When the City of Fishers established its own health department in 2020, some people thought the Hamilton County Health Department’s workload would decline permanently.
Instead, it did the opposite.
Just five years later, explosive population growth throughout Hamilton County has brought the department’s service demand back to (and in many cases beyond) pre-2020 levels, leaving the department with staffing shortages and space constraints, according to Health Department Administrator Jason LeMaster.

LeMaster
“Hamilton County continues to be one of the fastest-growing counties in Indiana, and public health demand has grown right alongside it,” LeMaster said. “Many people assumed we would become a smaller organization. What we’ve experienced instead is tremendous growth that has stretched our staff, our building, and our resources.”
Hamilton County’s population has grown nearly 9 percent since 2020, increasing from approximately 349,000 residents to nearly 380,000. Population projections estimate the county will exceed half a million residents by 2050.
That growth is reflected across nearly every Health Department program. Environmental inspections, water quality programs, mosquito surveillance, vital records, and community health services have all experienced significant increases. The department’s Food Safety Program is now operating at its highest workload on record, driven by growth in restaurants, temporary food vendors, and community events, creating additional inspection and compliance responsibilities.
At the same time, the department’s primary building has reached capacity. Seasonal employees, interns, public education programs, and expanding services routinely exceed available workspace. The department also continues to operate its Vector Control Program from temporary facilities.
To keep pace with demand, the Health Department recently requested seven additional positions during the upcoming budget cycle. The department is also pursuing additional state and federal grant opportunities to offset rising costs for supplies, equipment, and services.
“We recognize the financial pressures facing both taxpayers and local government,” LeMaster said. “That’s why we’re aggressively evaluating every revenue opportunity available and carefully prioritizing our staffing requests. Our goal is simple: continue providing the high-quality public health services our residents expect while responsibly planning for Hamilton County’s future.”

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