Which of the following groups is NOT responsible for public health initiatives?

A. Patients: While patients benefit from public health initiatives and can participate in health promotion, they are not primarily responsible for planning, implementing, or evaluating public health programs. Their role is more passive or participatory rather than directive. B. Health care professionals: Professionals such as nurses, pharmacists, and physicians play a critical role in public health by providing education, vaccinations, screenings, and disease prevention strategies. C. State governments: State health departments are directly responsible for developing and enforcing public health policies, monitoring disease trends, and coordinating statewide health initiatives. D. Community coalitions: These groups collaborate to identify local health priorities, mobilize resources, and implement public health programs, making them integral to community-level health promotion and prevention efforts.