[US] Health Department “Needs to speak to me”

I got a voicemail the other day from someone claiming to be from the health department, and then a text from them today simply saying that they “need to speak to me.” There is no other information given, and I’m wondering if this is something real or not. The area code on the number is from Syracuse, which is a city in New York that I used to live in not too long ago. However, when the health dept. last contacted me (back during COVID) they were a lot more formal than this, giving first and last name, saying exactly where they worked, and providing a specific reason for the call. Do you think this is real, or should I just ignore them?