women's health services. In the 1960s-era reorganization of public health in Florida, the Orlando City and Orange County health departments were combined under the new state public health agency then known as the Florida Department of Health and Rehabilitative Services. As of December 2011, the Orange County Health Department was the fifth largest county health department in the state of Florida. Florida Department of Health in Orange County The Florida Department of Health in Orange County is one of 67 County Health Departments in FL. County Health Departments in FL are local health departments responsible for single county jurisdictions. All County Health Departments in FL are constituent members for the National Association of County and City Health Officials. The Florida Department of Health in Orange County is responsible for Orange County which alone is larger in population than eight American states and the District of Columbia. The Florida Department of Health's responsibilities include: epidemiology; investigation of food-borne, zoonotic and water-borne diseases; emergency preparedness and bioterrorism; control of communicable diseases; health promotion and education; school health; women's health; public health dentistry and oral health; WIC and nutrition; vaccinating against preventable diseases; eliminating health disparities; provision of vital records; and protecting the public's environmental health. In 2006, the department opened the first American hospital-based vital records office, at Winter Park Memorial Hospital Florida Hospital. Publications by staff have included CDC MMWR investigations of food-borne, water-borne, zoonotic, and other infectious diseases. "Storyboards" have been published, with graphics in toolkits, by the Public Health Foundation in Washington, DC, demonstrating that quality improvement efforts improved STD and HIV public health outcomes. WIC and nutrition program staff collaborated with the Department of Health and published The Whole Grain Choo-Choo Train, a children's book which teaches small children about proper eating habits and nutrition. In 2009, the department received a series of recognition awards for best practices in public health including Davis Productivity Awards, and the National Association of County and City Health Officials. Current initiatives include the use of certified nurse midwives in a local hospital to improve pregnancy outcomes, The BABY program ("Better weight for A Better You") global climate change and health, pioneering bedside birth records in hospitals, and an award-winning video of value to H1N1 swine flu prevention efforts entitled, "Protect Don't Infect". Amoeba deaths In 2007, the death of three children in or near Orange County, due to a rare, deadly infection,