2018 Large Urban County Caucus Symposium & Fall Board Meeting

Dec. 5, 2018 – Dec. 8, 2018
InterContinental Hotel
901 Bayfront Court, San Diego, CA 92101

The National Association of Counties (NACo) hosted its 2018 Large Urban County Caucus (LUCC) Symposium and Fall Board Meeting at the InterContinental Hotel in San Diego County, Calif., on Dec. 5–8.

The LUCC Symposium is the premier national forum for the exchange of knowledge and solutions that enhance the operations of metropolitan counties, which collectively serve 150 million American residents. All urban county officials are invited to attend the Symposium to connect with peers, thought-leaders and national experts and to participate in timely conversations on the common issues facing their jurisdictions.

About LUCC

Symposium Agenda

Symposium Photos

All Photos from the Symposium

Symposium Resources

Connecting the Unconnected

Connecting the Unconnected is NACo’s 2018-19 President’s initiative, under the leadership of San Diego County Supervisor Greg Cox. The Initiative explores ways that county governments are connecting our residents in the spirit of building healthy, safe and vibrant communities. The plenary and breakout sessions during the 2018 LUCC Symposium facilitated attendee participation in the initiative by exploring how urban counties can work to “connect the unconnected” when it comes to public health, disconnected youth and data and technology.

Learn more

County News: Connecting the Unconnected

County News Hot Topics: Bridging the Gap: Counties connect people to the help they need

Disease Outbreaks and Urban Counties


Ms. Michelle Van Handel, Acting Associate Director, Program and Performance Improvement Office, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, U.S. Centers for Disease Control and Prevention (CDC)

Hon. Clay Jenkins, County Judge, Dallas County, Texas

Mr. Nick Macchione, Director of Health and Human Services, San Diego County, Calif.

Learn More

Presentation slides

Watch: California is trying to fight a deadly Hepatitis A outbreak

County News: Calmness key to navigating health crises

Curbing Youth Violence Through Opportunity


Ms. Sandra McBrayer, Chief Executive Officer, Children’s Initiative

Hon. Errol Toulon, Sheriff, Suffolk County, N.Y.

Mr. Hugo Gonzalez, Program Alum, Homeboy Industries

Learn More

County News: County officials talk curbing youth violence at 2018 LUCC Symposium

Spotlight on Data and Technology


Mr. John Ohanian, President and CEO, 2-1-1 San Diego

Learn more

Presentation slides

U.S. Mexico Border Tour


Mr. Víctor de León, U.S. Customs & Border Protection, Office of the Commissioner

Learn More

County News: LUCC attendees get up-close look at border protections

Blue Economy Boat Tour


Mr. Greg Murphy, Executive Director, The Maritime Alliance

Learn More

Presentation slides

U.S. Maritime Technology Export Initiative

BlueTech Week in San Diego County, Nov. 18-22, 2019.

Live Well Center: San Diego County’s Streamlined Services


Ms. Alexis Munoz, Executive Assistant to Agency Director, San Diego County Health and Human Services Agency

Learn More

Presentation slides

Watch: Live Well Center Overview

2-1-1 Center: Keeping San Diego County Connected


Ms. Meg Storer, Vice President of Community and Government Relations

Learn More

Presentation slides

County News: Large urban county officials get the 411 on 211 San Diego

FOSTER Documentary

If you would like to join the FOSTER community featured at Thursday’s Networking Luncheon and stay updated on the film and campaign, text FOSTER to 40649 or visit The film will premier on HBO in 2019.

County News Coverage

Large urban county officials get the 411 on 211 San Diego

At a large building in San Diego County, rows of desks in cubicles are lined up on the second floor where operators are taking phone calls from residents in need of everything from affordable housing to their next meal. 

LUCC attendees get up-close look at border protections

San Diego County includes San Ysidro, the busiest U.S. border crossing. Outside of that port of entry, the landscape along the United States and Mexico has changed dramatically in the last 26 years.

County officials talk curbing youth violence at 2018 LUCC Symposium

Curbing youth violence was one of the topmost issues discussed Thursday at NACo’s 2018 Large Urban County Caucus Symposium in San Diego County.

Calmness key to navigating health crises

County officials who led responses to Ebola and Hepatitis outbreaks shared how they kept the public calm during the health crises


San Diego County, Calif.

InterContintental Hotel
Dec. 5-8, 2018