译文（字数 3082）：

　　　公共卫生事务由联邦、州、及当地法律管理实施。联邦政府可通过划拨基金及运用它的州际管辖权，对公共卫生事务施加影响。然而，所有的公共卫生事务权取决于州级机构。本文将评论联邦、州及当地政府在健康领域内的法律权限。

所有的公共卫生权限基于州政府，是州政府政治权利的一种运用。州政府以多种方式行使这项权利，从强制推行安全防护措施和公共安全方面的法规，到强制隔离和检疫、向州权力机构提供监察或委托报告，及认证保健人员和设施。当地政府通常对以上职能的一部分负责，其权力很大程度上有州权力机关授予。由于州政府是所有公共卫生权利的基石，所以传统上联邦机构和州机构的关系是………………

 

外文原文（字符数 10156）：

外文出处：Legal Framework for Public Health By Sarah A. Lister March 17, 2005

　　　Public health practice is governed by federal, state, and local law. The federal government can influence public health practice through its funding decisions and by exercising its jurisdiction over interstate commerce. However, most public health authority rests with the states. This section will review the legal authorities of federal, state, and local governments in public health.

Most public health authority is based in the states, as an exercise of their police powers.6 States use this authority in a number of ways to protect public health, from enforcing safety and sanitary codes, to conducting inspections, to mandating the reporting of certain diseases to state authorities, to compelling isolation or quarantine, to licensing healthcare workers and facilities. Local governments are often responsible for some of these activities, using powers largely derived from delegation of state authority. Since states are the basis for most authority in public health, the traditional relationship of state and federal agencies has placed states in a leading role, with CDC providing support through funding, training, and technical assistance, advanced laboratory support and data analysis, and other activities. ………………