Local health jurisdictions and tribal public health participate in the following public health associations: Local Health Jurisdictions Washington State Washington State Association of Local Public Health Officials (WSALPHO) National National Association of City and County Health Officials (NACCHO) Tribal Public Health Washington State American Indian Health Commission (AIHC) Governors Office of Indian Affairs (GOIA) National National Congress of American Indians National Indian Health Board Northwest Portland Area Indian Health Board (NPAIHB) Northwest Tribal Emergency Management Council (NWTEMC)