A detailed structural assessment of the Southern Nevada Health District's Public Health Center main building revealed significant deficiencies, including a lack of adequate lateral load resistance and considerable structural deterioration. Recommendations emphasize immediate cessation of occupancy due to safety concerns and suggest that repairs could be extensive and potentially economically unfeasible. The building's reliance on an unengineered gypsum panel system for lateral diaphragm function and the inadequate connections between roof joists and masonry walls were critical issues identified in the report.