The Division of Regional and Local Health Operations (RLHO) serves the public health needs of Texas through direct provision of essential public health services, support to local public health agencies, and leadership and coordination for public health emergency preparedness and response. RLHO is responsible for statewide DSHS public health offices, the DSHS Office of Border Health, the state Center for Health Emergency Preparedness and Response, and the Texas Center for Infectious Disease - an acute care hospital specializing in Tuberculosis (TB) inpatient treatment and TB and Hansen’s Disease outpatient services.