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HomeMy WebLinkAbout2001- January File Copy Jefferson County Board of Health Agenda i & Minutes • January 18 , 2001 • s • • JEFFERSON COUNTY BOARD OF HEALTH Thursday,January 18, 2001 2:30—4:30 PM Main Conference Room Jefferson Health and Human Service Dept. AGENDA I. Election of Board of Health Chair and Vice Chair for 2001 II. Approval of Minutes of Meeting of December 21, 2000 III. Public Comments IV. Old Business V. New Business 1. 2000-2001 Influenza Season Update Jean/Tom(10 min) 2. CHILD Health Profile Implementation in Jefferson Jean (15 min) County 3. Substance Abuse Treatment in Jails — Public Health Tom (20 min) Issues 4. Legislative Update—Meeting with 24th Legislative Tom (15 min) District Representatives 5. Policy on Design Standards for Site Constructed Larry (10 min) Elevated Fixed Media Filter Vessels Action Item 6. Policy on Review of Building Permit Applications Larry (20 min) Second Draft, Possible Action Item VI. Agenda Planning 1. Future Agenda Topics VII. Adjourn Next Meeting: February 15, 2001 i • a • JEFFERSON COUNTY BOARD OF HEALTH • MINUTES Thursday, December 21, 2000 DRAFT Board Members: Staff Member Dan Harpole,Member- County Commissioner District#1 Jean Baldwin,Nursing Services Director Glen Huntingford,Member-County Commissioner District#2 Larry Fay,Environmental Health Director Richard Wojt,Member- County Commissioner District#3 Thomas Locke,MD,Health Officer Geoffrey Masci,Member-Port TownsendCity Council Jill Buhler, Vice-Chairman-Ho.pital Commissioner District#2 Sheila Westerman, Citizen at Large(City) Roberta Frissell, Chairman, Citizen at Large(County) Chairman Frissell called the meeting to order at 2:30 p.m. All Board and Staff members were present with the exception of Commissioner Harpole. She welcomed Dan Titterness to the meeting and announced that, as our new County Commissioner, he will be a member of the Board beginning in January. • APPROVAL OF MINUTES Commissioner Wojt moved to approve the minutes of the November 22, 2000 meeting. Member Masci seconded the motion, which carried by unanimous vote. OLD BUSINESS — None NEW BUSINESS WASHINGTON'S HEALTH CARE BUDGET CRUNCH: UNIVERSITY OF WASHINGTON HEALTH POLICY ANALYSIS PROGRAM REPORT: Dr. Tom Locke said the report from the annual Washington State Legislative Policy Conference provides concise descriptions of the complex budgetary situation the state legislature will face this year. The unfavorable budget situation jeopardizes public health issues such as tobacco control efforts, restoration and maintenance of public health funding, and preservation of the universal immunization distribution system. He mentioned that the section titled Trimming State Health Programs is pertinent to future discussions of health care access between the Board and the Hospital Commission. There was some discussion about the proposed budget cuts in Health Programs. Chairman Frissell has read that Olympic Memorial Hospital requested a February meeting with legislators. Consistent with the Board's previous discussions about its desire to meet with legislators, she proposed the Board investigate a joint meeting with Olympic Memorial. There was Board support for trying to schedule a meeting. Dr. Tom Locke agreed to follow up. HEALTH BOARD MINUTES - December 21, 2000 Page: 2 Concern was expressed about lobbying to take funding from other service areas. There were discussions • 4, about Initiative 601 spending limits and about increasing income tax or seeking alternative funding for public health. PROPOSED STANDARDS FOR PUBLIC HEALTH IN WASHINGTON STATE: EVALUATION REPORT: Dr. Locke reviewed the development of the performance-based, minimum standards for critical health services. The process was meant to not only develop standards, but achieve a baseline study on state and local health programs. In addition to the report provided in the agenda packet, he distributed a copy of charts plotting Jefferson County's assessment. He said the full report will be included in the Public Health Improvement Plan 2000 (PHIP). The Board will continue to hear more about this report over the next year. Jean Baldwin said one of the benefits of the assessment is that counties will have access to the evaluation data via the Internet. Local health jurisdictions are being asked to continue looking at areas for improvement. She noted that many of the listed recommendations are already on the Board's agenda. County Administrator Charles Saddler asked whether the state will be eligible for funds through the Kennedy Bill? Dr. Locke responded that while many are hopeful Washington will be in line for federal funding, funding will be focused in areas such as emergency response, bio-terrorism preparedness, and public • health infrastructure. Member Masci asked what measures are necessary to get the County into compliance on tracking environmental health illnesses and what types of illnesses are tracked? Larry Fay responded that the County does not currently do a lot of environmental monitoring. An area that might need to be addressed is passive and active surveillance. DESIGN STANDARDS FOR SITE-CONSTRUCTED ELEVATED FIXED MEDIA FILTER VESSELS: Larry Fay reviewed the policy developed as a result of problems with Glendon Biolfiltors. He provided examples of problems that occur because there are no standards for construction of the sand filter vessel. State guidelines only stipulate that the construction framework of the site-built vessels be made of pressure-treated lumber. The intent of the policy is to require on-site system designers or engineers doing the work, to come up with a material that not only meets the performance standard,but has a reasonable life expectancy. After first speaking with design engineers about the policy statement, Staff will draft a policy for the Board to review. There was some discussion about the 20-year life expectancy in the policy statement. Also discussed was septic systems vulnerability to power outages. METHAMPHETAMINE WORKSHOP: Linda Atkins reported that the workshop was a big success and registration had to be stopped at 80 individuals. Attendees commented that the workshop was appreciated and informative. • {9s HEALTH BOARD MINUTES - December 21, 2000 Page: 3 HEALTH ASSESSMENT INDICATOR WORKSHOP: Jean Baldwin reminded the Board • that the workshop is Thursday, January 25 from 1:00 until 5:00 p.m. at WSU Cooperative Extension Office. The Board went into Executive Session at 3:35 p.m. to discuss legal issues and reconvened at 4:00 p.m. REVIEW OF BUILDING PERMIT APPLICATIONS: Linda Atkins distributed flow charts of permit application scenarios. Larry Fay reviewed the charts and discussed the conditions for permit approval depending on the year of installation. There was then a discussion of the Draft On-Site Sewage Disposal Policy Statement. It was noted that on page 3, paragraph IV, the word "unpermitted" needs to be inserted before systems. In response to a question about who does the drawings referred to in Item I under Applicability, Larry Fay said that the universal plot plan of the County provides site drawing and property dimensions, etc. For older systems, applicants are responsible to provide system information to be incorporated into the drawing. There were also suggestions to make Item III (A) more readable and to list the requirements in the first paragraph of Item (B) as bullet points. Member Masci asked whether the applicability could be softened? Larry Fay responded that problems occur when there are building modifications that impact the septic • system and the real question is establishing a threshold for that impact. These are the principles with which the department struggles. He agreed to investigate whether the percentage of assessed value is being used in the Building Code. Staff agreed to explore other options and try to produce some recommendations. An additional suggestion was to reword the first paragraph under Applicability to remove the words "remodels, additions" after plumbing. INFORMATION ITEMS: VINES VS. JEFFERSON COUNTY, LUPA LAWSUIT: Larry Fay reported that the County has paid Mr. Vines attorney's fees in the amount of$660. With the adoption of the Uniform Development Code, septic systems will be allowed to cross zoning boundaries and will become a policy. INFORMATION ITEMS: QUILCENE BOAT BASIN: Larry Fay reported that the State Department of Health, based on a request from an adjacent property owner to certify his growing area for harvesting shellfish, has imposed a shellfish closure zone near the Quilcene marina. The Department established an appropriate closure zone based on usage and the possibility of a spill occurring, rather than water quality violations. The Port of Port Townsend has expressed concern about the closure and felt they had taken measures to minimize the risk of contaminants in this area. TOBACCO PREVENTION AND CONTROL PROGRAM: Jean Baldwin distributed correspondence regarding news reports on the 15-year study that tobacco prevention programs do not prevent tobacco use. She stressed that the new tobacco money was not a part of this project. • HEALTH BOARD MINUTES - December 21, 2000 Page: 4 • AGENDA CALENDAR/ ADJOURN FUTURE PLANNING TOPICS: For the next meeting, Chairman Frissell noted the following agenda items: Solid Waste Enforcement Policies, Report on the Internal Assessment, Review Policy on Design Standards for Media Filter Vessels, and Minimum Land Area policy recommendations. There was also support for addressing "Continued Stable Funding to Replace MVET" if a meeting with the legislators can be arranged. Dr. Locke said he believes the Public Health Improvement Program 2000 report will also be available by the next meeting. Related to the Bio-terrorism topic, he indicated that the readiness assessment data is complete and is organized under the ten essential functions of public health. 1. CONTINUED STABLE FUNDING TO REPLACE MVET 2. ACCESS HEALTH CARE 3. PROGRAM MEASURES (Genetic Research and Public Health Implications) 4. METHAMPHETAMINE SUMMIT 5. PERFORMANCE STANDARDS & COMMUNITY ASSESSMENT 6. TOBACCO PREVENTION AND COALITION 7. FLUORIDE • 8. TRANSIT AND PUBLIC HOUSING 9. BIOTERRORISM READINESS & PLAN 10. AGING POPULATION 11. WATER 12. MATERNAL CHILD PREVENTION GOALS (0-3) Meeting adjourned at 4:30 p.m. The next meeting will be held on Thursday, January 18, 2001 at 2:30 p.m. JEFFERSON COUNTY BOARD OF HEALTH Roberta Frissell, Chairman Geoffrey Masci, Member Jill Buhler, Vice-Chairman Richard Wojt,Member Glen Huntingford, Member Sheila Westerman, Member (Excused Absence) Dan Harpole, Member • • Board of Health January 18 , 2001 New Business Agenda Item # V. , 2 • CHILD Health Profile Implementation • • WINTER 2 0 0 0 Fo c U. s Alit KOietOurit Protecting Our Children Through Immunization Registries (In Immunization Registries 7 mmunization registries provide benefits for providers, health plans, parents, kids, communities and schools. This All Kids Count is a national network of �. .. issue of Focus includes stories from around the country demonstration projects working to develop . - about how these confidential, computerized information sys- tems increase immunization rates; save providers, health plans and implement community-based tom, i. . and schools both time and money; and improve vaccine safety. immunization registries for infants and yF " All Kids Count believes that this is just the beginning of the toddlers. Collectively,All Kids Count benefits that registries can provide. As more health care ' projects represent the country's mostt-,Sh providers participate and more kids are included in registries, �i ,,f benefits multiply. We encourage all children's health advanced base of erience with `' care providers to find out how they can participate in :immunization registries.-------;',:::„;,-.L.--;,...---�K 5 'Y a state, regional, countyor cityregistry. = -} .-- t ; �' g L ,� �A/I Kids Count is supported by The ,..0";;-.. Similar data showing increases in ,4A J immunization rates have emerged WoodJohnson Foundation with ,i IL, from Minnesota, where the immu %'----4,--_,,--.-.;:,-,.....,.,3,: ..,„,-....4z-,,,•=4...,c� ` ;. nization registry of Health Partners, and technaCafasslstance The aS %sr s an HMO with over 800,000patients ""' F-- Lo munization rates are common fAt Child Survwal and Devi/Op/mit:: among low-income children who may and 17 staff and affiliate clinics locat i >,"- not see a health care provider regular ed throughout Minnesota, reduced by - two-thirds the number of children ,:'''.—.774,-.,,, �-'- ;� ly. However, these children often do - b �. attend child care and school regularly. `'Whose immunizations were not up ^-� to date by age 2. �� r � � In Phoenix, Ariz., the immunization .tom '-0.. ., .� rate for 700 low-income children at } five related child care centers and two James Nordin, medical director of "?_- "� charter schools hovered around 45%. Health Partners Department of INSIDE Pediatrics, says that the registry not .:--1_ But in early 1999, when Margaret McChesney, RN, the organizations' only has improved patient care, "but acquired a laptop computer it also has improved our efficiency, • nurse, q p p p resulting in long-term cost savings for Registries Bring Disease Rates and connected to the Arizona State- the company." . wide Immunization Information Down, Coverage Rates Up 6 System (ASIIS) database, that rate r 4.1 The quickly doubled to 90%. biggest savings of the registry f; • Registries Save Time and Money for its adult population ' which is also included in the registry r • Registries Increase Vaccine Safety, `' By identifying the under-immunized torovide information about influen- Reduce Immunization Costs children and administering the miss- t, ing shots, cases of measles, pertussis za and pneumoccocal immunizations. • Influenza coverage rates for adults _ Parent Survey and varicella at those institutions aged 65+ increased from 64% to were reduced to zero, despite county- 82%, and pneumococcal coverage 1,,-` • Health Organizations Support wide outbreaks of those diseases dur rates increased from 65% to 85%. ing the same timeframe. In addition, Registries says hesney, children's school Nordin estimates that the health plan atter a increased and parents' lost saved $4 in direct medical costs for • Who Will Pay for Registries? time at work decreased. every $1 spent on increasing influenza `+ - coverage rates. A similar savings is '`r` expected for pneumococcal disease. , ' HEALTH CARE Registries Save Time g The immunization registry of the it ORGANIZATIONS and Money Marshfield Clinic in Marshfield, Wis., SUPPORT - a large multi-site network of providers, { • MUNIZATION In recent years, both providers and has eliminated the paperwork associated medical office staff have seen the old with administering immunizations. Staff t�EGISTRIES found that duringmass flu clinics, 20 i' adage "Time is money" demonstrated ii minutes were previously required for a daily. Registries can save a health care ' providermulti-step r money by drastically reducing p manual process, from manual the time it takes to pull a child's medical registration and chart pull to administer record, review his immunizations, enter ing the shot, re filing the record and entering the data into the financial sys- the new shots, and re file the record. tem. Now, with the registry available in Studies show that it costs from $6 to I almost $19 to manually pull a patient providers' offices, the same processes chart for review. Pulling up an electronic done electronically take just one minute. record, in contrast, costs very little because it takes only seconds. An in- Health plans, too, are realizing the time depth study of costs and benefits associ- that a registry can provide. In ated with three California registries Arizona, the Arizona Health Care Cost showed a 30% to 50% increase in staff Containment System (AHCCCS), the state Medicaid provider; last year productivity when an immunization registry was instituted in a health care reached an agreement with the state provider's practice. The study by John immunization registry to allow batch inquiries of the registry's central data Fontanesi, PhD, School of Medicine, University of California,San Diego, base. AHCCCS has spent over $100,000 i showed a return on investment as high per year on pulling charts in providers' as 8 to 1 for registries that are managed offices in order to audit the immuniza tion rates of Medicaid enrolled children. correctly and streamlined for work flow efficiency. A test of the system showed that immu- nization records for one-third of the Darcy Hall, RN, of MEDSchool children could be accessed by connecting Associates-North in Reno, Nev can't to the registry—a $33,000 annual sav ;,;,;,,, imagine working in an environment that ings. Savings will grow as more children are added to the state registry database. doesn't have an immunization registry. l,!,;,- ,, ,!1 -.;. .,"-- Having worked in a clinic with a reg Providers in Arizona are mandated to r' r �A istry previously, she helped convince report immunizations to the registry. MEDSchool's physicians to implement �'r'� "" A ' 4" `1' ..- a registry linked to Washoe County's �p .'1 Department of Health to provide corn- .--,.' -_ plete up-to-date information on records htive o i osa . • 4..i(4,ii for 320 children. Hall says the registry '----__.7.::, -N,•--11.'7-...-:.4,-.-'-. 4 .,. x " ` « program ti support ova op B saves money because nurses have more ,.,e,y'-, ,t-i r time to provide patient care. It also lmplementatio ' immuhlzatto - increases patient satisfaction." tegistrles,as cal e¢`for in the repo '"K` '�.'T L Y' of ;Ai,.7fc 7 -�of#he,�fattonat yaccme A�vlsogr � �' 5<r-4 :. a a c , �• More Providers, More Committee*AC);A����� F Data, Private Provider Enrollment in " More Value All Kids Count II Immunization Registries Theresolutions'completetextlson 1 July 1998 to July 1999 <„ }-, As the number of health care providers the All Kids Countwebsrteat� who participate in a registry increases, Soy° ,,.'' _ _, 47% the number of children with shot www.allkidscount org: f ��'�� 4:` �=�-�'' .� w ��-��`� �-- records in the re0gistry also increases, 40% . 1 making the registry more valuable to 35% `` I�n al - its users. This chart shows a relative - 30% ''''" _. ; increase of 42% in the number of pub- 25°%° , k - lic and private health care providers 20% who participate in the 16 All Kids 15% r. "" July 1998 'July 199T registry 10�° Count re g ry projects from July 5% 1998 to July 1999. ,•--,------'°°�° .`,1,:cri`, ,nc..-ca:,.... ',,ic...iiie Survey: Parents Would ALLKIDSCOUNT ' lict`'• i tic;_ Participate in Registries If NATIONAL ADVISORY :1.11;MilL,1tion ( )sts Doctor Recommends It COMMITTEE (mization registries provide accurate A new survey of 432 parents with information on each vaccine a child children under age 6 has confirmed receives, including the vaccine manufac- what earlier focus groups indicated: turef, date of manufacture, and lot num- When parents understand the benefits ber, as well as up-to-date demographic of a registry, they are likely to enter information about the child. When a lot their child into a registry, if their doctor ' of Tripedia' vaccine was recalled by its recommends it. V manufacturer because of the vaccine's �� d low potency, the Southern California The random telephone survey was p Kaiser Permanente immunization registry conducted by a national research firm on ,y r,� , � ,, was able to determine that only four behalf of All Kids Count. Seventy-nine 4 -;r""1 ,,,; , r7 children among its thousands of percent of parents said "yes" they would ' �l ---4,0;;;74---f,14.4"..:-..,','' . enrollees had received an immunization enroll their child in a registry, while 1 ,. from the recalled vaccine lot. By identi 15% said they would not and 5% were f: ;,439,-74,f,*-;;;-:,-.--, - fying those children who had received undecided. Those that said they wouldr ee. '` the vaccine, the registry saved the bal not want their child enrolled in a registry ` *.Mmnnea'o to 'k - ance of the children and their parents expressed concerns about the securityor time and pain by preventing unnecessaryprivacyof the registry 37/° felt they t e` Tt-troua g Y ( )� ��.� oJ�uNant.Y.. ���� immunization. In addition, the health did not need it (33%), or felt that they0 a 'hi 0_7' ' plan realized substantial savings by not could keep their own records (33%). � ` "' having to re immunize the children. Older and more educated parents tended 'ferpagdoGuerra,MD,an)f ` ¢tintonlo Mg olohtankea , , . v., to be more skeptical of the benefits of ' $an,lntomo' TX _ I e ,; By providing up-to-date information on registries. Women were more likely than �3� p past immunizations, no matter where men to believe that registries are benefi 'h ;RakYa ley' ; they e delivered, registries can reduce cial for their children. African-Americans :� 'Arkagsock Aeeo...,_.alSernc little Roc/r AR _4, the r er of duplicate immunizations a were more likely than Caucasian res on � V child receives. In San Bernardino Co., dents to enroll their child in a registry if ' 4,37.-00#V::-..-,P.7.!:_,-.,74,,,,,44: 4, ultant A H MEd`'s= ` Calif., a 1997 study of the immunization their doctor recommended it. • onsultant T_ "4. --:-- --!'-';',',-.:•""�; histories of more than 75,000 children in 'm bull ri �`: `"} the registry database showed that almost For a complete summary of the survey, »,,' pen XethtiAin „¢e.- 2,000 (2.5%) of the children had e-mail info@allkidscount.org. The NorthAmeneanYaecne,Inc ; received at least one unneeded dose of survey is available on the All Kids Count 'Beltsville,MD >g4 vaccine. At the time the immunizations web site, www.allkidscount.org. Royce c..Lashoff,MD� -' - ±` were given, the children's providers did y4�UniversityofCalifornia f "`.. not have access to accurate information Berkeley,CA about the children's past immunizations. Edgar Marcuse,MD,MPH :' Registry staff estimated that $15,000- ,` Children's Hospital and Medical Center t. K Y;• $36,000 in vaccine costs could have Seattle, WA _ been saved if accurate information about =. the children's immunizations had been Walter Orenstein,MD .` ' f:_ available to their providers. More than National Immunization Program x Centers for Disease Control&Prevention '� half of San Bernardino County's Atlanta,GA "�� providers now participate in the county registry, with access to immunization Michael it Osterholm,PhD,MPH /CAN records of over 116,000 children. .y! ;45. Minneapolis,MN pa`s, ¢ Robert K.Ross,MD ,,.^ �-z %'` . San Diego Dept of Health Services _, .y.,4 San Diego,CA.t f =w e, Thomas Tonniges,MD u American Academy of Pediatrics s Elkgrove Village,IL `'' Deborah Klein Walker,PhD Massachusetts Bureau of Family &Community Health Boston,MA All Kids Count II Projects CIS ,t1urt Non-Profit Organization All t U.S.PostAIDage Arizona State imeanization �� PAID In on System(ASIIS) Protecting Our Children Through Immunization Registries Permit No.4170 6 5872 Atlanta,Ga. Alkansas Immunization The Task Force Registry System(AIRS) Ii9i4? For Child Survival And Development 50k661-2720 t;; - 750 Commerce Drive, Suite 400 Baltimore`s Immunization -?,:;:.,..'..'4:7`,2. r,.? Decatur, Georgia 30030-9919 Registry Program(0 IRP). ,j F , ,...r_r, . 410-545 -3048 �* 4� R a :° Address Service Requested Rec.The Connecticut Immunaatmn Registry and Tracking System(CIRTS) ,.; 860:5474426 x1182 V - t'i Him4,, � � � ,rF Annual Immunization vto r Michigan Childhood � �w, ma F" Registry Conference /11 ,i• z ,tmmunuation Regisby lACIR � � 0 l75-815 =tom t' ,,. `a March 27-29, 2000 `�7 '4iNewport, Rhode Island ' �'� ��� r. ' Meso• �"'�.�, 4 For information: Visit U � " www.cdc.gov/nip/registry Mq�1SE-��L41 ` i, *"*** ' AUTO 3—DIGIT 983v.•e ,_ b --, mn, . 1,g ,!,t THOMAS LOCKE ;tl r 4` • JEFFERSON COUNTY HEALTH/HUMAN SVCS 615 SHERIDAN ST r,---- A14,4,01-4.' 1t;,,i 1 s' ' PORT TOWNSEND WA 98368-2439 !l,(,,I„i,,,ll„li„I„I,„I,I,I„I„II,II 11.1,1,..1,11 'fl'' 1.:l' ` , ' ` ry Who Will Pay for Registries? 1,.,,; , -'i i An informative policy brief from All Kids Count urges policymakers to take action to find a stable source of funding for immunization registries if children, t -..--c-; parents, providers and communities are to realize the full complement of health and safety benefits and the time and cost savings that registries can generate. Sustaining Financial Support for Immunization Registries reviews the role that registries play in maintaining high immunization rates in this country. It traces the development of registries, reports their current status, and lists the benefits to parents, providers, plans and purchasers,communities, and public health officials. It also explains how immunization registries can enhance vaccine safety and how they address issues of privacy, confidentiality, and security. Significantly, it notes that a nationwide system of fully operational registries would save almost $30 million a year. A patchwork of unpredictable funding sources, including federal and state agencies, private foundations and managed care, now pays for registries, leaving them vulnerable to changes in the economy, politics and the health care business environment. Registries are one of the best tools available to sustain high immunization rates, decrease disease among all children, and ensure vaccine safety. Financial support of registries is asaamely issue that demands attention. 1Copies of the 16-page Policy Brief or a four-page Executive Summary are avail- able by emailing info@allkidscount.org. Please include your name and mailing address. A PDF version is available on the All Kids Count web site at www.allkidscount.org. You may also call 404-687-5615. 1�- CHILD PROFILE FACT SHEET WhLt is CHILD Profile? CHILD Profile is a computerized population-based system that includes an immunization tracking system and a universal health promotion program CHILD Profile's overall goal is to improve the health of children by maximizing immunization rates CHILD Profile was initiated January 1, 1993 in King and Snohomish counties and is managed by a Joint Executive Management Team from the department/ district of the two counties CHILD Profile was initially developed with major funding from the Robert Wood Johnson Foundation CHILD Profile's tracking system is marketed by Health Information Institute to accomplish statewide implementation. CHILD Web, connected to the database via the Internet, is available from HII What is statewide immunization on-line registry? It is a population based electronic system that: • Stores demographics and immunization activity for children when providers enter it via computers • Increases the probability that all children will receive their recommended immunizations on schedule • • Decreases the probability that immunizations will be unnecessarily duplicated due to lack of a current immunization history • Reduces both provider's staff time and health care costs, as well as improve the quality of health care • Provides parents with a complete record of their children's immunization status • Generates reports for health plans, providers, and others needing immunization data How does universal health promotion work? Health promotion mailings are sent to parents of all children born in Washington State as of July 1, 1998. Materials have been sent to families of newborns residing in King and Snohomish counties since 1993. Age appropriate material regarding immunizations, well child check-ups, normal growth & development and safety information is mailed 30 days prior to recommended check-ups. There are eight mailings in the first two years and two each year up through age five. Materials have been developed with broad community input by both parents and health professionals. Update on Strategic Planning In late 1999, CHILD Profile initiated a strategic planning process that brought together 27 individuals from 12 organizations, including WSALPHO, American Academy of Pediatrics, DSHS Medical Assistance Administration, Department of Health and others. The impetus for this effort was the need to address the slow progress in recruiting private provider participation, the resulting low number of immunization histories in the system, and issues in long-term funding of the registry. The planning rocess was completed on May 31, 2000, and resulted in a 24-month action plan. One of the major changes includes discontinuation of the subscription fees for providers (public and private) who participate in the registry, retroactive to April 1, 2000. Data in Child Profile • by Local Health Jurisdiction and County 10/1/00 1 #of Demographic Records . children records(under age w/Immunization Children Who Ever In county 6) Data(under age 6)In Received Health LHJ/County <6 yrs(1) In CHILD Profile CHILD Profile Promotion Mailings (4) (A) #(B) %(B/A) #(C) %(C/A) # Adams., .1 .'; ; . x',t.17ZA= 2648' 0 °/u* ' ';475< ° 1.00% � " ,'_-: Asotin 1642 1012 61.6% 564 5 Benton Frankl n 34/o 821'9 17720 ; 7 0 eri , o 215 Benton x t*� 'S X 29 294 1 7 o Y 1 tl019 ' 600 0 ''� r 84761 '- 4.)- 14 ' 4 9 '• 65 49 9 .'. ".;4,';.,,,,,,t,,):4,&'4954 . .o :.„2�8 '.� 6426 i s,%' . ' w Chelan-Douglas 93% 5832 s ,,, 9 8668 9258 100%* 6895 79.5% 5832 Chelan 6055 6408 100%* 4713 77.8% 4122 Douglas Ciallam�>,� � �� � ��13 � X2850 "� X100%• � 2182 83.5% 1710 : r .'�7 x;9946 84 9 o x 6 m7 5 47,.> A 93 , .., " Columbia 308 268 87.0% 196 CowlltZ;�;��� ��_. ,:', 9i � g--f 941:1S-.7-3 r 63.6% 93 " .83'',Po .... 98: .736; 7. Garfield _ 163 73 ' 530fi 44.8% 31 19.0% 30 Grant f " 'i;`` i ' 6:, '"'"'4'1,' ,.--3-0151"-:14:7:666,;,` o . : ,<. ° 7'89 his 0�_o�: 3385,� ' Grays Harbor 5558 5199 93.5% 3343 60.1% 37991$) d1 � SW:6:. , ,-:89 19 °� 887 %..; g'`,' ,--6 ,. w ,Jefferson 1805 1022 56.6% 568 31.5% 52697;N __� tA:3x8 68, o , �„465812,- -.0 .3� 714C:',-, 53-036:::%W Kitsap� 21721 14396 66.3% 7554 34.8% 10874 „I�.itGtas,,- " �8 4 3 2066.:. 97•'o ' .21i-',i,"45`5 2019 Klickltat � � -� , - : , 1501 1231_ 82.0% 915 61.0% 393 Lewis �x ,: � h., � .,� �.. m`Eka t, ` YL .' °-383R 4 ;_ 00° ' 1,A A:. ' :6 :.A 00°0, ` 2 45i.i� t`'' Lincoln 656 611 93.1% 389 59.3% 282 Mason Q��� ,.ef �.P' •.*. .`1,i', 3.„ft!.a,,,§5 Lig , .M,'17r""dY''+^�711- `°t NE Tri County .�1 �:i�:�3.,4/0, �� �8�..�° �w=. • 4653 3191 68.6% 1399 30.1% 1496 17 Ferry 598 357 59.7% 164 27.4% Pend Oreille 998 672 67.3% 263 26.4% 282 2 Stevens 3057 2162 70.7% 972 31.8% 1044 Ok 'nogan 1' ,1,,; .: 04 7.0¢ .., +800 Itt•22'0 ,", 13 3; Voilitiril. Pacific 1449 1262 87.1% 981 67.7% Pie�ce'�P � � . 63752 879 ,• .�,., I '48660; 70,410 .;�..., t!...it 6082't ;1 '`-i,, San Juan � � � '�� 826 837 100%• 489 59.2% 288 gicrSno o h 74 x 8483 .;''s-.456''''.:;i= .813:410°. . -4..99 -,''52.9% '-, ,-,.-'-'4,0i,' 51354 53586 100/o o 3 3 29681 57 8/o Southwe <1,4.;, ', �+ 61133 c C14111t st» r tf.. ,� ` t1R4� 0i 0 °° 41N • a kama i � ';44k,,� 0194 2 6 a 2 6/$0 0333 �; " ' , : ' S n� , ' . .8 °. .0 .:4�- &..3,.Z°/g, ", ",268, ' 4,�4%0i. 4 ; x.9.1.: Spokane 34552 36418 100% 15211 44.0% 12417 h:1W1 37: ,�F> .. . 6 714'1;549.1 94:i o . ;° " t, Wahkiakum � _�.�"8289�� q> ��•327;,= k,, 273 195 71 4% 137 50 2% Waila Wali-`,.41-'.'.:":.4a< �--a". 154 Whatcom ;,°1'3055 , r ,96 °'38 _$' 5 0.' r 12677 9845 77.7% 4036 31.8% 7371 M'tma,n�. l fie4. 2024 3. ',1)0,4'.'''.72-87.6:4 Yakima � -. 22325 21035 94.2% 15640 70.1% 10172 cwt . 1,4<, ' ' x' "� ., a `'' z 1Coun ,Unknq ' A 6764 . A WA State Total 488124 464985 95.3% 259738 53.2% 350382 Grand Total (3) 493818 275467 377,107 (1)Source Department of Social and Health Services,Research Data Analysis. Washington State Adjusted Population Estimates, based on estimates by Claritas, Inc.and Office of Financial Management,4/99 (2)WA state residents for whom county is unknown because complete address information is not available. 411 (3) Includes children living outside of WA and those for whom no address information is available. (4)In most counties,only children bom after 7/1/98 receive the mailings. 'Proportion exceeds 100% because:denominator may undercount migrant families;numerator may include families who have moved out of county but whose address has not been updated in registry. CHILD PROFILE FACT SHEET What is "CHILD Profile? • CHILD Profile is a computerized population-based system that includes an immunization tracking system and a universal health promotion program CHILD Profile's overall goal is to improve the health of children by maximizing immunization rates CHILD Profile was initiated January 1, 1993 in King and Snohomish counties and is managed by a Joint Executive Management Team from the department/district of the two counties CHILD Profile was initially developed with major funding from the Robert Wood Johnson Foundation CHILD Profile's tracking system is marketed by Health Information Institute to accomplish statewide implementation. CHILD Web, connected to the database via the Internet, is available from HII What is statewide immunization on-line registry? It is a population based electronic system that: • Stores demographics and immunization activity for children when providers enter it via computers • Increases the probability that all children will receive their recommended immunizations on schedule • • Decreases the probability that immunizations will be unnecessarily duplicated due to lack of a current immunization history • Reduces both provider's staff time and health care costs, as well as improve the quality of health care • Provides parents with a complete record of their children's immunization status • Generates reports for health plans, providers, and others needing immunization data How does universal health promotion work? Health promotion mailings are sent to parents of all children born in Washington State as of July 1, 1998. Materials have been sent to families of newborns residing in King and Snohomish counties since 1993. Age appropriate material regarding immunizations, well child check-ups, normal growth & development and safety information is mailed 30 days prior to recommended check-ups. There are eight mailings in the first two years and two each year up through age five. Materials have been developed with broad community input by both parents and health professionals. Update on Strategic Planning In late 1999, CHILD Profile initiated a strategic planning process that brought together 27 individuals from 12 organizations, including WSALPHO, American Academy of Pediatrics, DSHS Medical Assistance Administration, Department of Health and others. The impetus for this effort was the need to address the slow progress in recruiting private provider participation, the resulting low number of immunization histories in the system, and issues in long-term funding of the registry. The planning Wrocess was completed on May 31, 2000, and resulted in a 24-month action plan. One of the major hanges includes discontinuation of the subscription fees for providers (public and private) who participate in the registry, retroactive to April 1, 2000. Data in Child Profile e by Local Health Jurisdiction and County 10/1/00 #of Demographic Records III children records(under age w/Immunization Children Who Ever in county 6) Data(under age 6)In Received Health LHJ/County <6 yrs(') in CHILD Profile CHILD Profile Promotion Mailings(4) (A) #(B) %(B/A) #(C) %(C/A) # Adams~x , *Nem"ice:'. 64: Asotin 1642 1012 61.6% 564 34% 215 Benton Evan mV �"821-9 ' L, '7720 *7s3° may„ 01* • ° , Benton � .,, 5 0 4954 *��.�r � 9 294 i 37 30 , x; s° c1 '7 !Ei kll . �. '3.. �� i�. a tom' ��� �-4'." -1.!:!;-0 -30� � � .�4954 r x;� a��� t.EM_.!p '. . 52 6 $6426 s'4 1 I0%* 25'13,, Chelan-Douglas 8668 9258 100%* 6895 79.5% 5832 Chelan 6055 6408 100%* 4713 77.8% 4122 Douglas 2613 2850 100%* 2182„;� " 2182 83 o 5C 1710 `-," •..,:.. 849':", 1ti Alk ?. aY: -: Columbia 308 268 87.0% 196 63.6% �' 33 Cowbtz, a tV � . �>��; �.,- 93 Garfield $99 .x . ,. 613 V .83 Io; ` . •8 �}a 6.La'47/0441A::2-66 :.�: >g 163 73 44.8% 31 19.0% 30 Gran{t,7 *-. ,6 ;•590' ,4 •0°•, '',,,4.4,:;;, 89.i `^ toi°7 3385' Grays Harbor 5558 5199 93.5% 3343 60.1% : 0.1% b . , . , : ig. 379l' a 1��; r .. t� -5g5 ,4::,,,,i4' ' 9=��x00 A _, 88 �,61'c , 9p Jefferson 1805 1022 56.6% 568 31.5% 526 9 k'. _- *.. 30608 6 Z-:' 00°x* =,. • ,. , Kitsap ,�,. •• � .�56936 �" �.z. 21721 14396 66.3% 7554 34.8% 10874 ittitas ����8 � .t. ..1 z. .f .:2066": 4'97'6.0 z o;t.2., :'i14$5%, 2019 _ Klickitat 1501 1231 82.0% 915 61.0% 393 Lncs, . , 77,',' .::, ,- '17 ;;.;,1::-.',,,'' .83 .00°.*'i., x ,';, ;;00°•*' : 2I.6 ..,,r*, 656 611 93.1% 389 59.3% 282_ Mson a . ` . ' , r, 693 ' i ' .;:,i5...: ' ,4 . •:9 Yr*+_*�W.'i68m �, n. ;. • NE Tri County 4653 3191 68.6% 1399 30.1% ��� �� 1496 Ferry 598 357 59.7% 164 27.4% 170 Pend Oreille 998 672 67.3% 263 26.4% 282 Stevens 3057 216270.7% �. �an .:,,,*::11' � �8 ',4 .• s 972 � 31.8% 1044 � .; :•• `. ° 1333w 4.,, Pacific 1449 1262 87.1% 981 67.7% 879 Pierce ` •3752 ;r ,48680 X40 : p San Juan 826 837 100%* 489 59.2% 288 Slag `"` :- 3 ';',;:+ 7,:;'7'88: °•. : . . %���,� 5 • t)N , 649.E ° * ` Snohomish 51354 53586 100 * 29681 57 8% 61133 Southwest' s ,!,.??..,,g 0972 �, t ••• •` ,.° -2, ,:24 . e•1 '* 019, 4'1'12:6% t3 7 4 • 2Skamant , ? 2. 3�, -- • ° ° 1 226 z ,, • . 6.- ,�,4, • 3 ° '.:(,--4;,i'-',, •68 ._ ., 4 3, 0 9 ,' ;aa Spokane 34552 36418 100% 15211 44.0% 12417 burston" ' 636."R Zi540j. �$4 .°° _ ;.442;97011M:17, • x ., .3271 Wahkiakum 273 195 71.4% 137 50.2% 154 1%llaila ��' ' allay. , .5 Az,' 055 ff. ." :',.,r,41.500,04 .. " Whatcom 12677 9845 77.7% 4036 31.8% 737371 � � 7371 Wit11 mai 1)Z, ,' :: 4• ,- 2024; .. , 's, rig v..' €s M �:4� r -0 r_ Yakima 22325 21035 94.2% 15640 70.1% 10172 Coun Unk`o10-°. WA State Total 488124 464985 95.3% 259738 53.2% 350382 Grand Total(3) 493818 275467 377,107 (1)Source: Department of Social and Health Services,Research Data Analysis. Washington State Adjusted Population Estimates,based on estimates by Claritas,Inc.and Office of Financial Management,4/99 (2)WA state residents for whom county is unknown because complete address information is not available. • (3)Includes children living outside of WA and those for whom no address information is available. 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'•a•ud 'ua){!ey0 •IN uept • '8664 'suer jo AaAJns lenuuy ay} •uo!�onpo�d eo!�snp}o}uewpedeo .s.n we podaa s!y� u! pa�uesaid salge; leu!} pall}s!u!wpe uosu!go�l eu�(ep ay}�o Aoua6e leo!lsne;s eqi s! Joh elep jo seams tiewud aul •podaa ay; papa Ja}saH wol •M8!naJ so!Tsp}S eopnp 4o newng aul • , Board of Health January 18, 2001 New Business Agenda Item # V., 5 • Design Standards for Site Constructed Elevated Fixed Media Filter Vessels • a MEMORANDUM TO: Jefferson County Board of Health FROM: Larry Fay Environmental Health Director DATE: January 11, 2001 RE: Draft Policy Statement—Fixed Media Filter Vessels The enclosed draft has been submitted with no changes from the first draft. The essential question raised by the Board in December had to do with the use of pressure treated lumber to frame a vessel and whether 20 years is a reasonable life expectancy for treated • wood in the soil environment. Staff has had an opportunity to discuss this issue with representatives of the wood products industry. In short, the representative was able to confirm that the industry has a rating system for treated wood products and that there are products rated for soil contact that will perform for more than 20 years. . JEFFERSON COUNTY HEALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH DIVISION a POLICY STATEMENT NUMBER PROGRAM: Wastewater SUBJECT: Design Standards for Site Constructed Elevated Fixed Media Filter Vessels PURPOSE: Elevated containment vessels are subject to significant internal loads and stresses. Internal loading must be considered in the system design in order to assure the structural integrity of the vessel and to minimize the risk of vessel failure with consequent treatment system malfunction. APPLICABILITY: This policy applies to any fixed media filter containment vessel intended to be installed above natural grade that is site designed and constructed, including but not limited to • elevated sand filters and Glendon Biolfiltors. POLICY STATEMENT: Site designed and onsite constructed containment vessels for elevated fixed media filters shall be designed and constructed so that the vessel will remain within original design tolerances and vessel failure will not be a limiting factor in the useful life of the onsite sewage system. Designs for elevated containment vessels shall be prepared by a professional engineer licensed to practice in Washington State and shall bear the stamp of the design engineer. In the absence of any other longer standard, the useful life of the system shall mean a minimum of twenty(20) years in use. This policy shall become effective on the date of adoption by the Jefferson County Board of Health and shall remain in effect unless modified or repealed by the Board. Health Officer Date Chairperson, Board of Health Date • \\Healthserver\home\env_health\larry\My Documents\sewage\Wastewater-Design standards for Site Construction.doc 12/13/00 Larry Fay From: John Scott Fleming. P.E. (jsfeng@olypen.com] nt: Wednesday, January 10, 2001 6:38 PM • Larry Fay ubject: Re: Draft Vessel Standards policy et � — x LiJ JSF Revisions to Wastewater-... This is very simple, easy to understand, concise, easy to follow and design to, for all cases that I can think of. The engineer determines the loads, then designs a structure to resist them and retain shape for 20 years under normal operating conditions. I suggested changing a Will to a Shall in the attachment. You do not hold the engineer to conform to any rigid standards or codes, allowing flexibility. Some relevant design elements: Static dead loads, dry and wet. Live loads. Dynamic loads, earthquake analysis, liquefaction. Specify material type. Specify compaction of earth fill. Set sampling spacing for compaction testing. If concrete, specify site preparation, reinforcement, concrete mixture, compressive strength, whether test cylinders will be used. Good job. Original Message From: "Larry Fay" <lfay@co.jefferson.wa.us> To: <jsfeng@olypen.com> Sent: Wednesday, January 10, 2001 11:39 AM Subject: Draft Vessel Standards policy > Hello John, > Attached is a copy of the draft vessel construction standards policy that I > have in front of the BOH next week. If you have a minute, can you take a > look at it? I would like to know if it is clear enough for you as an > engineer to know what we want. I am trying to set a performance standard > rather than a proscriptive approach. Under this policy you could construct > an bottomless sand filter with a tqmped earth berm provided you as the > designer will certify that at will stand up. > Larry •<Wastewater - Design standards for Site Construction.doc>> 1 • Board of Health January 18, 2001 New Business Agenda Item # V. , 6 • Second Draft Policy on Review of Building Permit Applications • JEFFERSON COUNTY HEALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH DIVISION POLICY STATEMENT PROGRAM — On-site Sewage Disposal SUBJECT— Review of Building Permit Applications Effective this date the following procedure shall be adopted concerning review of building permit applications on properties where there is an existing onsite sewage system. PURPOSE Applications for building permits for properties served by on-site sewage systems shall be approved only when the on-site sewage system has adequate hydraulic and treatment capacity to accommodate the proposed construction and an adequate repair area is available. APPLICABILITY This policy applies to building permit applications for new structures that contain plumbing; --ee• _e e. 'e- , alterations or remodels to existing structures that contain plumbing; and structures not containing plumbing when the placement of that structure may interfere with the performance of an existing onsite system or the ability to replace the existing system. I. Building permit applications shall include an accurate, to scale, record of the site. The record shall show locations of existing and proposed buildings, driveways, wells, water lines, surface water, significant land features (steep slopes, drainage swales, rock outcrops) as well as the location of septic system components and reserve/repair area. When the onsite sewage system has not been installed, the locations of components shall be shown as portrayed on the approved design. II. Where there is sufficient information contained within the onsite sewage system permit file to verify all of the following: A. Tthat the system has adequate hydraulic capacity; and B. The site has a designated reserve, and C. Aadequate vertical separation, then the building permit may be issued. Generally, this means any system that was permitted after July 1, 1983, and received approval from Environmental Health to cover or received a final inspection, will be considered to be valid, except, that Draft Policy Review of Building Permit Applications page 1 of 44 • those sites that do not have a dedicated reserve area established will be required to identify a reserve area that complies with the onsite code in effect at the time of the building permit application before a building permit will be issued. Ill. Where there is a record of a permit having been issued and the system received final approval or was given approval to cover by Environmental Health, but there is insufficient information in the file to verify vertical separation or horizontal setbacks, an assessment of the onsite sewage system shall be required. System assessment may be performed by the Environmental Health Division, a licensed Designer or Professional Engineer licensed in Washington. A. All system assessments shall be submitted by the proponent to Environmental Health, shall include the following information on a plot plan to scale, be submitted on forms approved by Environmental Health and submit fees for review. 1. Location of the septic tank and pump chamber (if present). 2. Location of the distribution box or beginning of the drainfield/distribution system. 3. Length, width and depth of drainfield/distribution system. 4. Depth of usable soil to restrictive horizon (compaction or water table). 5. Soils information to assess a reserve/repair area. A minimum of two (2) . soil logs shall be provided in the designated area. 6. Location and source of drinking water supply. 7. Location of structures, driveways, surface waters and drainage ditches. The plot plan shall include at least two (2) property lines as reference for the onsite sewage system. B. Where the site inspection verifies the following: 1 . Tthat there is adequate hydraulic capacity; and 2. Horizontal setbacks conform to those established in Table I, WAC 246- 272 and 3. There is sufficient area and soil for a conforming reserve area and 4. A minimum of three feet of vertical separation then an-el -the building permit may be issued. C. Where the site inspection verifies B1, 2, and 3. And vertical separation is less than three feet but greater than one foot the building permit may be issued conditioned upon an annual monitoring inspection schedule. The applicant/owner shall be required to enter into a monitoring contract and acknowledgement of the conditions of building permit approval which may include upgrading the onsite sewage system as noted in # 4 below. The 410 annual monitoring inspection shall include a winter water table determination Draft Policy Review of Building Permit Applications page 2 of 44 • (during January or February) in addition to the standard monitoring schedule. Winter water table monitoring shall be conducted in the following manner: 1. Install two (2) monitoring ports on the contour and in the vicinity of the drainfield system to a depth of three (3) feet below the bottom of the drainfield. 2. The owner shall enter into a monitoring contract with an approved monitoring entity to monitor the vertical separation of ground water to the bottom of the system. 3. The system shall be monitored annually during the month of January or February (the wet season) 4. A minimum of 12" of vertical separation shall be required. If a system does not have 12" of vertical separation repair/upgrade to the system shall be required within 2 years unless surfacing sewage is present in which case repair is required within 90 days. ,owner may install curtain D. Where the site inspection verifies that B. 1. 2 or 3 are inadequate and/or vertical separation is less than 12" then... a permit to repair/upgrade the system shall be required prior to issuance of the building permit. IV. Non-residential structures that contain no plumbing shall be reviewed as Sfollows: A. Lots of five acres or less —An accurate record shall be established of the site and the existing onsite sewage system components, and a reserve/repair area that complies with the code in effect at the time of the building permit application will be evaluated. Record of the site and existing system shall meet the standards of IIIA. 1 — 7. B. Lots greater than 5 acres where there is a permit on record and no critical areas or surface waters exist within 200' of the onsite sewage system area shall receive an administrative/office review of the plot plan submitted. If the plan indicates no interference with the system and a reserve area can be designated on the plot plan the building permit may be approved. A field inspection may be required if it is determined to be necessary, based on best professional judgement, to protect public health. C. Lots greater than 5 acres where there is no permit record on file, or there is a permit record on file, and critical areas or surface waters exist within 200' of the onsite sewage system area, shall provide an accurate record of the following: 1. Location of the septic tank 2. Location and source of drinking water +` 3. Identify a reserve/repair area as described in III.A. 5. Draft Policy Review of Building Permit Applications page 3 of 44 I SIV. These procedures shall not be'used to assess unpermitted systems that were installed since 1970 when an onsite sewage permit was required. These systems were installed in violation of state and local codes and shall meet all onsite sewage code requirements at the time of building permit application. V. Approval will not be granted for a building permit where a failure of the onsite sewage system is identified until an appropriate repair is permitted for the site. V. This policy shall become effective on the date of adoption and remain in effect until amended or repealed by action of the Jefferson County Board of Health. Health Officer Date Chairman of the Board of Health Date H:\env_health\linda\gd\onsiteord\building permit application review3 • • Draft Policy Review of Building Permit Applications page 4 of 44 • Board of Health January 18, 2001 Media • Report • • Jefferson County Health and Human Services DECEMBER 2000 4 NEWS ARTICLES These issues and more are brought to you every month as a collection of news stories regarding Jefferson County Health and Human Services and its program for the public: 1. "The domestic Peace Corps"—P.T. LEADER, December 20, 2000 2. "Plenty of vaccine as flu season arrives here"—Peninsula Daily News, December 29, 2000 3. "Flu vaccine still available"—P.T. LEADER, January 3, 2001 • • News SS rosnr.1'11 Latin,.on, Al is Calendar it o*Obituaries II h-9 a spur is Is 111-11 Sturtur SSrbsdr:thy mprc-1'enuisula.cuni ;YS£' `4" O'-yam=' Americorps, by its very title,suggests that those who serve in the federal work program travel far a 5 441 '9io'-m-J front home.And although AmeriCorps is President Bill Clinton's domestic version of the international it'Q /� N1 Peace Corps, that assessment does not hold true in Jefferson County. The two members currently 11 W • serving here are doing so in their own communities. V F.1..,,..91 QJ� ._ Both Katrina Eggert and Megan Titus grew up in this county and decided to stay after their recent • /�NA�S� .,.!!.,;4, eraduations from high school. They are two of the 40,000 Americans who volunteer each year in :7*-,,,„...,, ,..,-..2:'.;;;;15:, intensive,results-driven service through AmeriCorps. Nationwide projects include teaching children to read,building affordable homes,and responding to natural disasters.In Jefferson County,these two AmeriCorps members join in community health and conservation efforts,and two more are recruited each spring by the Port Townsend Marine Science Center. Both Eggert and Titus receive living stipends and medical benefits and are expected to work 40 hours per week.One year of AmeriCorps service qualifies each for an education award of$4,725, to help finance college or to pay back student loans. edomestic eace or s Two local graduates join Americorps in Jefferson County ? t .„• . tai." T Y' ..• .V+�~ . Y ..`.tea T:;., A. a?,' s� i ,« ':a .ya,4-;,,,,,,,.....let . Fl11 t/5 rss t � 8 • _. � i $ ; `\ Ai at. l 4 'ti f _ cD•r'K h j :oya • ` It • jr r d a.,i1 3 s t :yam '•`. l aay�' .. 1st: _ f . `�S:t 'f' 24.t -'• .• ,. ?.s • lam;. J.,a a i,, 41 ,,/) 'Comer rR - .t- eec • a -I �J - t.'•,�. �. 't . r:0.iej -:•,:-... .404.'6 .. Ste . ` "! " ' • .a /r' 4. �,..'>•e i It is 4 A" s'.".•44. -. ;e Us rr • 1. } dry u.z `1 Atli ort ", 4,. • �! a.' _ .t j .Sass i .sly;rtr.,- i .+'',..!.s... �0.... J e.): va a-. r � • 1 l ; i -*Li. ,,...t.:-..: ,r M1-sr y,. r• • r ._...-. ., ....a,5:•-,..^ ' v...-,cnJ.. .-r+'=.,..-._.sass-,»-_... ,; -• __ .. Through the AmeriCorp;program.Katrina Eggert,19,brings heatth education messages to students in her native Port Townsend. - ane'^ Here she loins Beth Daubner(let),one of the Mar Vista students in a weekly'community building"class,In a discussion of w . -tt"a'-'-y 7kiF•sak A' substance abuse with a Jetlerson County Health and Human Services health educator. Photos by Shelly Testerman - ..41:1 _•-h tC• y"•*'t. Eggert: Community health mentorship `:_ ':` +a By Shelly Testerman is a teen pregnancy prevention program at Blue Heron Middle - ' - _ ,r • ,. Leader Staff writer School for which Eggert is recruiting 6th-graders.She plans Megan Thus,18,wades into Chimacum Creek in her work with the Jefferson County the fun activities-like completing a ropes course or learn- Conservation District.The AmeriCorps volunteer says growing up on a Ouncene Katnna Eggert is a 1999 graduate of Port Townsend ins African drumming-that help youths develop healthy tarn,enables her to connect with the farmers targeted for impacting local water High School and plans to apply to the Emily Carr art school decision-making and social skills.Eggert is thrilled to be quality. in Vancouver.B.C.,for the fall quarter of 2001.She says participating in this risk management research program the timing of her II-month AmeriCorps commitment funded by the University of Washington. Titus: Conservation field worked out perfectly,and the scholarship provided will Her second project involves tobacco awareness.edu- assist her future studieseating about the dangers of secondhand smoke. "1 just applied and crossed my fingers."said Eggert. "1'm working very hard.'says Eggert."Harder than 1 By Shelly letterman "It was spur of the moment,but it was really what 1 was ever have before"She considers her AmeriCorps expert- Leader Staff writer looking for" ence to be an intense The 19-year-old is the mentorship - one for Megan Titus grew up on a farm in Quilcene and remembers when she first came second AmeriCorps volun- 11l'm working very hard. Harrier which she is paid."so it's into contact with the Jefferson County Conservation District.'They came out and Leer hired by Jefferson a really good deal" fenced off our stream so the cattle couldn't get in."she recalls years later. County Health and Human than 1 ever have before.' "It's very new for me . Aside from that•the 18-year-old had no previous experience in the field of Services to serve as a health because I've never had the conservation before accepting an AmeriCorps position with the conservation education program antis- 9-to-5 job."says Eggert. district Oct. 16. Katrina Eggert taro. Last year's volunteer "11's a lot of preparing Titus saw the position advertised in the newspaper and decided it fit with her Amps volunteer was Nathan Hamm.a Port mentally,too."More often long-term goals."This was partof my plan to decide whether I want to go into Jefferson Countyty Health and Human Services Townsend High School than not,she finds herself restoration,"says the recent Chimacum High School graduate 'Thu gave me a alumnus who served after thinking about her social year to figure a out" graduating from Whitman College. work even after the work day has ended. Like Eggert,Titus is only the second AmenCorps volunteer to work with the Eggert reported to work at the health department Oct.2 For a young person with a background in service work conservation distnct.The first was Bnan Taylor.a Pon Townsend High School and soon realized she would be considered one of the staff and teambmlding but not much in the way of social graduate who served lifter receiving his environmental science degree from Cr mentor.health educator Kellie Ragan.insists Eggert services,the job has been enlightening in more ways Willamette University.But unlike Eggert.Titus belongs to a subset or AmenCorps r to her as"a colleague"rather than"the boss." than one. called the Washington Conservation Corps,which is associated with the nate he two had a hall soliciting local businesses on After years of public schooling,Eggert has discovered Department oafs f E.colog y. Iloween-in costume,of course -for donations to the that she is definitely a hands-on learner."Book studying. Her direct employer,the conservation district.provides technical assist.root to SHARE program Thu is one 01 Eggeri's primary projects I really don't get much nut of it.1i just goes in one ear and county Lmdow vers. funs explains that its locus on water quality means the stall and embodies Just one til the"tofu of acronyms"she has out the other."she says.AmcriCorps has provided her with often conies colo contact with agricultural operations discu.ercd while working in government an avenue for action."It's nice to be able to look at 11 like Knowing many it the luail farmers has helped lite.,oninioni,air the SHAH F.(Start Helping Adolrscenis Reach Fal.h other) it's a learning opportunity to build un:'Eggert says toe TuTUS.Page 8 3 : CAD EZ. /2-- ZC—C ) .? _„•,,. 0 .,:.„,„..., c,... . 0 ,. .i.„. 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The immunization is $8. No insurance fluenzanc could det with velop op Reyeirin,who l sf tsyndrome Jefferson County Health and Human Ser- other than Medicare will be billed.Those on vices still has flu vaccine available. • women who will be in the second or Medicare •should bring their cards with them. third trimester of pregnancy during the flu "We wish to thank those who were at Influenza vaccine is indicated for: season(beyond three and one-half months low risk for complications of influenza for •persons age 65 and older. waiting to get their flu vaccines this year," pregnant). •residents of nursing homes. • health care providers and close friends said public health nurse Jane Kurata."This • adults and children, including preg- and family of persons at high-risk for flu,to allowed us to try to protect people in nant women,who have chronic heart,lung reduce the possibility of spreading the flu to higher risk groups with the first supplies or kidney disease, diabetes or other seri- these persons. of the vaccine." ous chronic health problems, includin AftNo more specified flu clinics are sched- asthma. g anyone wanting to decrease his or her but members of thegeneralpublic who chance of catching influenza. •persons who are less able to fight infec- The Jefferson County Health and Hu- wi to reduce their chance of catching in- tion because of HIV infection,other immune man Services Department is located in the fluenza may come to the health department's system disorders, long-term treatment with Castle Hill Center,615 Sheridan St. Port regular walk-in immunization clinics from steroids or cancer treatment. Townsend. ' • .