Which one of these has the fundamental responsibility to determine the health status and the health needs of the people within its jurisdiction, determine to what extent these needs are being effectively met by effective measures currently available, and take steps to see that the unmet needs are satisfied?

State and

Local health departments

Explanation:

Because health workers in state and local departments are closer to people within their jurisdiction than at national level, their responsibilities include monitoring of health activities, disease control and sanitation; the funding and delivery of personal health services including Medicaid, mental health, and direct delivery through public hospitals and health departments at local and state levels; environmental protection, including protection against man-made environmental and occupational hazards.