NYC Performance Tracker

All topics / Health and Human Services

Department of Health and Mental Hygiene

Established in 1805 as the New York City Board of Health to combat yellow fever, and reorganized into the modern Department of Health in 1870, the agency took its current name in 2002 when it merged with the city's mental hygiene services. With an annual budget of $2.5 billion and more than 7,000 employees, DOHMH is the nation's oldest municipal public health agency and one of the largest public health agencies in the world, working to protect and promote the health of more than 8 million New Yorkers.

What's working

What's getting worse

Critical indicators

With a numeric target

How many units of supportive housing available to people with or at risk for developing serious mental health and substance use disorders are there?

12,800 unitsBeats target by 300 units

Higher values are better · in units
10,00011,00012,00013,00014,000FY22FY23FY24FY25FY26*10,60011,40012,10012,800

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

ActualTarget
View as table
Fiscal yearActualTarget
FY2210,600 units10,900 units
FY2311,400 units11,400 units
FY2412,100 units11,700 units
FY2512,800 units12,500 units
FY26 (YTD)Not available13,300 units

12,800 units in FY25 — met the City's own target for this indicator (300 units above the 12,500 units target), and it has trended toward improvement over the past 3 years of reported data.

Why this is tracked

DOHMH oversees the City's response to overdose deaths, which have risen sharply as fentanyl -- powerful enough to be lethal in tiny, often undetected amounts -- has spread through the drug supply; a 2023 Health Department advisory found fentanyl present in 81% of NYC overdose deaths. The City's ThriveNYC initiative, launched in 2015 with roughly $850 million in planned funding, expanded access to mental health and substance-use services, and DOHMH-registered Opioid Overdose Prevention Programs have distributed well over 175,000 free naloxone kits. NYC Well, a 24/7 hotline, launched in 2016 as a single point of entry into these behavioral health services.

NYC Health - Commissioner's Advisory on Overdose Crisis, NYC Independent Budget Office - Detailing the Expansion of Behavioral Health Services (ThriveNYC)

What percent of children in public schools who are in compliance with required immunizations?

97.7%Misses target by 1.3%

Higher values are better
96%97%98%99%FY22FY23FY24FY25FY26*97%96.4%96.5%97.7%

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

ActualTarget
View as table
Fiscal yearActualTarget
FY2297%99%
FY2396.4%99%
FY2496.5%99%
FY2597.7%99%
FY26 (YTD)Not available99%

97.7% in FY25 — missed the City's own target for this indicator (1.3% below the 99% target), though it has trended toward improvement over the past 3 years of reported data.

Why this is tracked

A privately organized 1865 survey of sanitary conditions across Manhattan's wards, prompted by fears of an approaching cholera epidemic, built the public support that led the state legislature to create New York's Metropolitan Board of Health in February 1866 -- the first municipal public health authority in the United States. When cholera arrived that spring, the Board's aggressive house-to-house inspections, quarantines, and sanitation orders kept New York's death toll well below that of other major American cities. DOHMH's modern disease-surveillance and control work is a direct descendant of that founding mission.

Metropolitan Board of Health - Wikipedia, New York Academy of Medicine - Cholera Comes to New York City

What is the infant mortality rate?

3.9Beats target by 0.2

Lower values are better
3.844.24.4FY22FY23FY24FY25FY26*44.34.23.9

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

ActualTarget
View as table
Fiscal yearActualTarget
FY2244.1
FY234.34.1
FY244.24.1
FY253.94.1
FY26 (YTD)Not available4.1

3.9 in FY25 — met the City's own target for this indicator (0.2 below the 4.1 target), and it has trended toward improvement over the past 3 years of reported data.

Why this is tracked

Under Mayor Bloomberg, NYC's Health Department became a national trendsetter in chronic disease prevention: the 2003 Smoke-Free Air Act banned smoking in bars and restaurants and helped cut the city's smoking rate by more than a quarter within a decade; a 2005 rule made New York the first city to force restaurants to phase out artificial trans fats, a policy the FDA later adopted nationwide; and in 2008 NYC became the first city to require calorie counts on chain restaurant menus. A later attempt to cap sugary-drink sizes was struck down in court, showing the limits of this approach, but the broader strategy of shaping the food and public environment to reduce chronic disease has persisted as a model other cities followed.

CNN - Three Bloomberg policies all of America now lives with, NPR - New York City's Bloomberg Leaves Mixed Results On Health

How long does it take to respond to birth certificates by mail/online/in person?

2.8 daysdecreasing overall, despite a recent rise tied to Real ID-driven demandBeats target by 0.2 days

Lower values are better · in days
0246FY22FY23FY24FY25FY26*5.421.62.72.8

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

ActualTarget
View as table
Fiscal yearActualTarget
FY225.4 days3 days
FY232 days3 days
FY241.6 days3 days
FY252.7 days3 days
FY26 (YTD)2.8 days3 days

Birth certificate response times rose in fiscal 2025 and have stayed elevated because request volume jumped, largely driven by the federal Real ID policy pushing more New Yorkers to obtain certified birth certificates. The Health Department says it has kept response times within its 3-day target through process improvements like promoting online requests, even as order volume climbed further into fiscal 2026.

Researched July 15, 2026 DOHMH, Fiscal 2025 Mayor's Management Report, DOHMH, Fiscal 2026 Preliminary Mayor's Management Report

Why this is tracked

Beyond its policy and inspection work, DOHMH runs many services that touch New Yorkers directly, including issuing birth and death certificates, operating sexual health clinics, and responding to public health inquiries. Because delays or poor service at these everyday touchpoints can mean someone doesn't get a needed document, referral, or answer in time, the agency treats responsiveness and service quality as a goal in its own right, alongside its broader public health mission.

NYC Health - About the Department of Health and Mental Hygiene

How long does it take to respond to death certificates by mail/online/in person?

1.5 daysdecreasing overall, despite a recent rise tied to Real ID-driven demandBeats target by 1.5 days

Lower values are better · in days
0246FY22FY23FY24FY25FY26*4.21.30.91.41.5

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

ActualTarget
View as table
Fiscal yearActualTarget
FY224.2 days3 days
FY231.3 days3 days
FY240.9 days3 days
FY251.4 days3 days
FY26 (YTD)1.5 days3 days

Death certificate response times, like birth certificate response times, ticked up starting in fiscal 2025 as the Health Department's vital records office faced higher overall order volume tied to the federal Real ID policy driving increased demand for certified records. Response times have stayed well within the agency's 3-day target throughout.

Researched July 15, 2026 DOHMH, Fiscal 2025 Mayor's Management Report, DOHMH, Fiscal 2026 Preliminary Mayor's Management Report

Why this is tracked

Beyond its policy and inspection work, DOHMH runs many services that touch New Yorkers directly, including issuing birth and death certificates, operating sexual health clinics, and responding to public health inquiries. Because delays or poor service at these everyday touchpoints can mean someone doesn't get a needed document, referral, or answer in time, the agency treats responsiveness and service quality as a goal in its own right, alongside its broader public health mission.

NYC Health - About the Department of Health and Mental Hygiene

How many asthma-related emergency department visits among children ages 5-17 cases are there?

143.7increasing as pandemic-era lows reverse, though still below the 2019 levelMisses target by 10.6

Lower values are better
50100150FY22FY23FY24FY25FY26*79134.8143.7

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

ActualTarget
View as table
Fiscal yearActualTarget
FY2279133.1
FY23134.8133.1
FY24143.7133.1
FY25Not available133.1
FY26 (YTD)Not available133.1

This metric hit a record low during the COVID-19 pandemic (2020), when children's asthma-related ER visits fell because people stayed indoors, reducing exposure to outdoor asthma triggers, and health care utilization patterns shifted generally. As pandemic conditions eased, visits rose for three straight years, though the Health Department notes the rate remains below its pre-pandemic (2019) level and represents a decline over the past 15 years overall.

Researched July 15, 2026 DOHMH, Fiscal 2025 Mayor's Management Report

Why this is tracked

Under Mayor Bloomberg, NYC's Health Department became a national trendsetter in chronic disease prevention: the 2003 Smoke-Free Air Act banned smoking in bars and restaurants and helped cut the city's smoking rate by more than a quarter within a decade; a 2005 rule made New York the first city to force restaurants to phase out artificial trans fats, a policy the FDA later adopted nationwide; and in 2008 NYC became the first city to require calorie counts on chain restaurant menus. A later attempt to cap sugary-drink sizes was struck down in court, showing the limits of this approach, but the broader strategy of shaping the food and public environment to reduce chronic disease has persisted as a model other cities followed.

CNN - Three Bloomberg policies all of America now lives with, NPR - New York City's Bloomberg Leaves Mixed Results On Health

What percent of HPV vaccine series completion?

43%Misses target by 10%

Higher values are better
40%45%50%55%FY22FY23FY24FY25FY26*43.5%42.8%42.1%43%

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

ActualTarget
View as table
Fiscal yearActualTarget
FY2243.5%53%
FY2342.8%53%
FY2442.1%53%
FY2543%53%
FY26 (YTD)Not available53%

43% in FY25 — missed the City's own target for this indicator (10% below the 53% target), and it has trended in the wrong direction over the past 3 years of reported data.

Why this is tracked

A privately organized 1865 survey of sanitary conditions across Manhattan's wards, prompted by fears of an approaching cholera epidemic, built the public support that led the state legislature to create New York's Metropolitan Board of Health in February 1866 -- the first municipal public health authority in the United States. When cholera arrived that spring, the Board's aggressive house-to-house inspections, quarantines, and sanitation orders kept New York's death toll well below that of other major American cities. DOHMH's modern disease-surveillance and control work is a direct descendant of that founding mission.

Metropolitan Board of Health - Wikipedia, New York Academy of Medicine - Cholera Comes to New York City

What is the pregnancy-associated mortality ratio for Black women and birthing people?

127.3Misses target by 28.2

Lower values are better
80100120140FY22FY23FY24FY25FY26*114.2127.3

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

ActualTarget
View as table
Fiscal yearActualTarget
FY22114.299.1
FY23127.399.1
FY24Not available99.1
FY25Not available98.1
FY26 (YTD)Not available97.1

127.3 in FY23 — missed the City's own target for this indicator (28.2 above the 99.1 target), and it has trended in the wrong direction over the past 1 year of reported data.

Why this is tracked

Under Mayor Bloomberg, NYC's Health Department became a national trendsetter in chronic disease prevention: the 2003 Smoke-Free Air Act banned smoking in bars and restaurants and helped cut the city's smoking rate by more than a quarter within a decade; a 2005 rule made New York the first city to force restaurants to phase out artificial trans fats, a policy the FDA later adopted nationwide; and in 2008 NYC became the first city to require calorie counts on chain restaurant menus. A later attempt to cap sugary-drink sizes was struck down in court, showing the limits of this approach, but the broader strategy of shaping the food and public environment to reduce chronic disease has persisted as a model other cities followed.

CNN - Three Bloomberg policies all of America now lives with, NPR - New York City's Bloomberg Leaves Mixed Results On Health

What percent of children ages 24-35 months with up-to-date immunizations?

64.5%Misses target by 5.5%

Higher values are better
60%65%70%FY22FY23FY24FY25FY26*61%60.1%66.1%64.5%

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

ActualTarget
View as table
Fiscal yearActualTarget
FY2261%70%
FY2360.1%70%
FY2466.1%70%
FY2564.5%70%
FY26 (YTD)Not available70%

64.5% in FY25 — missed the City's own target for this indicator (5.5% below the 70% target), though it has trended toward improvement over the past 3 years of reported data.

Why this is tracked

A privately organized 1865 survey of sanitary conditions across Manhattan's wards, prompted by fears of an approaching cholera epidemic, built the public support that led the state legislature to create New York's Metropolitan Board of Health in February 1866 -- the first municipal public health authority in the United States. When cholera arrived that spring, the Board's aggressive house-to-house inspections, quarantines, and sanitation orders kept New York's death toll well below that of other major American cities. DOHMH's modern disease-surveillance and control work is a direct descendant of that founding mission.

Metropolitan Board of Health - Wikipedia, New York Academy of Medicine - Cholera Comes to New York City

Without a numeric target

How many deaths from unintentional drug overdose are there?

2,192 deaths

Lower values are better · in deaths
2,0002,5003,0003,500FY22FY23FY24FY25FY26*2,6963,0703,0462,192

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY222,696 deaths
FY233,070 deaths
FY243,046 deaths
FY252,192 deaths
FY26 (YTD)Not available

2,192 deaths in FY25 — has no numeric target set by the City, and it has trended toward improvement over the past 3 years of reported data.

Why this is tracked

DOHMH oversees the City's response to overdose deaths, which have risen sharply as fentanyl -- powerful enough to be lethal in tiny, often undetected amounts -- has spread through the drug supply; a 2023 Health Department advisory found fentanyl present in 81% of NYC overdose deaths. The City's ThriveNYC initiative, launched in 2015 with roughly $850 million in planned funding, expanded access to mental health and substance-use services, and DOHMH-registered Opioid Overdose Prevention Programs have distributed well over 175,000 free naloxone kits. NYC Well, a 24/7 hotline, launched in 2016 as a single point of entry into these behavioral health services.

NYC Health - Commissioner's Advisory on Overdose Crisis, NYC Independent Budget Office - Detailing the Expansion of Behavioral Health Services (ThriveNYC)

How many new tuberculosis cases are there?

832 casesincreasing, part of a national trend; DOHMH cites staffing and funding gaps

Lower values are better · in cases
4006008001,000FY22FY23FY24FY25FY26*529535679832

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY22529 cases
FY23535 cases
FY24679 cases
FY25832 cases
FY26 (YTD)Not available

New York City tuberculosis cases have risen sharply for several years running -- part of a nationwide increase -- driven in part by growth among high-risk populations and ongoing outbreaks in specific communities. The Health Department also says staffing gaps and restricted funding have limited its capacity for core TB control work like contact investigation and case management, and it has been actively hiring to close those gaps.

Researched July 15, 2026 DOHMH, Fiscal 2025 Mayor's Management Report

Why this is tracked

A privately organized 1865 survey of sanitary conditions across Manhattan's wards, prompted by fears of an approaching cholera epidemic, built the public support that led the state legislature to create New York's Metropolitan Board of Health in February 1866 -- the first municipal public health authority in the United States. When cholera arrived that spring, the Board's aggressive house-to-house inspections, quarantines, and sanitation orders kept New York's death toll well below that of other major American cities. DOHMH's modern disease-surveillance and control work is a direct descendant of that founding mission.

Metropolitan Board of Health - Wikipedia, New York Academy of Medicine - Cholera Comes to New York City

How many childhood blood lead levels – number of children younger than age 6 with blood lead levels of 5 micrograms per deciliter or greater are there?

2,600 children

Lower values are better · in children
2,5002,6002,7002,8002,900FY22FY23FY24FY25FY26*2,5572,7132,8032,600

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY222,557 children
FY232,713 children
FY242,803 children
FY252,600 children
FY26 (YTD)Not available

2,600 children in FY25 — has no numeric target set by the City, and it has trended in the wrong direction over the past 3 years of reported data.

Why this is tracked

DOHMH's Bureau of Food Safety and Community Sanitation is mandated to inspect all of the city's roughly 26,000 restaurants annually, along with school cafeterias and mobile food vendors, assigning the letter grades now posted in restaurant windows. Its Division of Environmental Health also investigates childhood lead poisoning cases through home risk assessments and lead testing, part of a broader mandate covering air and water quality, pest control, and occupational health. These functions exist because environmental and food hazards are often invisible until someone is harmed, so routine, unannounced inspection is the mechanism that catches problems early.

NYC Health - Food Establishment Inspections / Restaurant Grades, CDC - New York City Childhood Lead Poisoning Prevention Success Story

How many active group child care center full inspections are there?

5,832 inspections

Higher values are better · in inspections
5,0006,0007,0008,0009,000FY22FY23FY24FY25FY26*6,1246,5537,4178,3925,832~7,776

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above. The dashed marker projects a full-year estimate at the current year-to-date pace.

ActualProjected (full year)
View as table
Fiscal yearActual
FY226,124 inspections
FY236,553 inspections
FY247,417 inspections
FY258,392 inspections
FY26 (YTD)5,832 inspections
FY26 (projected)~7,776 inspections

5,832 inspections in FY26 — has no numeric target set by the City, and it has trended toward improvement over the past 3 years of reported data.

Why this is tracked

DOHMH's Bureau of Food Safety and Community Sanitation is mandated to inspect all of the city's roughly 26,000 restaurants annually, along with school cafeterias and mobile food vendors, assigning the letter grades now posted in restaurant windows. Its Division of Environmental Health also investigates childhood lead poisoning cases through home risk assessments and lead testing, part of a broader mandate covering air and water quality, pest control, and occupational health. These functions exist because environmental and food hazards are often invisible until someone is harmed, so routine, unannounced inspection is the mechanism that catches problems early.

NYC Health - Food Establishment Inspections / Restaurant Grades, CDC - New York City Childhood Lead Poisoning Prevention Success Story

What percent of adults who smoke?

7.5%

Lower values are better
7%8%9%10%FY22FY23FY24FY25FY26*9.1%8.7%8.2%7.5%

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

ActualTarget
View as table
Fiscal yearActualTarget
FY229.1%10%
FY238.7%9%
FY248.2%Not available
FY257.5%Not available
FY26 (YTD)Not availableNot available

7.5% in FY25 — has no numeric target set by the City, and it has trended toward improvement over the past 3 years of reported data.

Why this is tracked

Under Mayor Bloomberg, NYC's Health Department became a national trendsetter in chronic disease prevention: the 2003 Smoke-Free Air Act banned smoking in bars and restaurants and helped cut the city's smoking rate by more than a quarter within a decade; a 2005 rule made New York the first city to force restaurants to phase out artificial trans fats, a policy the FDA later adopted nationwide; and in 2008 NYC became the first city to require calorie counts on chain restaurant menus. A later attempt to cap sugary-drink sizes was struck down in court, showing the limits of this approach, but the broader strategy of shaping the food and public environment to reduce chronic disease has persisted as a model other cities followed.

CNN - Three Bloomberg policies all of America now lives with, NPR - New York City's Bloomberg Leaves Mixed Results On Health

What percent of compliance inspections found to be rat free?

28.3%

Higher values are better
27%28%29%30%31%FY22FY23FY24FY25FY26*30.1%28%27.3%27.8%28.3%

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY2230.1%
FY2328%
FY2427.3%
FY2527.8%
FY26 (YTD)28.3%

28.3% in FY26 — has no numeric target set by the City, and it has trended in the wrong direction over the past 3 years of reported data.

Why this is tracked

DOHMH's Bureau of Food Safety and Community Sanitation is mandated to inspect all of the city's roughly 26,000 restaurants annually, along with school cafeterias and mobile food vendors, assigning the letter grades now posted in restaurant windows. Its Division of Environmental Health also investigates childhood lead poisoning cases through home risk assessments and lead testing, part of a broader mandate covering air and water quality, pest control, and occupational health. These functions exist because environmental and food hazards are often invisible until someone is harmed, so routine, unannounced inspection is the mechanism that catches problems early.

NYC Health - Food Establishment Inspections / Restaurant Grades, CDC - New York City Childhood Lead Poisoning Prevention Success Story

What percent of restaurants scoring an ‘A’ grade?

89.5%

Higher values are better
86%88%90%92%94%FY22FY23FY24FY25FY26*92.7%90%86.9%89.2%89.5%

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY2292.7%
FY2390%
FY2486.9%
FY2589.2%
FY26 (YTD)89.5%

89.5% in FY26 — has no numeric target set by the City, and it has trended in the wrong direction over the past 3 years of reported data.

Why this is tracked

DOHMH's Bureau of Food Safety and Community Sanitation is mandated to inspect all of the city's roughly 26,000 restaurants annually, along with school cafeterias and mobile food vendors, assigning the letter grades now posted in restaurant windows. Its Division of Environmental Health also investigates childhood lead poisoning cases through home risk assessments and lead testing, part of a broader mandate covering air and water quality, pest control, and occupational health. These functions exist because environmental and food hazards are often invisible until someone is harmed, so routine, unannounced inspection is the mechanism that catches problems early.

NYC Health - Food Establishment Inspections / Restaurant Grades, CDC - New York City Childhood Lead Poisoning Prevention Success Story

How many New HIV diagnoses are there?

1,791 diagnoses

Lower values are better · in diagnoses
1,5001,6001,7001,800FY22FY23FY24FY25FY26*1,6021,5911,7001,791

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY221,602 diagnoses
FY231,591 diagnoses
FY241,700 diagnoses
FY251,791 diagnoses
FY26 (YTD)Not available

1,791 diagnoses in FY25 — has no numeric target set by the City, and it has trended in the wrong direction over the past 3 years of reported data.

Why this is tracked

A privately organized 1865 survey of sanitary conditions across Manhattan's wards, prompted by fears of an approaching cholera epidemic, built the public support that led the state legislature to create New York's Metropolitan Board of Health in February 1866 -- the first municipal public health authority in the United States. When cholera arrived that spring, the Board's aggressive house-to-house inspections, quarantines, and sanitation orders kept New York's death toll well below that of other major American cities. DOHMH's modern disease-surveillance and control work is a direct descendant of that founding mission.

Metropolitan Board of Health - Wikipedia, New York Academy of Medicine - Cholera Comes to New York City

What percent of active group child care center initial inspections that do not require a compliance inspection?

85.6%

Higher values are better
75%80%85%90%FY22FY23FY24FY25FY26*81.7%78.6%78.9%82.2%85.6%

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY2281.7%
FY2378.6%
FY2478.9%
FY2582.2%
FY26 (YTD)85.6%

85.6% in FY26 — has no numeric target set by the City, and it has trended toward improvement over the past 3 years of reported data.

Why this is tracked

DOHMH's Bureau of Food Safety and Community Sanitation is mandated to inspect all of the city's roughly 26,000 restaurants annually, along with school cafeterias and mobile food vendors, assigning the letter grades now posted in restaurant windows. Its Division of Environmental Health also investigates childhood lead poisoning cases through home risk assessments and lead testing, part of a broader mandate covering air and water quality, pest control, and occupational health. These functions exist because environmental and food hazards are often invisible until someone is harmed, so routine, unannounced inspection is the mechanism that catches problems early.

NYC Health - Food Establishment Inspections / Restaurant Grades, CDC - New York City Childhood Lead Poisoning Prevention Success Story

How many childhood blood lead levels – number of children younger than age 18 with blood lead levels of 5 micrograms per deciliter or greater are there?

3,289 children

Lower values are better · in children
3,0003,2003,4003,600FY22FY23FY24FY25FY26*3,0363,2433,4563,289

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY223,036 children
FY233,243 children
FY243,456 children
FY253,289 children
FY26 (YTD)Not available

3,289 children in FY25 — has no numeric target set by the City, and it has trended in the wrong direction over the past 3 years of reported data.

Why this is tracked

DOHMH's Bureau of Food Safety and Community Sanitation is mandated to inspect all of the city's roughly 26,000 restaurants annually, along with school cafeterias and mobile food vendors, assigning the letter grades now posted in restaurant windows. Its Division of Environmental Health also investigates childhood lead poisoning cases through home risk assessments and lead testing, part of a broader mandate covering air and water quality, pest control, and occupational health. These functions exist because environmental and food hazards are often invisible until someone is harmed, so routine, unannounced inspection is the mechanism that catches problems early.

NYC Health - Food Establishment Inspections / Restaurant Grades, CDC - New York City Childhood Lead Poisoning Prevention Success Story

What percent of diabetes management among adult New Yorkers?

74.3%

Higher values are better
70%72%74%76%FY22FY23FY24FY25FY26*71.8%74%75%74.3%

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY2271.8%
FY2374%
FY2475%
FY2574.3%
FY26 (YTD)Not available

74.3% in FY25 — has no numeric target set by the City, and it has trended toward improvement over the past 3 years of reported data.

Why this is tracked

Under Mayor Bloomberg, NYC's Health Department became a national trendsetter in chronic disease prevention: the 2003 Smoke-Free Air Act banned smoking in bars and restaurants and helped cut the city's smoking rate by more than a quarter within a decade; a 2005 rule made New York the first city to force restaurants to phase out artificial trans fats, a policy the FDA later adopted nationwide; and in 2008 NYC became the first city to require calorie counts on chain restaurant menus. A later attempt to cap sugary-drink sizes was struck down in court, showing the limits of this approach, but the broader strategy of shaping the food and public environment to reduce chronic disease has persisted as a model other cities followed.

CNN - Three Bloomberg policies all of America now lives with, NPR - New York City's Bloomberg Leaves Mixed Results On Health

How many congenital syphilis cases are there?

37 casesincreasing, linked by the Health Department to late or missed prenatal screening

Lower values are better · in cases
203040FY22FY23FY24FY25FY26*24213537

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY2224 cases
FY2321 cases
FY2435 cases
FY2537 cases
FY26 (YTD)Not available

Congenital syphilis cases (passed from a pregnant person to their infant) have more than doubled over five years, though the pace of increase slowed in the most recent year. The Health Department reports that more than half of birthing parents whose infants were born with congenital syphilis in 2024 had late or no prenatal screening -- the primary opportunity to catch and treat syphilis during pregnancy -- and that Manhattan saw the largest borough-level rise alongside a drop in prenatal screening rates there.

Researched July 15, 2026 DOHMH, Fiscal 2025 Mayor's Management Report

Why this is tracked

A privately organized 1865 survey of sanitary conditions across Manhattan's wards, prompted by fears of an approaching cholera epidemic, built the public support that led the state legislature to create New York's Metropolitan Board of Health in February 1866 -- the first municipal public health authority in the United States. When cholera arrived that spring, the Board's aggressive house-to-house inspections, quarantines, and sanitation orders kept New York's death toll well below that of other major American cities. DOHMH's modern disease-surveillance and control work is a direct descendant of that founding mission.

Metropolitan Board of Health - Wikipedia, New York Academy of Medicine - Cholera Comes to New York City

What is the COVID-19 hospitalizations rate?

165.5decreasing as population immunity grew and variants became less severe

Lower values are better
0200400600800FY22FY23FY24FY25FY26*632.4602214.7165.5

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY22632.4
FY23602
FY24214.7
FY25165.5
FY26 (YTD)Not available

COVID-19 hospitalization rates fell steadily and substantially from 2022 through 2025. The Health Department attributes the decline to growing population immunity from vaccination and prior infection, along with shifts in circulating COVID-19 variants that caused less severe illness.

Researched July 15, 2026 DOHMH, Fiscal 2025 Mayor's Management Report

Why this is tracked

A privately organized 1865 survey of sanitary conditions across Manhattan's wards, prompted by fears of an approaching cholera epidemic, built the public support that led the state legislature to create New York's Metropolitan Board of Health in February 1866 -- the first municipal public health authority in the United States. When cholera arrived that spring, the Board's aggressive house-to-house inspections, quarantines, and sanitation orders kept New York's death toll well below that of other major American cities. DOHMH's modern disease-surveillance and control work is a direct descendant of that founding mission.

Metropolitan Board of Health - Wikipedia, New York Academy of Medicine - Cholera Comes to New York City

What is the adult heart failure hospitalizations rate?

341.3

Higher values are better
320330340350FY22FY23FY24FY25FY26*320323.9341.3

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY22320
FY23323.9
FY24341.3
FY25Not available
FY26 (YTD)Not available

341.3 in FY24 — has no numeric target set by the City, and it has trended toward improvement over the past 2 years of reported data.

Why this is tracked

Under Mayor Bloomberg, NYC's Health Department became a national trendsetter in chronic disease prevention: the 2003 Smoke-Free Air Act banned smoking in bars and restaurants and helped cut the city's smoking rate by more than a quarter within a decade; a 2005 rule made New York the first city to force restaurants to phase out artificial trans fats, a policy the FDA later adopted nationwide; and in 2008 NYC became the first city to require calorie counts on chain restaurant menus. A later attempt to cap sugary-drink sizes was struck down in court, showing the limits of this approach, but the broader strategy of shaping the food and public environment to reduce chronic disease has persisted as a model other cities followed.

CNN - Three Bloomberg policies all of America now lives with, NPR - New York City's Bloomberg Leaves Mixed Results On Health

How many infectious syphilis cases are there?

1,469 casesdecreasing, mirroring a national trend possibly tied to preventive antibiotic use

Lower values are better · in cases
1,0001,5002,0002,500FY22FY23FY24FY25FY26*2,2362,3101,7621,469

* Year to date — this fiscal year isn't complete, so it's not compared against prior years in the target/trend status above.

View as table
Fiscal yearActual
FY222,236 cases
FY232,310 cases
FY241,762 cases
FY251,469 cases
FY26 (YTD)Not available

Infectious syphilis cases declined across every gender, race/ethnicity, age group, and borough between 2023 and 2024, echoing a national trend. The Health Department suggests the decrease may be partly linked to growing use of doxy PEP, a preventive antibiotic taken after sex to reduce the risk of certain bacterial STIs including syphilis, though it notes racial and neighborhood disparities in case rates persist.

Researched July 15, 2026 DOHMH, Fiscal 2025 Mayor's Management Report

Why this is tracked

A privately organized 1865 survey of sanitary conditions across Manhattan's wards, prompted by fears of an approaching cholera epidemic, built the public support that led the state legislature to create New York's Metropolitan Board of Health in February 1866 -- the first municipal public health authority in the United States. When cholera arrived that spring, the Board's aggressive house-to-house inspections, quarantines, and sanitation orders kept New York's death toll well below that of other major American cities. DOHMH's modern disease-surveillance and control work is a direct descendant of that founding mission.

Metropolitan Board of Health - Wikipedia, New York Academy of Medicine - Cholera Comes to New York City