A physician, nurse, qualified layperson, or a church elder whose duty it is to promote the health program of the Seventh-day Adventist Church in his or her respective area, on either the conference or the local church level. The health secretary sponsors general health education classes, cooking and nutrition schools, home nursing classes, school health education, and temperance activities. In close cooperation with the lay activities leader, he or she participates in the operation of local Community Services centers.