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Three counties — covering more than 1.5 million people across the metro area — are racing to stand up their own public health agencies before the Tri-County Health Department takes its final breath at the end of the year. Adams, Arapahoe and Douglas counties are busy formulating budgets, securing streams of funding and hiring staff — many from Tri-County — to make the historic transition from regional health service to county-specific care for the first time in more than half a century.