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Home My WebLink About2001- May File Copy • Jefferson County Board of Health Agenda • & Minutes May 17, 2001 • • JEFFERSON COUNTY BOARD OF HEALTH Thursday, May 17, 2001 2:30—4:30 PM Main Conference Room Jefferson Health and Human Services AGENDA I. Approval of Agenda II. Approval of Minutes of Meetings of March 15, 2001 and April 19, 2001 III. Public Comments IV. Old Business and Informational Items 1. Onsite Sewage System 0 & M Specialists— Larry (15 min) Expedited Rule Adoption • 2. Crawford Correspondence V. New Business 1. Public Health Threats and Emergencies Act of 2000 Tom (20 min) 2. Community Onsite Sewage System Financial Linda (10 min) Assurance Agreement Addendum 3. Legislative Update Tom (10 min) 4. Jefferson Health Access Summit 2001: Moving Tom (45 min) Towards Solutions —Final Agenda and BOH Roles VI. Agenda Planning 1. Future Agenda Topics VII. Adjourn Next Meeting: June 21, 2001 —2:30—4:30 PM Main Conference Room Jefferson Health and Human Services • JEFFERSON COUNTY BOARD OF HEALTH MINUTES DRAFT Thursday, April 19, 2001 Board Memi'err Dar. Titterness. - Comm. Commissioner D:stnc: ,"-1 Tear Ba;awin. .\rn:ri, Service Director Glen Huntin5Tord. Member- Count) Comm:thoner Districi#2 1.ir-r Fat:,Fmzronmenta.'HeaiiJ'Director Richard Voir._llember- Cow?r Commissioner Distrix: Thomas Locke.AID. 1-f eait/ Officer Geo'lre; Masa'.Member-Port Townsend Cur Council' Bunier. Chairman -Hojpita:'Commissioner Distnct#2 S;mita i esterman. i !ce Chairman - Cititi n at Large (City) DRAFT Roberta Fnssel;'- Citi.zen at Large (Count)) Chairman Buhler called the meeting to order at 2:00 p.m. All Board and Staff members were present with the exception of Commissioner Huntingford and Wojt. Noting the lack of a quorum, the decision was made to proceed with reports and postpone approval of the March 15, 2001 minutes. PUBLIC COMMENTS - None • OLD BUSINESS Follow-Up Report - Letter from Senator Hargrove re: Rural Health Care Access: Dr. Tom Locke referred to Senator Hargrove's letter responding to the Board's concerns about rural health care access and local public health funding. Although Representative Kessler also expressed her support of the topics during the town hall meeting, neither Representative Kessler nor Buck have formally responded. Follow-Up Report - Board of Health Authority re: Long-Term Care Facilities: At the request of Commissioner Titterness, Dr. Locke reviewed his written report summarizing his research into the regulatory structure of long-term care facilities. The local Board of Health has authority on issues as identified by the State such as communicable disease control or environmental health code enforcement. The local Board may also decide to exert authority due to a particular public health threat or issue. With the exception of gathering information assessing local access to these facilities, or dealing with disease outbreaks. he has not been able to find instances where the Board of Health has taken a role in long-term care facilities. Commissioner Titterness responded that his initial interest and concern related to his perception of an inadequate caregiver-to-patient ratio. • Vice Chair Westerman mentioned The New England Journal of Medicine article included in the agenda packet regarding regulatory standards for the ratio of caregivers to children in daycare facilities. Similar HEALTH BOARD MINUTES - April 19, 2001 Page: requirements do not exist for the coverage of patients in hospitals and long-term care facilities. She • proposed that the Board address this concern as a quality of care issue. Member Masci pointed out that. as a business, the long-term healthcare facility has met the challenge of maximizing profits on declining reimbursements by eliminating costly overhead in the form of labor and skilled labor. Hospitals face similar quality of care concerns related to their staffing decisions. Member Frissell added that a lack of competition is also a factor. Chairman Buhler commented that although there are certain provisions in the State WAC, the various types of nurses in a hospital are different than those in a long-term healthcare facility. Jean Baldwin offered to seek more information from groups involved with senior care work such as the Continuum of Care Committee as part of the Community Action Coalition. Dr. Locke agreed that Staff would look into opportunities for the Board of Health to pursue concerns about quality of care in long-term care facilities. He noted that issues of access, quality of care and financing overlap and need to be considered simultaneously. PTTV: Public Outreach and Education: Member Masci reported that Dr. Locke was a recent guest on PTTV discussing Board of Health topics. Member Masci recommended becoming a member of the • PTTV Board and increasing its use of this resource. Informational Item -- Washington Shellfish Growing Areas Threatened by Pollution: Larry Fay distributed a news release from the Washington State Department of Health on Shellfish growing areas threatened by pollution in Washington State. Informational Item -- Drought Survey Finds Drinking Water Systems Concerned but Generally Prepared: Larry Fay distributed a news release from the Washington State Department of Health, noting that Port Townsend is listed as "Highly Vulnerable," but is prepared. Member Masci said the City has adopted a water conservation plan in which the Mill will be the first to be impacted by a drought. There is also a plan in place for outreach efforts to residents. Commissioner Titterness said the topic of a water storage facility would be discussed at the next PUD meeting. ,Jefferson Critical Access Project: Jean Baldwin explained that the information in the agenda packet related to the Critical Access Project was intended to be a reference for the Board. • HEALTH BOARD MINUTES - April 19, 2001 Page: • NEW BUSINESS Legislative Update: Dr. Locke reported that among the remaining active legislation is a needle and syringe bill and an opiate substitution program. Already adopted legislation include a breast-feeding bill and an electrolysis and tattooing bill. Neither HIViAids legislation nor legislation to prevent smoking in public places appear to have survived. Indications are that the public health portion of the Senate budget will remain consistent with last year. It is uncertain whether the House will pass a budget by the end of its regular session. Larry Fay announced that the Governor's omnibus water bill passed. Jean Baldwin mentioned that it is unknown how the Department of Social and Health Service budgets will affect the Department of Health. Also, the status of Community Networks is still unknown. 2000 Public Health Improvement Plan: Dr. Locke briefed the Board on the development of the plan. He commented that the plan is focused on and is consistent with the County's topics of concern. He served on the Steering and Standards Committees along with Jean Baldwin and Larry Fay. Jean Baldwin provided an overview of local health assessment and information technology activities as *ey relate to sections in the plan. Tomorrow, Dr. Chris Hale will hold a steering committee meeting of data users to identify the assessment indicators needed for a community-wide strategic plan. Activities beginning in May include the BRFSS phone calls, the PRAMS (a written survey to moms who deliver in Jefferson County), and a review of death records. Meetings on law and justice,jail use, and substance abuse issues also continue. The Health Department is reviewing alternatives to its current information and billing technologies. The stability of the current system, which holds the majority of charts and immunization records, is uncertain. The Department will be training staff to enter data into the web- based Child Health Profile System for later access. Future support of the Child Profile System will largely be determined by this legislative session. Chairman Buhler asked if the OB Vision team at the hospital could work with Jean Baldwin on some additional PRAM questions. Member Frissell asked whether staff investigated how the Health Department in Stanwood dealt with their measles outbreak and whether it had any impact on their local immunization activities. Dr. Locke responded that Staff did not contact Stanwood, but there is typically renewed interest in immunizations once there is an outbreak. Jean Baldwin said the idea behind the section titled "Assuring a Ready and Capable Workforce" is to create a regional public health training center. She has also been heavily involved in the committee working on "Developing Sufficient and Stable Financing." Others included are legislators, County dommissioners, State and local public health people, and City representatives. Under discussion are not ly what the Department of Health contributes per program, but how formulas are developed and how much money State, County and City jurisdictions are giving to public health. • HEALTH BOARD MINUTES - April 19, 2001 Page: 4 Dr. Locke reviewed the Menu of Public Health Services under"Identifying Gaps in Access." He • commented that changes can still be made to the list. The "Proposed Standards for Public Health" in the appendix describe standards related to critical health services. He said he uses these standards as a guideline to distinguish between public health and personal medical care issues. Larry Fay said the intent of these standards is to address public health principles. The challenge over the next several years will be to develop strategies in areas where we are not meeting basic standards. Member Frissell complimented the document and believes it should be revisited regularly to ensure we are going in the right direction. Emergency Rule Adoption — Provisional Certification Onsite Sewage O&M Specialists: At the Board's direction, Larry Fay investigated and is now questioning whether an emergency rule is the best mechanism for adopting an amendment to the Jefferson County Onsite Sewage Code. He instead referred to RCW 34.05.230, Expedited Adoption of Rules, as included in the agenda packet and recommended that the Board agree to resubmit this action item on the May agenda with appropriate public notice. During discussion of new Sections 8.15.140(12) Provisional Monitoring Certificate and 8.15.150(6)c, there was a suggestion to change references to "may" in the first paragraphs of each section to "shall." • Another suggestion was to reduce the 180-day period outlined in paragraph two of Section 8.15.140(12), which refers to the maximum time allowed for a provisional certificate holder to take and pass the written examination. Following discussion about using the expedited rule procedure as opposed to an emergency rule, there was General agreement that the Provisional Certification does not constitute as an emergency as defined in the RCW. In the absence of a quorum, the decision was made by consensus to change the first sentence of Section 8.15.140(12) to read: A...the Department shall issue Provisional Monitoring Certificates. Larry Fay agreed that the Board would not aggravate a public health problem by running, the process through the expedited rule as opposed to an emergency rule. A real estate transaction may be delayed when a problem with a system is identified. He agreed to properly notice the next meeting for a decision on the Expedited Rule. • • HEALTH BOARD MINUTES - April 19, 2001 Page: 5 • AGENDA CALENDAR / ADJOURN Member Frissell expressed concern about the lack of a quorum due to the Commissioners absence. 2001 AGENDA ITEMS 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) Oileeting adjourned at 3:30 p.m. The next meeting will be held on Thursday, May 17, 2001 at 2:30 p.m. at the Jefferson County Health and Human Services Conference Room. JEFFERSON COUNTY BOARD OF HEALTH Jill Buhler, Chairman Geoffrey Masci, Member (Excused Absence) Sheila Westerman, Vice-Chairman Richard Wojt, Member (Excused Absence) Glen Huntingford, Member Roberta Frissell, Member Dan Titterness. Member • HEALTH BOARD MINUTES - May 17, 2001 Page: 2 • Member Masci moved to approve new sections 8.15.140(12) and 8.15.150(6)c with an effective date of May 26, 2001. Commissioner Wojt seconded the motion. During discussion of the motion, Chairman Buhler asked if Operation and Maintenance (O&M) is defined earlier in the Code and noted a typographical error in Section 8.15.150(6)c—the word "specialists" should be "specialist." The motion carried by a unanimous vote. (ORDINANCE NO.02A-0517-01 Amending Ordinance No.08-0921-00 Jefferson County Health and Human Services Department Rules and Regulations On-Site Sewage Disposal Systems) Crawford Correspondence: Larry Fay reviewed the material included in the agenda packet regarding a Jefferson County resident's concerns about their neighbor's slow compliance to a septic system complaint. When asked whether there is a penalty for installing a system without a permit, Larry Fay said the systems often predate the permitting process. He noted that there are some confirmed violations that need to be corrected by this particular property owner and that a re-inspection for these should soon surface in the Department's tickler file. NEW BUSINESS Public Health Threats and Emergencies Act of 2000: Dr. Tom Locke briefed the Board on Federal legislation initially driven by America's lack of preparedness for even a minor bio-terrorist incident. The Frist-Kennedy Bill, which began as the Public Health Threats and Emergencies Act of 2000, ended up being called The Public Health Improvement Act of 2000. The bill would define and provide substantial 4110 federal funding to build a set of"reasonable capacities"in public health systems throughout the country. The bill acknowledges study findings that there are major deficiencies at the local level and that a Federal commitment to fund local systems to respond to significant public health threats is needed. He believes that planning and implementation will occur fairly rapidly. Chairman Buhler asked whether the Hospital Commission would collaborate on developing a local strategy and how the oversight of this legislation would occur? Dr. Locke responded that because the local responsibility will fall to agencies with the most capacity, oversight will vary among communities. Local jurisdictions may decide how best to spend available funds and he believes a minimum set of response capabilities will be defined. Also under development are airlift-ready container laboratories with which to distribute needed drugs and equipment. Member Frissell suggested that this topic be discussed at the Statewide Local Board of Health workshop. Commissioner Wojt said he believes this issue relates to access to care; a disease or outbreak could occur and not be immediately recognized if spread among citizens who are not regularly seen by doctors. Dr. Locke agreed this could be a bioterrorist strategy. He referred to bioterrorist scenarios played out in several cities to measure their response times. • Vice Chairman Westerman asked for a better understanding of the distribution of funding. C-C'. WO))3/.,27/0 I Ordinance No. 02A-0517-01 AMENDING ORDINANCE NO. 08-0921-00 JEFFERSON COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT 411RULES AND REGULATIONS ON-SITE SEWAGE DISPOSAL SYSTEMS Jefferson County Ordinance No. 08-0921-00,relating to the County Health and Human Services Department and sewage disposal systems,is hereby amended as follows: Add: 8.15.140(12)Provisional Monitoring Certificate Until such time as the Department has developed a valid Operations and Monitoring Examination,or equivalent examination options are available,the Department shall issue Provisional Monitoring Certificates.Individuals receiving Provisional Monitoring Certificates must meet all the requirements established for a Monitoring Specialist Certificate except that they need not have taken and passed a written examination. Holders of a Provisional Certificate are subject to all authorities and limitations of a Monitoring Specialist Certificate,including payment of fees, scope of practice,reporting, continuing education,bonding and insurance. A Provisional Certificate holder must take and pass the approved operations and monitoring written examination within 180 days of the exam becoming available.Provisional Certificate holders receiving a passing score on the examination will receive a Monitoring Specialist Certificate. Provisional Certificate holders not receiving a passing score on the examination will have their certificates revoked and no longer be authorized to conduct operations and monitoring inspections. Add: 8.15.150(6)c. Owners of existing conventional onsite sewage systems may obtain operations and monitoring inspections from a Certified Monitoring Specialists in lieu of the Health Division,Licensed Designer or licensed professional engineer for the following inspection: (i) Routine O&M • (ii) The sale or transfer of a property (iii) The application for a building permit that is not classified as an expansion. (note: subsections c and d of the current rule become d and e) APPROVED May 17, 2001 to take effect May 26,2001. F/ERSON COUNTY BOARD OF HEALTH Buhler,Chairman ._!/� _. deifOr.-411110 6-iLivillk-(I;kAbvvt.'•-e----L--------- Sheila Westerman,Vi e / Dan Titterness,Member (7.-------'i,J, Glen Huntingford -mb-�� / Geo e Masci,Member 'is and Wojt,Member Roberta Frissell,Member k41'Y Ai . '� $11 ' J. • :0 , '1 rI, orn =1 elaneya Clerk of the Board • 110C,:...'_. • Board of Health Old Business Agenda Item # IV., 1 • Onsite Sewage System O&M Specialists Expedited Rule Adoption May 17, 2001 • DRAFT • New Section 8.15.140(12)Provisional Monitoring Certificate Until such time as the Department has developed a valid Operations and Monitoring Examination, or equivalent examination options are available,the Department shall issue Provisional Monitoring Certificates. Individuals receiving Provisional Monitoring Certificates must meet all the requirements established for a Monitoring Specialist Certificate except that they need not have taken and passed a written examination. Holders of a Provisional Certificate are subject to all authorities and limitations of a Monitoring Specialist Certificate, including payment of fees, scope of practice, reporting,continuing education,bonding and insurance. A Provisional Certificate holder must take and pass the approved operations and monitoring written examination within 180 days of the exam becoming available. Provisional Certificate holders receiving a passing score on the examination will receive a Monitoring Specialist Certificate.Provisional Certificate holders not receiving a passing score on the examination will have their certificates revoked and no longer be authorized to conduct operations and monitoring inspections. New Section • 8.15.150(6)c • Owners of existing conventional onsite sewage systems may obtain operations and monitoring inspections from a Certified Monitoring Specialists in lieu of the Health Division, Licensed Designer or licensed professional engineer for the following inspection: (i) Routine O&M (ii) The sale or transfer of a property (iii) The application for a building permit that is not classified as an expansion. (note: subsections c and d of the current rule become d and e) • • Board of Health Old Business Agenda Item # IV., 2 • Crawford Correspondence May 17, 2001 • f Jefferson Coun Health &Human Services l L� . I1 r, . 4444 CASTLE HILL CENTER • 615 SHERIDAN • PORT TOWNSEND,WA 98368 • Tim and Pat Crawford • 2326 N. 155th St. Shoreline, WA. 98133 March 30, 2001 Re: Zimmerman complaints Dear Mr. And Mrs. Crawford, Thank you for your letter of March 26. 2001. Both of the sites that you have expressed concerns about have been investigated and are under violation and correction orders. The first case, #11 Fullerton Road, has progressed to the point that Mr. Zimmerman has applied for and received a permit to repair the failing septic system. The repair permit requires that the work be completed within 90 days of issuance(March 21, 2001). The second site located near G&L shake road was investigated on February 8, 2001. Although there was no sign of surfacing effluent, one of the septic tanks poses a safety hazard due to an improper lid. The property owner, again Mr. Zimmer was sent a notice of violation on March 20, 2001 with an order to repair the system. He contacted this office on March 26, 2001 indicating that he would contact an onsite sewage system designer to begin designing a repair to the system. I have every expectation that he will follow through at this stage, however, we will continue to track his compliance with both cases until they have been resolved and both properties are in compliance. Please feel free to contact this office if we can be of further assistance. Sin -r-ly, �--, ✓a 'Pence D. Fay Jr. Environmental Health Director cc. BOH • HEALTH ENVIRONMENTAL DEVELOPMENTAL ALCOHOL/DRUG DEPARTMENT HEALTH DISABILITIES ABUSE CENTER FAX - -- -- • • _. - .... .1 : -•, 3.0 38 -•411 . • Date: March 30, 2001 To: Board of Health From: Linda Atkins, Environmental Health Subject: Mr. Crawford complaint/action requests regarding Mr. Zimmerman Message: The following is a review of actions taken regarding the above referenced complaints. Complaint#1 June 27, 2000—initial complaint/action request received on#11 Fullerton Rd. (two existing cabins) July 13, 2000 — Contacted Jefferson County Sheriff. He said he would go to site and report his observations July 21, 2000 — Spoke to Sheriff Deputy, Dave T.. He was unable to see a discharge pipe as reported but did speak to a neighbor who confirmed that there was a pipe discharging to the surface. There are no records of permits on file. July 25, 2000—Notice of Violation sent to owner, Mr. Zimmerman July 31, 2000 — Letter to Mr. Zimmerman acknowledging Mr. Zimmermans response to the Notice of Violation on July 31. Repair process reviewed. August 2, 2000 — Staff from the Health Department was at the west end and completed a site visit to confirm the report and did observe sewage on the surface of the ground at both #11 and #17 Fullerton Rd. October 27, 2000 — Staff met onsite with designer and Mr. Zimmerman to check soils and review possible repair options. Received several calls from Mr. Crawford during this time. March 21, 2000 — Received repair permit application from NTI Inc. that meets the requirements of the site. They are proposing an expansion and need to meet current code. The permit will be issued for a 90 day period per Jefferson County Code. Complaint#2 November 6, 2000—complaint received. February 8, 2001 — staff completed site visit near G&L Shake Rd., found several cabins and travel trailers with pipes into the ground. One cabin appeared to have an open septic tank with a piece of plywood over it. No evidence of sewage on the surface of the ground but a safety hazard does exist. No record of septic system approved on the parcel. March 20, 2001 —Notice of Violation sent to owner, Mr. Zimmerman. March 26, 2001 —TC with Mr. Zimmerman, he said he would contact NTI to work on design of system for the site. • • .% Tim & Pat Crawford c 2326 N. 155th St. Shoreline, Washington 98133 Nal 7 MAR2 - Jefferson County JEFF ��_i�• Health & Human Services HEALTH ut'T. 615 Sheridan Road Port Townsend, WA. 98368 March 26, 2001 Dear Board of Health, We are writing once again of our concerns. Our water quality and health are still being threatened by the lack of timely enforcement of controls to protect us. It is coming up on a year since we filed the first complaint to Linda Adkins with the Jefferson County Environmental Health. We filed a second complaint in October 2000 about this same landowner with other properties in the same condition. Has this complaint been investigated yet? • Please take action to stop this pollution and please keep us informed. Sincerely, Tim & Pat Crawford cc: Larry Fay, Environmental Health Jill Silvers, Hoh Basin Fisheries Dept. of Ecology • • Board of Health New Business Agenda Item # V. , 2 • Community Onsite Sewage System Financial Assurance Agreement Addendum May 17, 2001 • May 10, 2001 • Olympic Greens Community Drainfields —Financial Assurance Agreement and Amendment Feb. 24, 1997 - Permits were issued for four community drainfields to serve 21 total lots in the Olympic Greens project area. Based on Jefferson County Policy and State guidelines a permit condition included the requirement to provide a Security for the repair of major system components of the Onsite Sewage Systems. This agreement to provide security was to be recorded to the property prior to final approval of the onsite sewage permits. Among other items it was agreed that: • The Owner would be afforded time to make the contributions to the capital account over time; 5 years with a monthly payment of$11/month/residence to be connected to the systems in the future. The amount was based on an estimate of the cost of installation of only the drainfield portions of the system that would need to be replaced if failure occurred. The estimate was provided by the system owner/installer. • If ownership of Olympic Greens changes hands prior to completion of the fund as described, all undeposited funds up to the full amount was to be paid into the account prior to the sale. • August 1997 - The permits were finaled/completed based on the recorded Financial Assurance Agreement and compliance with other permit conditions. May, 1999 - It came to our attention that the property had changed hands and there were no deposits to a Security account at any time since final approval of the permits. We sent a letter to the new owners regarding the requirements for financial assurance and stated that no further permits would be approved until the issue was resolved. Early 2001 —An amendment to the agreement was developed by legal representatives of the new owners that basically requires the fund be made current and then they can make contributions on a quarterly basis per the previous agreement. In this way the fund will be complete within the 5 year period. This is a satisfactory agreement and meets the intent of the Jefferson County Policy to have funds in an interest bearing account so that when the drainfield ceases to function properly it can be repaired in a timely manner to eliminate the problems associated with organizing multiple parties to fund repairs when sewage may be surfacing on the ground or backing up into a residence causing risk to the public. • S ALAN WEAVER LAW OFFICES OF ADAM L SHERR RICH HAK()D TURNER MICHAEL S DELEO SOBER BARONSKI. CLEME\CIA GASTRO-N'OOLER� ONAU)L ANDERSON EISENHOWER & CARLSON PLLC STUART C MOLERA JAMES M HUSHAGEN JENNIFER A MING ROBERTG CASEY TRACEY A THOMPSON MARK J ROSENBLL\1 1200 Wells Fargo Plaza LANCE P BL AIR TERRENCE J DONAHUE 1201 Pacific Avenue GLEN E TEMPLETON GREGORY 1 MURPHY racoma. Washington 98402 GUY J STERNAL JOHN RUHL (253)572-4500 OF COUNSEL CARL R PETERSON FAX(253)272-5732 BRADLEY D FRESIA JAMES F HENRIOT P CRAIG BEETHAM H EUGENE QUINN ANGELIA D HARLOW RONALD A ROBERTS DAVID B PETRICH JAMES J MASON RONALD J TROMPETER AMY C LEWIS JASON M WHALEN May 1, 2001 Jefterson County Attn: Linda Atkins 615 Sheridan Port Townsend, WA 98368 Jefferson County Public Utility District No. 1 Attn: Jim Parker 615 Sheridan III Port Townsend, WA 98368 Re: Financial Assurance Plan for Major Repairs dated August 6. 1997 ("Plan") — Parcel Numbers 901-024-001; 901-024-083 Dear Linda As a follow-up to your letter from last month, set forth below is our understanding of certain modifications that the parties have agreed to with respect to the Plan (capitalized terms shall be as defined in the Plan unless otherwise defined herein): 1-. Jefferson County hereby agrees that the Security ($660 per lot) shall not be due in full as set forth in Section 17(d) of the Plan and shall be payable as set forth in paragraph 2 below. 2. Olympic Greens, L.L.C. ("Olympic") shall pay into an interest bearing escrow account in the name of the Jefferson County Public Utility District No. 1 and Olympic. the Security due under the Plan as follows: (a) On or before May 15. 2001. Olympic shall pay to such account the sum of $9.240.00; and • SEATTLE OFFICE: 2830 Two Union Square.601 Union Street.Seattle.Washington 98101.(206)382-1830.FAX(206)382-1920 May 1, 2001 Page 2 • (b) Olympic shall pay the following additional payments into such account: (i) June 15, 2001 $1,386.00 (ii) December 15, 2001 1,386.00 (iii) June 15, 2002 1,386.00 (iv) December 15, 2002 462.00 Total $4,620.00 3. The parties hereto recognize and agree that the total sum to be paid as Security shall be $13,860.00. 4. Except as specifically modified above. Olympic agrees to abide by the terms of the Plan, including any and all maintenance and reporting terms. 5. The parties hereto agree to sign any documents, amendments to the plan or other agreements (in recordable form) to effect the intent of this letter agreement. Please provide your acceptance of these terms by (i) signing below, and (ii) returning the same to my attention for execution by Olympic Greens. L.L.C. • Very • e yours, Carl R. Peterson Consented and Agreed to by: Olympic Greens. LLC By: Its: Jefferson County. a municipal corporation Approved as to form only: By: .. �/o Its: L0,17-1(A °Y\i/. Jefferson Co. Prosecutor's Office • 00196288 DOC May 1. 2001 Page 3 • STATE OF ) )ss. County of ) I certify that I know or have satisfactory evidence that is the person who appeared before me, and said person acknowledged that he signed this instrument, on oath stated that he was authorized to execute the instrument and acknowledge it as the of Olympic Green. L.L.C. to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. DATED this day of , 2001. Name: Notary Public in and for the State of , residing at: My Appointment Expires: • STATE OF WASHINGTON ) )ss. County of Jefferson ) I certify that I know or have satisfactory evidence that is the person who appeared before me, and said person acknowledged that he signed this instrument, on oath stated that he was authorized to execute the instrument and acknowledge it as the of Jefferson County, Washington to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. DATED this day of , 2001. Name: Notary Public in and for the State of , residing at: My Appointment Expires: • 00196288 DOC • Board of Health New Business Agenda Item # V., 1 • Public Health Threats and Emergencies Act of 2000 May 17, 2001 • :AECHO-Public Health Threats and Emergencies Act of 2000(Summary) http://www.naccho.org/advocacydoc257.cfm holne news ab()ut nacchu calendar I jobs site map search �, P _ a .� rt* � members • 1_1_a_ccl � � � �. i, corner NATIONAL ASSOCIATION ?i' �' vt N -. - MEMBERSHIP I BOOKSTORE , NACCHO TOOLS (PROGRAMS PUBLIC HEALTH ADVOCACY PUBLIC HEALTH ADVOCACY I. RESOLUTIONS Public Health Threats and Emergencies Act of 2000 (Summary) u, OC a':Y ,T -41.,;I S.2731 (Frist-Kennedy)/ H.R. 4964 (Burr-Stupak) ► LEGISLATIVE ACTION CENTER Passed as Title I of H.R.2494. The Public Health Improvement Act of 2000 106th Congress, Second session (2000) Summary I. Public Health Capacity A. Definition of capacities HHS Secretary, in collaboration with State and local health officials, establishes "reasonable capacities" for national, State and local public health systems and the personnel or work forces of such systems. The capacities shall improve, enhance of expand the capacity of national, state and local public health agencies to detect and respond effectively to significant public health threats, and may include epidemiologic capacity, lab capacity, preventive and therapeutic capacity, capacity to • communicate information rapidly, or capacity to develop and implement policies to prevent the spread of infectious disease or antimicrobial resistance. To be completed one year after enactment and revised at least every 10 years. Authorization: $4 million FY 2001, such sums as may be necessary FY 2002-2006. Funds to supplement and not supplant other federal, state and local public funds provided for such activities (maintenance of effort). B.Assessment of capacities HHS Secretary awards grants to States, consortia or two or more States or political subdivisions of States, to perform, in collaboration with local public health agencies, an evaluation to determine whether capacities can be achieved. Outside contractors may be used and methods used (to be developed by Secretary in consultation with State and local public health officials) should facilitate the comparison of evaluations among States. States (or consortia) submit report to Secretary. Authorization: $45 million for FY 2001 and such sums as may be necessary for 2002-2003. C. Grants to Improve State and Local Public Health Agencies Secretary awards grants to States, political subdivisions of a State, or a • consortium or two or more States or political subdivisions, to address core public health capacity needs, with a particular focus on building capacity to identify, detect, monitor, and respond to threats to the public health. of 3 04/12/01 15:12:10 \ACCHO-Public Health Threats and Emergencies Act of 2000(Summary) http://www.naccho.org/advocacydoc257.cfm Funds may be used to train public health personnel, develop, enhance, coordinate, or improve participation in an electronic network for public • health information-sharing, public health emergency planning, laboratory capacity and facilities. Authorization: $50 million FY 2001 and such sums as may be necessary for 2002-2006. Includes maintenance of effort clause. II. Revitalizing CDC Authorizes funds for CDC to construct or renovate facilities to better conduct federal public health capacities defined in earlier section and for supporting related public health activities. Authorization: $180 million for FY 2001 and such sums as may be necessary for FY 2002-2010. Ill. Antimicrobial Resistance A. Authorizes federal Antimicrobial Resistance Task Force (already exists) to advise HHS Secretary. Secretary develops, improves, coordinates, or enhances participation in surveillance and integrated information systems to assimilate, exchange and analyze antimicrobial resistance data. B. Authorizes NIH, CDC and others to conduct and support research on new therapeutics against resistance pathogens, the epidemiology, mechanisms and pathogenesis of antimicrobial resistance and other relevant research areas. C. Secretary develops and implements education programs to increase public awareness of antimicrobial resistance, to educate • health care professionals in the prudent use of antibiotics, and to train lab personnel. D. Secretary awards competitive grants to State or local public health agencies to increase the capacity to detect, monitor, and combat antimicrobial resistance. Funds may be used for training, information systems, development and implementation of policies to control the spread of antimicrobial resistance. E. Secretary awards competitive grants to hospitals, clinics, long-term care facilities, medical societies, or other public or private nonprofit entities to establish demonstration programs to control the spread of antimicrobial-resistant pathogens. Authorization: $40 million FY 2001, such sums as may be necessary for FY2002-2006. Includes maintenance of effort clause. IV. Bioterrorism A. Establishes federal interdepartmental working groups on bioterrorism preparedness. B. HHS Secretary awards competitive grants or cooperative agreements to States, political subdivisions of States, consortia of two or more States or political subdivisions, or hospitals, clinics, primary care facilities to enhance their capacities to detect, diagnose and respond to acts of bioterrorism. Funds may be used for training, rapid diagnosis, coordination of medical care, facilitating rapid communication of data. Grants are to be coordinated with Metropolitan Medical Response Systems. • C. Secretary develops and implements education programs to instruct public health officials, labs and others in the recognition and care of victims of a bioterrorist attack. D. Secretary develops research and demonstration priorities related to the use of bioweapons. 2 013 04/12/01 15:12:10 • ACCHO-Public Health Threats and Emergencies Act of 2000(Summary) http://www.naccho.org/advocacydoc257.cfm E. Secretary awards grants for demonstration programs to no more than three states, political subdivisions of States, or private, • non-profit entities to improve the detection of pathogens likely to be used in a bioterrorist attack, develop response plans, and train personnel. Preference given to grantees proximate to major research universities, laboratories, and academic medical centers and to those that demonstrate support and participation of State and local governments and research institutions. Authorization: $215 million for FY2001 and such sums as may be necessary for FY2002-2006, plus $6 million for demonstration programs in FY2001 and such sums as may be necessary for FY2002-2006. Full text of the Bill (PDF document) • • of 3 04/12/01 15:12:10 •-/ • FluAid 2.0 Preparing for the Next Influenza Pandemic FluAid 2.0 software from CDC projects the impact of an influenza pandemic on the health care resources of a state. The program is run using estimates from CDC and from the participating state. CDC provides estimates of attack rates for deaths, hospitalizations, and outpatient visits. The state provides estimates for available hospital beds, available health care providers, morgue capacity, and several other factors. These estimates should be made as accurate as possible. These early analyses were done quickly and with very crude approximations. The attached tables made the following assumptions which are open for discussion or change: influenza activity would last 8 weeks average hospital stay would be one week for influenza available hospital beds for influenza as 10% of state or county total licensed beds available care providers as listed by Medical Society: • family or general practice,primary care, pediatrics, internal medicine, urgent care, emergency care, physician assistant, infectious disease assume care providers would see 10 extra(influenza)patients per week available morgue capacity: 12.5 spaces each for 185 licensed funeral directors for counties averaged by hospital beds public health agencies would provide 10% of influenza immunization visits including paperwork would take 15 minutes per patient • Influenza table forOther Report Date 4/16/01 9:23:31 AM Population:Numbers and distribution • 0-18 yrs 19-64 yrs 65+yrs Total % total Non-high risk 4,830 15,932 1,374 22,136 85% High risk 308 2,593 916 3,817 15% totals 5,138 18,525 2,290 25,953 100% DEATHS Gross attack rates Distribution by age group:Most likely 15% 25% 35% % High risk % Total 0-18 yrs most likely 0 0 0 0-18 yrs 0% 0% minimum 0 0 0 19-64 yrs 49% 60% maximum 1 2 2 65+yrs 30% 40% 19-64 yrs most likely 6 9 13 TOTALS 79% 100% minimum 1 1 2 maximum 11 18 25 65+ yrs most likely 4 6 9 minimum 4 6 8 maximum 5 8 11 TOTAL:Most likely 10 15 22 total minimums 5 7 10 total maximums 17 28 38 III • HOSPITALIZATIONS Gross Gross attack rates Distribution by age group:Most likely 15% 25% 35% % High risk % Total 0-18 yrs most likely 1 2 3 0-18 yrs 1% 2% minimum 1 1 2 19-64 yrs 11% 76% maximum 6 10 14 65+yrs 14% 22% 19-64 yrs most likely 34 57 80 TOTALS 26% 100% minimum 6 10 15 maximum 37 62 87 65+ yrs most likely 10 17 23 minimum 7 12 17 maximum 13 21 30 TOTAL:Most likely 45 76 106 total minimums 14 23 34 total maximums 56 93 131 Ill Influenza table forOther Report Date 4/16/01 9:23:31 AM eTPATIENT Gross attack rates Distribution by age group:Most likely 15% 25% 35% % High risk % Total 0-18 yrs most likely 454 757 1,060 0-18 yrs 2% 22% minimum 380 633 886 19-64 yrs 9% 69% maximum 529 882 1,235 65+yrs 4% 9% 19-64 yrs most likely 1,430 2,383 3,336 TOTAL 15% 100% minimum 1,023 1,706 2,388 maximum 2,176 3,626 5,077 65+ yrs most likely 178 296 415 minimum 168 280 391 maximum 276 460 644 TOTAL:Most likely 2,062 3,436 4,811 total minimums 1,571 2,619 3,665 total maximums 2,981 4,968 6,956 Impact on resources Gross attack rates 15% 25% 35% Hospital Beds capacity(most likely) 141% 238% 331% iliapacity(maximum) 175% 291% 409% 111.11Fpatient visits %capacity(most likely 17% 28% 39% %capacity(maximum) 24% 40% 56% Morgue capacity %capacity(most likely 18% 27% 39% %capacity(maximum) 30% 50% 68% Total number of doses needed 1st dose 2nd dose High risk 3,817 3,817 Non high risk 22,136 20,899 Subtotals 25,953 24,716 TOTAL DOSES 50,669 Total doses by public health 5,067 Total public health provider time needed: HOURS 1,267 hours • • Board of Health Media Report • May 17, 2001 • Jefferson County Health and Human Services APRIL — MAY 2001 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. "Septic code comment sought"—P.T. LEADER, 4/11/01 2. "Beyond the blues: Depression is topic"—P.T. LEADER, 4/18/01 3. "Pied Piper visits schools in Jefferson"— Peninsula Daily News, 4/22/01 4. "Women's imaging center open for tours Saturday" — P.T. LEADER, 5/2/01 • 5. "Substance abuse survey under way"— P.T. LEADER, 5/9/01 • • Septic code comment sought At the April 4 public hearing will allow the public to comment Center in Port Hadlock. Also fora proposed amendment to the on information which planning on the agenda is discussion unified development code(UDC) staff will compile and make and recommendation on the regarding the installation of available by April 10. This will redesignation of Camp Parsons onsite septic systems, the oral include examples of the method in Brinnon. comment period was closed but proposed for septic review,called The stated goal of the Board the written comment period was a site plan approval advance de- of County Commissioners in ini- extended. termination(SPAAD),and some tiating this UDC amendment is Written testimony on the cost estimates. to"allow property owners to de- amendment may be submitted to The planning commission is velop incrementally if they wish the Jefferson County Department scheduled to make its recom- to do so while preserving the of Community Development un- mendation on the amendment county's ability to undertake til 2 p.m. April 12, the commis- at its next meeting,7 p.m.April comprehensive site review prior sion decided unanimously. This 18 at the WSU Learning to development." S7)-1-LE-in S • Beyond the blues : Depression is topic Feeling blue?Adolescent de- emotional health,with an empha- pression is the theme chosen for sis on healthy coping strategies an upcoming teen retreat spon- and resources.Teens will explore sored by Jefferson County Health these themes with interactive and Human Services and the exercises, creativity and critical Peer-In peer education program. thinking.Guest presenters include Open to all high school students Karen Perry, RN, a public health in Jefferson County,"Beyond the nurse with 14 years of experience Blues"is set for Friday,April 27 in working with adolescents in at WSU Cooperative Extension mental and behavioral health. in Port Hadlock. Participation in the retreat is This•is a school day,:and par- free..Parental permission is re- ticipants will need to make up quired for participants under any school work.The retreat be- age 18. Registration forms are gins at 9 a.m. and continues un- available at local high schools, til 2 p.m.Lunch will be provided, the Boiler Room and the health • but participants should bring department. their own snacks and beverages. For further information con- Beyond the Blues will exam- tact Hilary Metzger, RN, at the ine the issues of depression and health department, 385-9400. TL D—e `f— (3 - a J>r . n ----x.. s=Po°m GL ""o.�.l.__ --.L°.f_a_a_. ,,r. • v w WJ .� Mf TUIH;! j Aa B n ^ V ry1. _ 22 r yFAL c E t ` ,' / / a m �' 3 a ° c a I I uo 3A ; a �= .E. E . �° c., - ) :a ,w � Ntcod.^ nE2 = ny ' Ci_- 35 ° onQ ct 00 4,.. . .— >,„,, EJc y . .t.--•^A° •fl o o' o ' .- � � V CJ — 7 2S s f wr • J1r7i .i C y O -O : : .y aQ .'] � r 7 UAC CO ymU7..` in ._ L i y a - aI + �S y - s O ° o n c13 ..co d �ec ory� a >,LL • "\ I 9M � -• - -.- m 1\ r -� C - {t .,.i°• yi ! • kk'. C r ° >n ^ E ''j n - C C.... 1 - 4 +, t; 3 'EE c yY cyow°' 3u -a -e. oto 2 ,�- a _ = n—Y� � *' is r m E ° a.. �- -u E..ro� .. 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E ,... ....z-- .„..o `J Co"CLW O.E :d.c 9 .X m t, E a9 34:.218.E .54:1-+9_ <f m O tai O C ° -,•-. u3 1:1 a, E ) • Wednesda , Ma 2, 2001 •A 3 Women 's imgma g center open for tours Saturday The Breast and Cervical Health Pro Advance Medical Imagingis 81 and Advance the facility where the health cid- Medical Imaging conduct an open house on Saturday, partment sends BCHP partici- . 5 at the imaging facility1780 ultrasounds pants to e1and other ve �es�rin Myhre Road NW, Suite 1220, These procedures are $ Silverdale. From 10 a.m. to 1 bya paid for p.m. the facility is open for grant from the Susan G. P Komen Foundation, Seattle; women's tours;from 1 to 4 p.m. King County Health Depart= the general public is welcome, ment, and Center for Disease Jefferson County Health Control in Atlanta. Department's Breast and Cer- Jefferson County is one of vical Health Program (BCHP) five counties in Washington provides women's health care state that qualify for the Breast • for women ages 40-64 in lower and Cervical Health Program. income and ethnic groups.It is For more information call Julia designed to bridge the Danslcin,outreach coordinator, carethcare gap created by Mme- at the health department, 385- 9420. • ubst,fl ce äbue surveyunder way Last year the Olympic Edu- county profile based on the risk cational Service District(OESD) and protective factors. Risk fac- -1 14, on behalf of the local tors are certain characteristics of schools in Jefferson County, re- family,school or community en- ceived a Department of Alcohol vironments that are associated and Substance Abuse State In- with increases in alcohol, %centive Grant.The grant applica- tobacco and other drug use. tion was a collaborative effort Protective factors include psy- ,among the Jefferson County chological, behavioral, family' ;'Health Department, OESD, and social characteristics that ;•Community Network and the can insulate children and 'Port Townsend, Chimacum, youths from harmful effects in ;,Quilcene and Brinnon public their environment. school districts. Reviewing adolescent health The grant provides school- behaviors is part of a larger, lo- based substance abuse preven- cal two-year activity titled tion services with the goal of Jefferson's Health Indicators reducing risk and increasing pro- Project.This consortium is work- 'tective factors for problem be- ing with the county board of haviors. Staff members funded health, City of Port Townsend • by the grant provide parent edu- and community leaders to guide cation, family and individual the work of Dr.Chris Hale of the counseling, and youth support University of Washington and the groups in six schools. Health and Humans Services Participating schools must Department as they begin re- complete the Washington State viewing the health behaviors of Adolescent Health Behavior all county residents, Survey in order to provide the April 2001 is the kickoff of local communities with the behavioral risk assessment baseline data and ongoing as- that will involve 600 county sessment of needs and services households in a 15-minute phone to youths'on the topics of alco- interview concerning health and hol,drug and tobacco use, and access to medical care, among other problem behaviors. This other topics.Surveys and census survey was administered to data will help policymakers for- county students in grades 8, 10 mulate informed decisions and and 12 in early fall 2000. plan for a changing Jefferson The survey data provide a County. i. LEA-0 •