In 2021, Trista Harris, a philanthropic futurist and keynote to an ASTHO-supported think tank, shared seven trends predicted to shape the future of the public health workforce. Among those trends were sector shifts that would send an influx of entry-level workers to public health, pivots that included expansion and diversification of the workforce, and continued focus on workplace culture, remote work, and worker burnout. We continue to see these and other forces affect the way governmental public health agencies do their work.