Erie County Department of Health (ECDOH)

What Erie County Department of Health (ECDOH) does

Erie County Department of Health (ECDOH) is the county-level public health agency of Erie County Government in western New York, headquartered at the Edward A. Rath County Office Building at 95 Franklin Street in Buffalo. The department delivers a broad portfolio of mandated public health services to Erie County residents, organized across multiple divisions: the Administrative Office, the Division of Environmental Health (septic system oversight, property transfer inspections, lead poisoning prevention, vector control/tick and Lyme disease programs, air quality monitoring, mold/moisture guidance), the Office of Harm Reduction (naloxone distribution by mail and at community sites, fentanyl test strips, peer navigation, overdose fatality review), the Immunization Action Plan clinic (COVID-19, HPV, Hep A/B, MMR and childhood vaccines), clinical services (Sexual Health Center, Family Planning Center, 24-hour crisis and addiction hotlines), the Office of Agriculture, and the Division of Sewerage Management operating seven county sewer districts plus East Aurora with 24/7 staffed wastewater treatment facilities.

ECDOH's technology stack is conventional government digital infrastructure rather than a proprietary platform. It includes departmental websites (e.g., www3.erie.gov/health), online permit and complaint portals, ESRI-based GIS mapping applications (Erie County ParcelMapper, Agricultural and Farmland Protection Map, Erie Grown Locator Map), and the ReadyErie mobile preparedness application available on Apple App Store and Google Play Store. Communications span multilingual printed and digital health education materials (six languages) and community outreach channels targeting specific Buffalo and Lackawanna zip codes.

ECDOH is funded primarily through Erie County government tax appropriations. Supplementary revenue streams include transactional fees: $300 per onsite wastewater treatment system construction permit, $300-$496 property transfer certification fees for septic/private well inspections, $150 design professional application fees, $2 sewer connection permit renewals, and self-supporting sewer district charges (flat rate, parcel, footage, user, and sewer taxes). The Septic System Replacement Fund is a state-administered grant program providing up to 50% (max $10,000) of eligible project costs, funded by the Clean Water Infrastructure Act of 2017. ECDOH is a publicly funded government entity; it is not a privately held company, has no equity funding rounds, and operates under the authority of the County Executive and County Legislature.

Name

Erie County Department of Health (ECDOH)

Legal name

Erie County Department of Health

Website

https://www3.erie.gov

Company type

Public

Operating status

Operating

Short description

Erie County Department of Health is the county public health agency serving Erie County, NY residents with mandated services including immunizations, harm reduction, environmental health oversight, septic system permitting, and sewer district wastewater management across seven districts.

Ownership category

akta.pro rank

Product category

Public Health Services

NAICS

Administration of Public Health Programs (92312), Administration of Air and Water Resource and Solid Waste Management Programs (924110), Sewage Treatment Facilities (221320), Administration of Environmental Quality Programs (9241)

SIC

Sanitary Services (4950)

akta.pro primary industry

County/District/Local Health Departments (HLAJAAAB)

akta.pro secondary industries

Environmental & Occupational Health Surveillance Programs (HLAJANAI), Local Public Health & Human Services Administration (BPAIACAK), Substance Use, Addiction & Harm Reduction Health Departments (HLAJAAAM)

Keywords

• Public health services
• Environmental health programs
• Wastewater treatment services
• Immunization clinic services
• Harm reduction programs

Headquarters

HQ city

Buffalo

HQ country

United States

HQ region

North America

Offices10 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Property Transfer Certification Fees: Fees for property transfer inspections required before transfer of title for properties with septic systems or private wells. Fees vary based on services required.
2. Construction Permit Fees: Fees for construction permits for onsite wastewater treatment systems, $300 per application for residential or commercial lots
3. Septic System Replacement Fund Program: State-funded grant program covering up to 50% of eligible septic system project costs, maximum reimbursement $10,000, funded by Clean Water Infrastructure Act of 2017
4. Sewer Service Charges: Self-supporting sewer districts with revenue from flat rate charges, parcel charges, footage charges, user charges, and sewer taxes based on assessed property value
5. County Government Tax Funding: Funded by Erie County government budget allocations from tax revenues for essential public health and environmental services

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels6 records

Core offering

ECDOH is a county-level government health department providing essential public health services to Erie County, New York residents, including clinical services (immunizations, sexual health, family planning), harm reduction and substance use services, environmental health oversight (septic systems, lead poisoning prevention, vector control, air quality), and centralized wastewater treatment through seven sewer districts. Services are delivered directly through county offices, websites, mobile applications, and community-based outreach programs funded primarily by tax revenue and supplemented by transaction-based fees.

Product overview

Erie County Department of Health (ECDOH) is a government public health agency providing community health services through multiple programs. The department operates as a unified public health service organization rather than a technology product company, offering direct clinical services (immunizations, harm reduction), environmental health programs (vector control, septic inspections, air quality), and emergency preparedness tools including the ReadyErie mobile app. The agency also oversees the Division of Sewerage Management which operates seven sewer districts for wastewater treatment across Erie County municipalities.

Differentiator

Problem solved

Functional benefit

Brands

• ReadyErie: Emergency preparedness app for Erie County residents to make and share emergency plans and receive emergency information

Products and services

• Harm Reduction & Substance Use Services Office of Harm Reduction providing naloxone access, peer navigation, treatment support, overdose fatality review, and community education to reduce harms associated with substance use for Erie County residents.
• Naloxone (Narcan) Access Program Free Narcan/naloxone and fentanyl test strip distribution program for Erie County residents via text request to (716) 858-7695.
• Immunization Action Plan (IAP) Immunization clinic offering COVID-19, HPV, Hepatitis A/B, MMR, and other vaccines with appointments at 608 William Street, Buffalo, including the Vaccines for Children (VFC) Program for eligible children.
• Air Quality Monitoring Program Environmental health program providing Air Quality Index (AQI) information, wildfire smoke guidance, and indoor air quality resources for Erie County residents.
• Tick & Lyme Disease Prevention Program Environmental health program providing tick bite prevention education, Lyme disease information, and tick identification resources for the public.
• Smoking and Vaping Cessation Program Tobacco cessation program providing referrals, assessments, and free nicotine replacement therapies (NRT) for eligible adults 18+ through the NY State Smokers' Quitline.
• Property Transfer Inspections Environmental health service inspecting onsite wastewater treatment systems and private drinking water wells required for property transfers, with fees ranging from $150 to $496.
• Healthy Neighborhoods Program (HNP) Free home safety program for Buffalo and Lackawanna residents providing in-home inspections, smoke/CO detector installation, lead testing, and asthma management supplies in targeted urban zip codes.
• Septic System Replacement Fund Program State-funded program covering up to 50% of eligible septic system replacement costs (max $10,000 reimbursement) for properties within 250 feet of priority water bodies, funded by the Clean Water Infrastructure Act of 2017.
• Erie County Sewer Districts (ECSD) Division of Sewerage Management operating seven sewer districts (ECSD Nos. 1-6 and 8) plus East Aurora, providing wastewater collection, transmission, treatment, and stormwater management across Erie County municipalities.
• ReadyErie Preparedness App Mobile application available for Apple and Android enabling Erie County residents to create and share emergency plans and receive county emergency notifications.

Quantifiable outcome

• Vaccines for Children (VFC) Program provides no-cost vaccines for eligible children
• +3 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Three partnerships are on record, tiered minor.

• 73 Local Governments and School Districts (Erie County Purchasing Program)minorChannel Partner/ Reseller/ DistributorErie County allows 73 local governments and school districts to make purchases through the County's bidding procedures. Participants include municipalities such as Akron, Alden, Amherst, Angola, Aurora, Blasdell, Boston, Brant, Buffalo, Cheektowaga, Clarence, Colden, Collins, Concord, Depew, Eden, Elma, Evans, Farnham, Grand Island, Hamburg, Holland, Lackawanna, Lancaster, Marilla, Newstead, North Collins, Orchard Park, Sardinia, Sloan, Tonawanda, Wales, and West Seneca, as well as school districts (Amherst Central, Buffalo Board of Education, Cheektowaga Central, Depew, Hopewale, Kenmore-Tonawanda), fire districts, BOCES districts, and special authorities including Buffalo Sewer Authority and Niagara Frontier Transportation Authority. This arrangement allows smaller jurisdictions to benefit from county-level purchasing volumes.
• Lake Erie Watershed Protection Alliance (LEWPA)minorStrategic or Co-development PartnerLEWPA received a grant from NY State Pollution Prevention Institute to provide educational resources to residents of Cattaraugus, Chautauqua, and Erie counties on proper septic system maintenance through the Septic Smart for Lake Erie program. This partnership supports environmental protection of the Lake Erie watershed.
• NY State Pollution Prevention InstituteminorStrategic or Co-development PartnerState institute providing grant funding for the Septic Smart for Lake Erie educational program implemented through LEWPA to protect water quality in the Lake Erie watershed.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Allegheny County Health Department: County health department serving Pittsburgh-area residents in Pennsylvania. Operates similar public health, environmental health, and clinical service mandates with comparable scale for a mid-sized metropolitan county.
• Monroe County Department of Public Health: New York State county health department serving the Rochester region. Operates similar environmental health, clinical, and disease prevention mandates under NY State Department of Health guidelines.
• Cuyahoga County Board of Health: County-level public health agency serving Greater Cleveland, Ohio. Comparable scale and service portfolio including environmental health, immunizations, and community health programs for a Rust Belt metropolitan county.
• Onondaga County Health Department: New York State county health department serving the Syracuse area. Comparable Upstate NY county health department with environmental health, clinical services, and water/sewer oversight functions.
• Westchester County Department of Health: New York State county health department serving Westchester County. Comparable suburban county health department operating under NY State DOH with similar environmental health, clinical, and regulatory mandates.
• Buffalo Sewer Authority: Independent sewer authority serving the City of Buffalo. Operates as a partner/peer in regional wastewater management, providing sewage collection and treatment for properties within the city while ECDOH covers suburban county areas.

Broad incumbents

• Philadelphia Department of Public Health: Municipal public health authority serving Philadelphia's 1.6M residents. Comparable in providing harm reduction, environmental health, clinical services, and disease prevention through a government public health structure.
• New York City Department of Health and Mental Hygiene: Largest municipal health department in the US, serving NYC's 8M+ residents. Comparable as a government public health entity providing immunizations, environmental health, harm reduction, and disease prevention, though at vastly larger scale.
• Cook County Department of Public Health: Suburban Cook County, Illinois public health authority providing environmental health, clinical services, and disease prevention. Comparable county-level health department with regulatory authority across multiple municipalities.

Regional players

• Niagara County Department of Health: Adjacent Western New York county health department. Comparable in NY State regulatory environment and service portfolio but serves a different geography adjacent to Erie County.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Erie County Department of Health (ECDOH)