreditation, developing strategic plans, and strengthening their quality improvement programs. She has also provided local health departments assistance with the New York State Prevention Agenda especially for the focus areas of mental health and substance abuse.


MS, Russell Sage College

BSN, Russell Sage College

Memberships and Certifications

Graduate of CDC’s Public Health Leadership Program

Board Member and Past Chairperson of the Healthy Capital District Initiative

New York State Public Health Association

What is your favorite core competency?

It is “Policy Development/Program Planning Skills.” I utilize the skills and knowledge required for this in most of the work that I did as the Assistant Commissioner of Health for the Albany County Department of Health.”

Cristina Dyer-Drobnack

Cristina Dyer-Drobnack is Program Director for the New York State Associationcrissy of County Health Officials. Cristina joined NYSACHO in 1994 and is the longest tenured professional staff person at the association. Cristina provides oversight and coordination of all
association grant/contract activities and supervises contract staff for the Association’s Professional Education and Public Health Leadership Program. She plays a lead role in the development, planning, direction and supervision of education and public health leadership programs for all local health officials and LHD staff, including NYSACHO’s Annual Public Health Leaders Summit. Cristina also serves as lead staff person for NYSACHO’s Campaign to ImmuNYze all New Yorkers, providing oversight and content development for the campaign’s website and social media presence. Cristina provides technical assistance to local health departments on state public health statute and regulations. She is the lead staff person for legislative tracking and analysis and works with all association subject matter committees and the NYSACHO Board and Executive Director in developing and drafting association positions.


MS, Antioch University New England
BA, Lenoir-Rhyne College

Memberships and Certifications


What is your favorite core competency?

Leadership and Systems Thinking Skills. Governmental public health operates within the context of larger healthcare, government and community systems. I believe it is critical for public health professionals to understand these systems, particularly during transformational periods, so that they can adapt to changing roles and responsibilities to effectively serve their communities.