This document outlines genomic competencies for the public health workforce. It begins by explaining why "genomics" rather than "genetics" is used, noting that genomics refers to conditions caused by both single genes and interactions between genes and the environment. Two categories of genetic risk are described: rare genes with high risk, and common genes with moderate risk. The document emphasizes that most common diseases result from complex gene-environment interactions. It argues that public health leaders need to integrate genomic discoveries and that genetics affects all public health functions. A team developed the competencies through expert consultation and review. The competencies are categorized for all public health workers, all professional workers, and specialty areas. They address knowledge, skills, and abilities around