Lack of resources, long (really long) hours, and a duty to remain stoic takes a toll. While I have heard anecdotes, we hadn’t really known the national extent until a MMWR study was published last Friday. Scientists surveyed 26,174 public health workers who worked in a health department at anytime during 2020. Information was gathered on four mental illness conditions: anxiety, depression, PTSD, and suicidal ideation.